Q. Can decrease in semen, low WBC and alopecia in pubic area be related?

Answered by
Dr. Atishay Bukharia
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 06, 2018

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. She is the doctor. 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. When I trimmed the hair back, it revealed a quarter sized bald spot and a smaller dime sized spot. I am not sure how long they may have been there as they were somewhat masked by a longer pubic hair. So, now I have what I believe to be three spots, two below abdomen and one on 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 GP six months back. I advised him that in the past year the amount of semen I produce has gone down drastically. I thought it may 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 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: decrease in semen, low WBC, and alopecia in 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?



Welcome to

Alopecia areata is an immune disorder and is separated from folliculitis and it has nothing to do with your semen count and low WBC. Nevertheless, please send me a few good quality photographs taken in a natural light.

Thank you doctor,

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



Welcome back to

Yes, it is alopecia areata (attachment removed to protect patient identity). Just try Tacrolimus 0.1 percent ointment twice daily and Tretinoin 0.05 percent ointment once daily.

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