Testosterone Therapy And Fertility

Testosterone therapy works by adding testosterone from outside the body. Your pituitary reads that as a signal that there is already enough, and it reduces the LH and FSH it sends to the testes. Those two hormones drive sperm production. Lower them and sperm production falls with them, which is why the American Urological Association guidelines advise against prescribing testosterone to men who want current or future fertility. Most men are never told this before the first injection. A questionnaire, a lab draw, and a prescription can happen in a single afternoon at a telehealth platform, and the question of whether you want children in the next decade does not come up. At T Clinics USA that question comes first. Men are evaluated in person at our Naples, Fort Myers, and Coral Springs clinics, and fertility intent is part of the initial conversation rather than something discovered later. For men who want to preserve fertility, other approaches exist that raise testosterone by stimulating your own production instead of replacing it. Which one fits depends on your labs, your history, and your timeline. Results vary by individual.