- Men’s Health
- How Low Testosterone Affects Fertility
- Can Testosterone Levels Affect Fertility?
- There has been a lot of information about low-T and fertility on the internet and television lately.
- There are a number of different options for testosterone replacement for men with low T.
- Testosterone Effect on Sperm
- Testosterone’s Role in Sperm Production
- Testosterone Supplements and Infertility
- Treating Low Testosterone without TRT
- Stopping Testosterone Supplements
- Some common symptoms of low levels of testosterone:
- Testosterone – a Delicate Balance
- What are the side effects of testosterone replacement therapy (TRT)?
- Testosterone replacement therapy side effects
- Testosterone and sperm production
- If “low T” is slowing down your sex drive, testosterone supplements can speed it up – and make you infertile in the process
- How testosterone therapy eats away a man’s fertility
- Ways to increase testosterone levels naturally
what two hormones besides testosterone affect sperm production Erectile Dysfunction
The Most Effective What Two Hormones Besides Testosterone Affect Sperm Production Erectile Dysfunction Healthy With New Discount DEKOMUNDO.
Li Qingyun came back these two days, in addition to making up for them in the house, there is no time to chat, Best what two hormones besides testosterone affect sperm production Erectile Dysfunction Health Supplements so take this opportunity, he is right and left, and actually the penis ridge Natural two wives are smiling at the same time.
Hey, like a small bubble bursting sound, a group of yin dissipated, transformed into heaven and earth aura, back to nature, so that what two hormones besides testosterone affect sperm production Erectile Dysfunction Erectile Dysfunction the surrounding flowers and trees grow fast.
The virtual test room is so big, how do you find me This question, do not ask peace of mind.
Li Qingyun, you do not want to bully too much The old man just returned from the little demon world, the road is bumpy, the body and mind are exhausted, you wait for me to return to the Zhou family, rest for a few days, how do we fight again Zhou Yuantu sacrificed a golden flying sword, the sword body shines While talking, Feijian desperately blocked Li Qingyun, and he had already fled with a device.
At this time, you do not have to be humble, you must let some pseudo experts Shame, no face what two hormones besides testosterone affect sperm production Erectile Dysfunction Extend Pills to see people.
What is more terrifying is that his speed of casting is faster than the speed of the evasiveness of Feng Yao, and it seems that there is no end to the thunder, no need to mourn the curse, and other people what two hormones besides testosterone affect sperm production Erectile Dysfunction Extend Pills is lightning.
Huangfu teacher finally relieved and nodded Li Qingyun is work Yes, very good, played the prestige of our Pangu Academy.
I just did not expect it, his courage is big, actually I what two hormones besides testosterone affect sperm production Erectile Dysfunction Male Enhancement dare what two hormones besides testosterone affect sperm production Erectile Dysfunction DEKOMUNDO what two hormones besides testosterone affect sperm production Erectile Dysfunction Extend Pills to start with the students of the college.
Danger is Health Supplements What Two Hormones Besides Testosterone Affect Sperm Production Erectile Dysfunction an absolute danger, but as premature ejaculation pills review Natural long as it can be done, not only will it be repaired with a magical spell, but it will not be afraid of robbing, and it will greatly open up the road what two hormones besides testosterone affect sperm production Erectile Dysfunction of cultivation.
At this point, the auctioneer on the stage finally put black ant pills male enhancement Penis Growth out a row of jade bottles and said The ten bottles are all anti bone, and there are two in each bottle.
It is said that another ancestor of the Yuan Ying period has traveled for more than ten years and has not returned yet.
Is today April Fool is Day How did this impossible thing happen It is as if I invited Yang Yunu is family to come over, what two hormones besides testosterone affect sperm production Erectile Dysfunction Erectile Dysfunction I do not know that Li Qingyun, who has been missing for three years, will come.
The Latest Updated what two hormones besides testosterone affect sperm production Erectile Dysfunction poisonous mist seems to be endless, and it will permeate half a block in an instant.
Hey, after catching up with the white what two hormones besides testosterone affect sperm production Erectile Dysfunction Audi super run, juxtaposed side by side, squeezing it on the barrier railing, the body rubbing the guardrail, the horoscope was what two hormones besides testosterone affect sperm production Erectile Dysfunction Sexual Healthy like a phoenix, and it was extremely fierce.
After a while, she wanted to understand the meaning of her father is words libido booster Penis Growth and was surprised Hey, what do you mean by just talking about it Go to our what two hormones besides testosterone affect sperm production Erectile Dysfunction DEKOMUNDO Lingtian Grandpa agrees to split up When is what two hormones besides testosterone affect sperm production Erectile Dysfunction Penis Growth this This morning is thing.
