Conditions · FAQ
How can low testosterone treatment affect fertility?
Short answer
Testosterone therapy can lower sperm production, sometimes to very low levels, so it is generally avoided when trying to conceive. Results vary. Tell your physician about current and future fertility plans before starting treatment. Medicines that stimulate hormone production may be considered in selected cases, but they do not guarantee fertility.
Testosterone levels and fertility are related, but they are not the same thing. A normal testosterone blood level does not prove that sperm production is normal. If having a child is a goal, your physician may recommend a semen analysis or a visit with a reproductive specialist.
Taking testosterone from outside the body can reduce the brain signals needed for sperm production. Sperm counts may fall substantially during treatment. Results vary. Testosterone is not reliable birth control, even when it lowers sperm counts.
After testosterone is stopped, sperm production may take months or longer to recover, and full recovery is not guaranteed. Results vary. Do not start or stop treatment on your own to manage fertility.
For selected causes of low testosterone, specialists may consider medicines that stimulate the body's own hormone production. These treatments do not guarantee pregnancy. Results vary. Enclomiphene is not FDA-approved. If compounded, it is prepared by a licensed pharmacy for one patient and is not FDA-approved. Review fertility goals before choosing any hormone treatment.
Sources
Written by the Verra clinical team · Medical review pending
General information, not medical advice. If you're in crisis, call or text 988.