Are low semen volume and alopecia in the pubic area related?

Hello doctor,

I noticed a small triangular bald spot in my beard three weeks ago. It was likely alopecia areata. Saw my dermatologist last week, she said it was likely folliculitis. I have had folliculitis before in the same area and it was much different. So, I accepted and moved on. One small spot that has some hair growing back, small thin white hair. Yesterday, I noticed what appeared to be a bald spot in my pubic hair above the penis. So, now I have what I believe to be three spots, two below the abdomen and one on the beard. My concern is more of them spreading than the current spots.

I am now thinking back about the annual checkup that I had with my general physician six months back. I advised him that in the past year, the amount of semen I produce has gone down drastically. I thought it might be a testosterone issue. He advised it was likely a result of my vasectomy the year before. Also, as a part of my visit, my WBC (white blood cells) was lower than normal, outside of the range by a couple. He was not concerned about that either.

My question is whether any of these things are related: a decrease in semen, low WBC, and alopecia in the pubic area or all separate issues? I see no reason to go back to the dermatologist as my new spots are hidden. Based on these separate facts, is there any likelihood they are related and is there any reason to see a doctor?

Hi doctor,

Thank you for the reply.

Here are two photos: one with a triangular spot on the beard and one of the pubic areas with a quarter size spot.

Hi doctor,

Thank you for the reply.

I am mentally struggling with what this will mean to me. I understand that the course of the condition cannot be predicted. Having two spots in my pubic area and one small spot on my beard is not an issue- it is the question of what will come in the future. I will get spots on my scalp. I realize there is no way to predict if this will happen but, in your opinion, how should I look at this situation? What would your experience and statistics suggest?

Hi doctor,

Thank you for the reply.

My beard spot, which I noticed four weeks ago, appears to have white fine hairs growing in it. It does not appear to be increasing as of this point. My pubic spots I just found last week. The larger one has hair growing in the center and I do not notice any exclamation point hairs around the perimeter but that could be because I cut the hair back to look at the spot. It is the size of a US quarter. The smaller pubic spot also has hair in the center that is not nearly as large. It is either older and has regrown or is newer and smaller.