Therefore, Zheng Xinyan is mentality has long been adjusted, and with greater enthusiasm, he has invested in the work of arranging the formation.
Well, I know, I will what two hormones besides testosterone affect sperm production Erectile Dysfunction Pills try to take them citrocillin male enhancement reviews Extend Pills in the city as soon as possible, and I will be able to strengthen my heart.
Qian Xiao Er actually replied very quickly, indicating that he did not die in the virtual examination room Li Qingyun, you are still alive Good luck.
At the time of the robbery, there were too many people on the scene, and none of the magic weapons that were stolen in the past could be used.
Zheng Xinyan pointed to a bald headed monk and said This person I know, Da Xueshan The Guru, the guy who called Jigeguangge, is the best at big handprints.
The eyes of Jolly is eyes are laughing, not only not afraid, but threatening each other.
They dismissed As long as you work hard, you will definitely have enough what two hormones besides testosterone affect sperm production Erectile Dysfunction 2018 credits for you to borrow.
I am your grandfather, and the skills of the spiritual plant are worse and stronger than you.
Ah, you dare to lick my arm Li Qingyun, you are dead, wait for my Helpful what two hormones besides testosterone affect sperm production Erectile Dysfunction 2018 friend to come, we want to kill you.
He wants to cultivate a kind of spiritual what two hormones besides testosterone affect sperm production Erectile Dysfunction Mens Health plant that can be popularized in what two hormones besides testosterone affect sperm production Erectile Dysfunction Male Enhancement the shortest time.
Seeing the student Yu Fu, his credits increased by 30, and it seems that all the sufferings are worth.
Wife, take care of the cockroaches and worms, Lao Xiao, give me a slap in the face, do not hit the two sports cars and smash them, and never stop.
Doing bad things, should not you be arrested Sale Best Erectile Dysfunction Are you kidding Latest Updated what two hormones besides testosterone affect sperm production Erectile Dysfunction when the law is Li Qingyun did not return to the cage and returned to lock.
Xiao Qing, rest assured, the rest of the things will be handed over to our family.
The patience explained We are cleaning up the portal and arresting two rebellious disciples, not playing games.
what two hormones besides testosterone affect sperm production Erectile Dysfunction Natural
what two hormones besides testosterone affect sperm production Penis Growth
Helpful What Two Hormones Besides Testosterone Affect Sperm Production Penis Growth Male Enhancement Top 5 Kingsizemag.se.
Outside the dense water, the scorpion walked out of a ray of light, looked at the dense water, silenced for a moment, and smiled You grew up.
Yu Yuqing said The emperor Fertility Supplements What Two Hormones Besides Testosterone Affect Sperm Production Penis Growth of that world ordered a god to come, let us Tianchu return, and later realized that the world is called the imperial country.
There is indeed a lot supradyn tablet Healthy of fun and surprise in the step by step practice.
The house pig is rushing to the high speed rail in Changsha, Hunan Province, continue to code, struggle The forty fourth chapter of the big bronze clock Long Qilin was very happy, carrying Qin Mu out of the city and ran out of power, it was really fast, much faster than in the desert.
The formation method evolved what two hormones besides testosterone affect sperm production Penis Growth to the end, and it became six walls, which were squeezed toward the center.
He picked up another star map, which is a savage wolf star, a dragon turtle pattern, and an altar at the foot.
The promise made by the ancestors, if I do not keep it, I will be a person, so I what two hormones besides testosterone affect sperm production Penis Growth Healthy am still going to the meeting.
Finally, the energy in the eyes of what two hormones besides testosterone affect sperm production Penis Growth Erectile Dysfunction the Taiyin jade TOP 5 what two hormones besides testosterone affect sperm production Penis Growth Fertility Supplements is gathered, what two hormones besides testosterone affect sperm production Penis Growth Healthy Qin Mu controls the jade eyes, and the eyes of the jade eyes are suddenly erected, and a thin light blade is shot forward Qi Longjun has what two hormones besides testosterone affect sperm production Penis Growth Erectile Dysfunction climbed what is a penis pump used for Sexual Healthy out of most of his neck.
After the return of what two hormones besides testosterone affect sperm production Penis Growth With High Quality the Yuanshen, the two suddenly found out that they had actually what two hormones besides testosterone affect sperm production Penis Growth Penis Growth become a god, and the encounter was what two hormones besides testosterone affect sperm production Penis Growth With High Quality extraordinary.
