Welcome to HCM. You have not mentioned whether you are a man or a woman. However, from what you have mentioned about your count - of what not clear, still I presume it to be sperm count- I presume you are a man. Well sperm count is low but not very bad. Have you got checked from a urologist? You have to find whether you have got vericocoele - a condition in which the veins of the testes become tortuous. In such condition, if operated well in time, it can reverse the changes. In fact increased temperature in and around the scrotum is responsible to bring down the sperm production. So if you are wearing tight underwear, please use loose ones. Also it is advisable to keep the scrotum and testes free in the house. If you working in a place where too much heat is there; e.g. near furnace or so, it will affect your sperm count. Try to switch over the type of your work in that case. Some medicines or addictions do affect the fertility of a man by different ways. Please get the detailed information about it from your doctor. Also, your wife too needs to undergo the investigations regarding the normal production of eggs and the patency of the genital tract. Production of the eggs can be studied by the hormone level studies, study of the lining if the uterus and/or ultrasonography. Along with that the development of the uterine lining is also to be done. The patency of the genital tract can be assessed by x-ray, ultrasonography, etc. If all other investigations turn out to be normal in your wife and you and only low sperm count is responsible for not causing a pregnancy, then artificial reproductory techniques like intravaginal or intrauterine insemination, in vitro fertilization or other modern methods can help you to have the pregnancy; however these are very costly alternatives. If nothing works or not practicable, adoption of a child is a very good option. That helps an orphan child to get the parents and infertile couple to get the child without increasing the world population.