This happens because trt can interfere with the body’s natural hormone balance. Like any medical treatment, it comes with risks — one of the biggest ones being its possible effects on fertility Yes, testosterone replacement therapy can cause issues with fertility
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Many men don't realize that a decrease in sperm production is a side effect of testosterone replacement therapy, being caught off guard when they receive semen analysis results indicating a lack of sperm.
Testosterone replacement therapy (trt) can relieve symptoms of low t, but it can affect fertility
Couples who are concerned about the impact of trt and fertility should talk to a doctor. Fertility may return after stopping trt, though recovery varies, and alternatives like clomiphene or hcg can help preserve fertility Testosterone replacement therapy can significantly impact fertility in men, and it is not recommended for those interested in current or future fertility The most recent and highest quality study, published in 2024, 1, highlights the negative effects of exogenous testosterone therapy on spermatogenesis, leading to impaired fertility.
Clinical research has provided substantial evidence linking trt to changes in male fertility Clinical research shows that up to 90% of men on testosterone therapy will experience a significant reduction in sperm count, and many will become completely infertile while on treatment. While testosterone replacement therapy can work wonders for energy, mood, and libido, it’s not all smooth sailing