You killed the court of Zhentian, and Yu Jinfang of the family is a big disaster.
Most of the time, he was at the mouth what two hormones besides testosterone affect sperm production Penis Growth Natural of the river, asking the king to lift the river.
Then some spiders rushed around the mountain peaks and set up a spider web.
Qin Mu asked Si Yuxiang and said Where did the emperor Bioxgenic what two hormones besides testosterone affect sperm production Penis Growth go The emperor has what two hormones besides testosterone affect sperm production Penis Growth Kingsizemag.se just arrived in Youzhou, and there are more than Most Important Zederex ten days best vitamin Natural away from here.
The injury on his body was that Qin Mu used the crescent moon to smash it out.
Yanfeng Emperor and Li Tianxing are left and right, and the Jiulong broken palm and the Da Luo Tianxing are almost simultaneously playing on the left and right temples of the Xingyi.
When I saw the what two hormones besides testosterone affect sperm production Penis Growth With High Quality scorpion coming back, a young, high what two hormones besides testosterone affect sperm production Penis Growth Erectile Dysfunction spirited chicken was rushed up and tried to drive the old scorpion out of his territory.
My grandfather, after the eye muscles have completely healed, remove the ribbon.
The actor Shi Yiyi did not move, revealing the color of surprise, and praised It gnc nugenix price Male Enhancement is a good sword, not more than the swordsman Luo Yinyu.
There are fewer residents, and the priests are arrogant, The Most Recommended what two hormones besides testosterone affect sperm production Penis Growth With High Quality and they are all allowed to move out of this place.
Although Si Yixiang is somewhat embarrassed, he also needs to verify whether the exercises he and Ling Yuxiu have created can be successful.
He hurriedly jumped to the head of the old what two hormones besides testosterone affect sperm production Penis Growth Extend Pills patriarch, and his tears shed tears.
Below the cave, Qi Longjun began to practice, urging the refining of the huge Dragon Nest, trying to take away the Dragon Nest.
The medicine he gave to the scorpion was indeed a tonic, and it was a real cure.
Sure enough Everyone has a big shock, this world really has more than four spirits, and other spirits The four spirits should be the words of people outside the big market The old patriarch said There what two hormones besides testosterone affect sperm production Penis Growth Male Enhancement are not only four bodies in this world, but also the body what two hormones besides testosterone affect sperm production Penis Growth Natural of pure yang, the body of pure yin, and some other stronger spirits.
How can nothe teacher respond Qin Mu looked around what two hormones besides testosterone affect sperm production Penis Growth With High Quality for a week and sincerely said These brothers and sisters are all a talented person.
what two hormones besides testosterone affect sperm production Mens Health
Outstanding What Two Hormones Besides Testosterone Affect Sperm Production Mens Health Mens Health Genuine Webike.
Of course, this is Welcome To Buy what two hormones besides testosterone affect sperm production Mens Health Product gnc winston salem Male Enhancement also daring to be angry, who can make himself weaker than others This is also the pattern that has been formed for thousands of years.
Lin Yi was practicing, the phone rang, and she glanced at Liu Mens Health Product Jinghan is number, so Lin Yi picked up directly.
These things are no secret, and Feng Tianhu is not afraid of anything at this moment.
Xu Shihan and Cheng Yiyi had never seen Yang Qiqi, but they were already what two hormones besides testosterone affect sperm production Mens Health Webike known on the plane.
If it is unsuccessful, you can apply for it again after half a year, but this is the last chance.
In Welcome To Buy Mens Health the hall, there was an old man sitting on the teacher is chair, closing his eyes and looking up.
There was no speech overnight, and the next morning, Cheng Yiyi went to find Xu Shihan for breakfast.
just passing by However, He Tianzu is move was an interpretation of his purpose.
Although the possibility that those younger brothers dare to make trouble is almost zero, they were relieved to watch them leave.
Lin Yi nodded, It seems that there is no reason what two hormones besides testosterone affect sperm production Mens Health for Yang Qiqi is mixed winds abroad.
Let is continue, As long as this is the Mens Health Product case, then we have the competitive strength.
Too elder, are you okay Chu Mengyao waited for these people to leave before walking over to help elder Taishang.
If it was not for Yu Dake is decision, Lin Yi would be seriously injured at this moment It is not too bad, because what two hormones besides testosterone affect sperm production Mens Health Extend Pills Lin Yi also uses Zhenqi to protect her body, and also has what two hormones besides testosterone affect sperm production Mens Health Pills the defense bonus of Jingyuan necklace, but she does not worry about being killed in one shot But the key is Lin find someone to fuck tonight Mens Health Yi, who is seriously injured.
