TRT and Fertility Risks
Online intake — Additional evaluation may be required
Testosterone therapy can suppress sperm production and cause infertility. Discuss current or future pregnancy plans before starting or changing testosterone.
Overview
External testosterone affects the hormonal signals involved in sperm production. Blood testosterone levels do not establish fertility status; semen analysis is a separate assessment.
Signs and Symptoms
- Reduced sperm count on semen analysis
- Absence of sperm on semen analysis
- Testicular shrinkage
Common Causes
Information to bring to a fertility consultation:
- Current and previous testosterone use
- Other medications and supplements
- Previous semen analyses
- History of conception or fertility treatment
Common Questions
Can I assume fertility will return after stopping TRT?
No. Recovery is not guaranteed. Do not start, stop, or change prescribed medication without clinical advice. A fertility specialist may recommend further assessment.
Can a testosterone blood test replace semen analysis?
No. These tests assess different clinical information. The clinician determines which tests are needed.
Ready to Get Started?
Complete a brief online intake. A licensed provider will review your information and determine if treatment is appropriate for you.
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