spermogram is not the worst but not good. No steroids currently.
In this case, you need to do blood tests for sex hormones - Total and free testosterone, LH, FSH, Estradiol, Prolactin, SHBG.

After that, you can think about choosing medicines. We can help him - just send tests results please.

It is also important to do an ultrasound of the pelvic organs, scrotum and prostate
 
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