As long as he makes enough money, Lin Yi donates most of his money to Yu Xiaoke.
Like other auctions, after the host narrated the rules of the auction, they entered the auction process smoothly Lin Yi roughly looked at the auction what two hormones besides testosterone affect sperm production Mens Health Pills guide.
Xu Shihan at this moment, looking at the old dean of the orphanage, her brows frowned.
Lin Yi laughed With a smile If I m not sure, I all take you directly back to Xixingshan Village, care what two hormones besides testosterone affect sperm production Mens Health Mens Health about many of them Also Chu Mengyao could not help laughing.
Is Yao Yao here Lin Yi glanced at the disciple and frowned slightly, this courage was a bit too small I m still a disciple in this way, this night palace is really no one Ah you wo not be the young master of Tiandanmen, will the silkworm change The guardian disciple was startled.
He did not know that Primary Three, Primary Four, and Primary Five died in what two hormones besides testosterone affect sperm production Mens Health Product the hands of Lin Yi After all, Primary Three, Primary Four, and Primary Five secretly executed the orders of Xuan Provides Best what two hormones besides testosterone affect sperm production Mens Health Health Supplements Chen is ancestors to pretend to be robbery gangs.
Find the right penis ointments Erectile Dysfunction opportunity to kill Worlds Best Zederex one, shock it, and let the rest of the people fall back I do not know if it is okay, Lin Yi prayed secretly, do not drop the chain with this fine yuan necklace I know, I will go to the Night Palace tomorrow Lin Yi Worlds Best Zederex nodded and said, Yao Yao, rest assured, I said I would protect you for a lifetime En Chu Mengyao is face turned slightly red, before changing She may say in her heart, who wants you to protect your life However, Chu Mengyao already knew her own heart, Lin Yi said such words, all she had left was happy.
Turning around and going out of the bathroom, but turned around, I saw Xu Shihan standing in the bathroom door with a look of anger Cheng Yiyi was startled Xiao Han.
Sure enough, a small space was created next to the normally cultivated jade space.
Because the space required by the five sperm cells is what two hormones besides testosterone affect sperm production Mens Health Erectile Dysfunction small, the time and materials used are all Not much.
Cheng Yiyi nodded Every once in a while, Feng Tianhu will send me a picture of my brother is life, telling me that my brother is doing well and is still practicing, but the more so, the more unsteady If I betrayed, Feng Tianhu would definitely be bad for my brother I what two hormones besides testosterone affect sperm production Mens Health Natural can not let Xiaohan shield me from what two hormones besides testosterone affect sperm production Mens Health Healthy the wind because of my fault, and I do not want to hide it anymore, it is so what two hormones besides testosterone affect sperm production Mens Health Sexual Healthy painful for me Sure enough, Cheng Yiyi asked for himself, otherwise he could not seduce himself.
Yu Xiaoke, standing still without talking, waited for Lin Yi to turn away, but Yu Xiaoke suddenly She said, Lin Yi I promise you, I will talk Yu Xiaoke made a decision at this moment, and she wanted to tell the male thief that she had decided Lin Yi is a great man, Yu Xiao does not want to cheat what two hormones besides testosterone affect sperm production Mens Health Erectile Dysfunction his feelings anymore.
The headquarters of the Red Conch is located in the European town of Leida, in the town of Leida.
This makes the police team very satisfied with Tang Yuqi, who is cheap and capable.
During the Discount Top what two hormones besides testosterone affect sperm production Mens Health conversation, two people have reached the summit of Houshan, in best male enhancement pills to last longer Mens Health front of a cave, the rain carried Lin Yi, and in front of the cave, opened the institution, and did not hide the meaning of Lin Yi.
If you come to Feng is house and kill my third uncle, then it will be difficult for me to Assassination of family members, I will be driven out of the ancient Feng what two hormones besides testosterone affect sperm production Mens Health Extend Pills family That is in the dark, and to be honest, the Feng family never acknowledged my sister is identity.
How Low Testosterone Affects Fertility
You may already know that low testosterone can cause you to lose interest in having sex and to have weaker and fewer erections. But it can also affect your fertility.
“Low testosterone can cause infertility, but it also may represent a testicular problem that results in infertility,”says Harris M. Nagler, MD, chair emeritus of the Sol and Margaret Berger Department of Urology and professor of urology at the Icahn School of Medicine at Mount Sinai in New York.
One treatment for low testosterone is testosterone replacement therapy. But taking testosterone can hurt your fertility, Dr. Nagler says. Here’s why:
A part of the brain (the hypothalamus) and the pituitary gland, which sits just below it, help control male fertility. The hypothalamus produces a chemical, gonadotropin-releasing hormone (GnRH) that sends a message to the pituitary gland to tell it to produce two important fertility hormones: luteinizing hormone (LH) and follicle-stimulating hormone (FSH). FSH triggers the creation of sperm cells. LH tells the testes to produce testosterone, which is needed for sperm production.
When you take testosterone, your brain thinks it’s done its job and slows down the production of GnRH. Because it’s not getting the message, your pituitary gland no longer produces normal levels of the other hormones, FSH and LH, needed to make sperm. As a result, your sperm production decreases. The lower your sperm count, the less chance you have of fathering a child.
Men who have low testosterone and are struggling with infertility should see a urologist or an endocrinologist who specializes in male reproduction. After diagnosis, you and your doctor can determine the best treatment for your low testosterone based on your goals, which may be sexual function or reproductive function.
“The treatments are different and need to be tailored to your goals,” Nagler says. If fertility is an issue, your doctor may suggest gonadotropin injections to stimulate the testicles to make more testosterone and sperm.
Steps to Boost Fertility
If you have low testosterone, certain lifestyle factors may help boost your fertility. Consider these tactics:
Keep your private parts cool. “Anything that heats up the genital area for excessive amounts of time can lower sperm counts,” says Suzanne Kavic, MD, a reproductive endocrinologist at Loyola Medicine in Chicago. “Sperm don’t like warm temperatures. That’s why the testes are outside the body.” So avoid saunas, hot tubs, and hot baths. Keep your laptop (which can get warm) off of your lap.
Lose weight. Being overweight can change your hormone levels and adversely affect your sperm production. “Men who are obese may have lower testosterone levels because their belly fat converts their testosterone to estrogen,” says Jay Simhan, MD, a urologist at the Einstein Healthcare Network in Philadelphia. “Shedding those extra pounds may have a positive effect on your testosterone and on your fertility.” Even if weight loss doesn’t increase your sperm count, Nagler says, it can make you feel better about yourself and improve your outlook.
Don’t smoke. One study of Saudi Arabian men who visited infertility clinics found that those who smoked had lower reproductive hormone levels than nonsmokers. The study was published in the January-March 2015 issue of the journal Urology Annals. If you smoke, quit.
Be careful with drugs. Some drugs — like steroids and narcotics — can affect sperm production, the Endocrine Society reports. If you need these medications to treat other health concerns, talk with your doctor, Dr. Kavic says. Recreational drugs, including marijuana, also have been linked to low testosterone, according to an article published in the September/October 2014 issue of the journal Trends in Urology & Men’s Health.
Limit alcohol. Excessive alcohol consumption can decrease the amount of testosterone in a man’s body, according to the National Institute on Alcohol Abuse and Alcoholism. Alcohol impairs the secretion of the hormones LH and FSH, according to the article in the journal Trends in Urology & Men’s Health. “Everyone is encouraged to drink alcohol in moderation for their general health,” Kavic says.
Get enough vitamin D. Chinese men who had lower levels of vitamin D also had lower levels of testosterone, according to a study published in July 2015 in the journal Reproductive Biology and Endocrinology. Good sources of vitamin D include fatty fish, mushrooms, and fortified foods such as cereal. Sunlight also is a source of vitamin D, but limit your sun exposure because of the risk of cancer.
Exercise regularly. Exercise not only helps you lose weight and reduce stress, but it can also help build testosterone, Nagler says. A regular routine of aerobic exercise and strength training is considered the most effective.
Can Testosterone Levels Affect Fertility?
While it is common knowledge that low testosterone can affect sexual performance, many may not be aware that testosterone has an impact on fertility as well. Testosterone is one of the hormones that aids in the production of sperm, so it is important that you have the correctly-balanced levels of testosterone and other hormones to maintain reproductive health.
Testosterone and Sperm Count
When testosterone levels are too low, sperm count is reduced. Conversely, when testosterone levels are too high, sperm count is often reduced. This is because an overabundance of testosterone can lead to the body decreasing production of FSH, or the follicle-stimulating hormone, which is another important hormone that serves a function in sperm production.
If you are having problems conceiving or are concerned about fertility for another reason, you may want to have your testosterone levels evaluated. If you are taking testosterone, you should stop immediately as this may be decreasing your sperm count. In most cases where synthetic hormones are not involved, it is more likely that your testosterone levels are too low.
How can I test my testosterone levels?
Testosterone levels can be measured through a simple blood test. At the Center for Male Reproductive Medicine & Vasectomy Reversal, we can perform a blood test to measure your testosterone levels.
We can also test for other issues that may be leading to a lack of fertility. If medical problems are ruled out, we can create a plan to help you increase your sperm count by balancing your testosterone levels or other treatment – it is what we do, and what has led to a reputation as being the leaders in male reproductive health.
Can male fertility be improved?
Before undergoing any special treatment, there are several actions that could aid in achieving healthy testosterone levels. Some of the issues that could lead to low testosterone levels include:
• Being overweight
• Smoking cigarettes
• Drug use
• Excessive alcohol consumption
Our male infertility surgeon may recommend that you make some lifestyle changes before establishing a custom treatment plan. Increasing exercise may be an advised step as exercise aids in weight loss and can help to trigger an increase in testosterone levels.
The use of alcohol, cigarettes, and any recreational drugs have an impact on fertility, and lifestyle changes may be necessary. With a healthier lifestyle, the quantity of testosterone produced by your body could increase naturally.
The Right Environment for Fertility in Men
Our male fertility surgeon may advise you to keep your genital area cool, as sperm needs cooler temperatures to stay healthy. Men trying to conceive should avoid hot tubs, saunas, “hot yoga,” or any other high-heat environment. Avoid placing your laptop on your lap, as it warms up during use and will heat the groin area.
If you have made all the recommended lifestyle changes, have ruled out other medical problems, and are still having difficulty conceiving, a treatment plan can be established to balance your testosterone level.
At the Center for Male Reproductive Medicine & Vasectomy Reversal, we have many treatment options available for men with low testosterone levels. While testosterone injections will merely lead to a reduced sperm count, we also treat our male patients with hormone therapy to aid in sperm production.
Human Chorionic Gonadotropin (HCG), Follicle Stimulating Hormone (FSH), Clomid, and Arimadex are examples of hormone therapy options that may be used to improve fertility. At our Los Angeles clinic, our world-renown male fertility doctor will thoroughly assess your unique situation through testing and work with you to create a custom treatment plan to aid in your level of fertility.
There has been a lot of information about low-T and fertility on the internet and television lately.
Low-T refers to a low testosterone level which can result in a number of symptoms in men. Testosterone is a hormone that is produced primarily in a man’s testicles. When the testosterone level is low it may cause symptoms such as lower sex drive, a lack of energy or increased fatigue, reduced muscle strength or endurance, less strong erections, and male infertility.
If you have one or more of these symptoms you may want to talk to your provider about having your testosterone level checked. It is normal for testosterone levels to gradually decrease as you get older. However, if you have a low T and have the symptoms associated with low T you may want to consider your options for treatment.
Before you start treatment it is important to have a discussion about your future fertility plans because taking testosterone supplements will dramatically reduce the amount of sperm your testes produce.
There are a number of different options for testosterone replacement for men with low T.
There are testosterone gels that are rubbed into your skin daily. There are also testosterone patches you can apply to your skin. Some men prefer to receive testosterone injections every one to two weeks rather than use the daily gels or patches. The injections are usually given into your buttocks and must be given by a provider. There are also longer acting testosterone pellets which can be inserted into your hip by your provider. Lastly, there is a new oral testosterone tablet which you can apply to your gums twice a day.
Any of the treatments will restore your testosterone to a normal or high level, but they have the side effect of reducing the amount of sperm your testicles produce which can result in infertility. The longer you are on the testosterone replacement the lower your sperm count will be, and prolonged treatment may result in permanent sterility.
If you have not started or completed your childbearing it is important to discuss male infertility and testosterone supplementation with your provider before starting treatment. There are options such as freezing your sperm before starting testosterone replacement that will enable you to have healthy sperm for fertility options later. You may also consider using medications that stimulate your testicles to produce more testosterone, such as Clomid, which do not have the side effects of lowering your sperm count.
Take the first step toward reaching your goal. Call our office today and schedule a consultation with one of our male fertility physicians. We serve the Austin, San Antonio, and Houston areas with comprehensive reproductive endocrinology and infertility care.
Testosterone Effect on Sperm
Millions of men in the United States use testosterone replacement therapy (TRT) to treat low testosterone (Low T). With the rise in testosterone supplement use, fertility doctors are warning men who would like to have children in the future to reconsider starting TRT.
Testosterone’s Role in Sperm Production
The pituitary gland produces follicle stimulating hormone (FSH) and luteinizing hormone (LH). LH stimulates the testes to release testosterone. When in balance, testosterone works with follicle stimulating hormone (FSH) to help generate sperm.
Testosterone Supplements and Infertility
Men suffering from low testosterone may experience fatigue and low libido. As a result, TRT has been on the rise, with men of all ages using testosterone supplements. However, fertility doctors are seeing many of these men as their testosterone supplements may be causing azoospermia (no sperm in their ejaculates).
The pituitary gland uses testosterone levels in the blood to determine how much FSH and LH to release for both testosterone and sperm production. When a man is given exogenous testosterone (much like when a woman takes birth control pills), their hypothalamus and pituitary believe the testis is already working and FSH and LH secretion are suppressed, leading to less production of testosterone in their own testes and reduced or failed sperm production (much like a woman does not release eggs while taking birth control pills).
Treating Low Testosterone without TRT
If you wish to have children in the future but are suffering from low testosterone, consider foregoing treatment or alternative treatment options. Low testosterone does not necessarily mean low sperm count. Your fertility doctor can conduct a sperm analysis if you and your partner are having difficulty conceiving.
To treat low testosterone without supplements, you may take an HCG supplement, which will increase your testosterone levels without negatively impacting FSH levels or sperm production. You may also decide to freeze sperm prior to starting TRT to preserve the ability to have biological children.
Stopping Testosterone Supplements
If you are already taking testosterone supplements and are still wanting biological children, your fertility doctor will likely recommend you cease taking testosterone. Studies have shown that sperm production will increase in most men after discontinuing supplements, although it typically takes 6 months or longer to resolve (up to 12 months has even been reported). Do not stop taking any medication without checking with your doctor first.
While the majority of men do not have permanent effects, a small percentage of men still had low sperm production after stopping testosterone. More studies and tests need to be conducted to determine whether or not testosterone supplements led to permanent sperm production issues.
For men suffering from low testosterone who would like the opportunity to have children, avoid TRT and work with your fertility doctor if you have challenges conceiving.
Some common symptoms of low levels of testosterone:
At Dallas – Fort Worth Fertility Associates, we have been hearing a lot about low testosterone in the media and from our patients.
Millions of men are affected by a common condition known as Low T. But how does it affect fertility? Testosterone is made in the testicles and blood levels in some men drop over time, but the low levels that cause symptoms vary individually.
- Low libido
- Erectile dysfunction (ED)
- Difficulty concentrating
The symptoms listed above can have a very gradual onset when caused by slowly decreasing testosterone levels. Andropause describes the state caused by decreased testosterone levels related to aging. This normal decline occurs over many years and may have no symptoms.
For symptomatic males however, it is very important to talk to your fertility doctor. A simple blood test can diagnose a low testosterone level. Testosterone supplements can be taken in many different forms: topical creams, oral tablets or injections are common routes of administration. These treatments cause serum testosterone levels to rise and symptoms may improve within a few weeks, but may take as long as 3 months to completely improve.
Well-meaning doctors prescribe testosterone replacement therapy (TRT) without appreciating the effect this may have on male fertility and sperm counts.
Testosterone – a Delicate Balance
Testosterone is essential for sperm production, but elevated testosterone levels caused by supplements can cause the testicles to stop producing sperm. Low libido and erectile dysfunction decrease a man’s fertility, but ironically, testosterone supplementation can decrease sperm counts!
The good news is that sperm production will usually resume once testosterone supplements have not been taken for about 72 days (the life cycle of sperm).
The fertility doctors at Dallas – Fort Worth Fertility Associates are experienced in helping men with low testosterone levels conceive. There are therapies that do not involve direct testosterone supplementation that can improve symptoms without decreasing sperm counts.
Every couple is unique and we at Dallas – Fort Worth Fertility Associates are committed to finding answers and offering fertility treatments that work, whatever the cause may be.
For more information on Male Infertility Causes and Treatments visit http://www.dallasfertility.com/causes-of-infertility/male-infertility or Contact us to schedule your appointment.
Dallas Fertility Male Infertility
What are the side effects of testosterone replacement therapy (TRT)?
Disclaimer: This information isn’t a substitute for professional medical advice, diagnosis, or treatment. You should never rely upon this article for specific medical advice. If you have any questions or concerns, please talk to your doctor.
Testosterone replacement therapy side effects
Testosterone replacement therapy (TRT) is a common way to increase testosterone and treat the symptoms of low testosterone. But one of the most common side effects of testosterone replacement therapy is low sperm count. A risk of TRT is that artificially high testosterone levels can trick your brain into stopping LH and FSH production. And when you stop making FSH, you stop making sperm.
Testosterone and sperm production
Testosterone production is a feedback loop. When your brain senses low testosterone levels in your blood, it ramps up testosterone production in the testicles by releasing two hormones:
- Luteinizing Hormone (LH) – Makes testosterone in the testicles
- Follicle Stimulating Hormone (FSH) – Essential for sperm production
When you add external testosterone (from replacement therapy), your brain slows production of LH and FSH because it thinks you don’t need anymore. But FSH is directly responsible for sperm production in the testicles. Decreased FSH levels together with already low natural levels of testosterone can decrease your sperm count. A lot. In fact, men using Testosterone replacement therapy can have a sperm count in the semen of zero.
Low testosterone production in the testicles means low sperm count. But too much testosterone can mean the same thing. Many of the side effects of high testosterone—like acne and mood shifts—are reversible. But other long-term effects of TRT (particularly regarding sperm count and fertility) are unknown. Talk to a doctor to find out if testosterone replacement therapy is right for you. Then work to find the right dose to make sure your testosterone levels stay within normal levels to reduce your risk of side effects.
If “low T” is slowing down your sex drive, testosterone supplements can speed it up – and make you infertile in the process
Testosterone is a very important hormone in males. It is important for pubertal changes such as muscle and bone growth, hair growth and development of the sex organs. It plays a very important role in libido and sexual function. Finally, it is essential for sperm production.
So when testosterone levels are low, especially when this is interfering with sex drive, sexual functioning and energy level, supplements are often prescribed. This may be as an injection, gel, patch or injectable pellets. Testosterone replacement is very effective at improving these symptoms.
Marketing blitzes are propelling more men than ever before to take testosterone to combat signs of low testosterone (low T is the popular term). Men are urged to talk to their doctor about this therapy if they have possible signs of low T, such as “feeling tired.”
A 2015 Journal of the American Medical Association report indicated that since 2001, the number of older and middle-aged men prescribed such supplements has tripled. The highest increase is among men in their 40s. Since testosterone naturally decreases about 1 percent annually in men after the age of 30, that makes sense.
However, taking this hormone can result in infertility. And that’s a problem for men seeking to boost their sex drive so they can get their partner pregnant. This is something that we are seeing more of in fertility medicine.
Our Male Infertility Treatments
How testosterone therapy eats away a man’s fertility
Taking testosterone decreases production of the follicle-stimulating hormone (FSH) from the brain, which is the hormone that drives sperm production. As FSH levels drop, so does sperm production. Low T therapy can also cause testicular atrophy, which can also result in fertility problems.
So while the supplements may help with libido, they are dropping fertility. In most cases stopping the therapy will result in return of the sperm production. Generally, men recover their fertility quicker if they had been taking testosterone for a shorter period of time.
But regaining fertility may take months, and in some cases of long-term injectable testosterone that can work for six months, there may be a permanent loss in sperm production. Any manner of testosterone delivery has the potential to cause infertility.
The best practice for a man is to not have testosterone therapy until he has fathered all the children he wants. If a man wants to father children and has low testosterone, he could freeze his sperm for future use, then undergo testosterone therapy.
Short of that, treatment other than testosterone supplements is indicated. He should see a reproductive urologist to test for underlying causes of low T.
There are other medications that can be used such as clomiphene citrate or fertility injections to increase both testosterone production and sperm production. Hormone levels and sperm count should be monitored while using these medication.
Men of reproductive age desiring current fertility or at any time in the future should avoid all forms of testosterone treatment.
If you have been taking testosterone supplements for awhile, your fertility will not return right when you stop taking them. Over time the supplements build up in your bloodstream. Depending on how long a man has been taking the supplement, it could take anywhere from a few months to a few years for his own body’s testosterone production to return to normal. For a small percent of men, prolonged testosterone therapy can result in permanent sterility.
If you want to take testosterone supplements to increase your libido and energy, you should talk to your doctor about your options. If you are still wanting to have a child, it might be worth your time to plan ahead and freeze your sperm to use when you are ready to have children. Another option would be to hold off on taking testosterone supplements until you are certain you don’t want to father any children in the future.
Ways to increase testosterone levels naturally
You have good, natural options to increase your testosterone levels without taking testosterone supplements or prescribed testosterone. Consider these eight tips:
- Exercise and lift weights
- Maintain a healthy weight
- Minimize stress
- Get quality sleep
- Eat healthy fats
- Get some sun (or take vitamin D supplements)
- Take a multivitamin (make sure it has zinc and vitamin B)
- Limit excess alcohol use and only take prescribed drugs.
Before starting any supplements, such as vitamin D and zinc, it is important to talk with your doctor to learn about possible side effects.