Testosterone Replacement and Sperm Production

Erectile dysfunction is often associated with a low testosterone level. Unfortunately all too often males with low testosterone levels are placed on testosterone hormone replacement without concern for sperm production. While testosterone gel or injections can increase the blood level, FSH levels are suppressed and sperm counts often drop to zero. Please speak with a fertility trained urologist or reproductive endocrinologist before initiating treatment if fertility is desired.

Category:

Science & Technology

Tags:

• sperm
• fsh
• erectille dysfunction
• testosterone

[leeleeua]

Can this problem also result from the use of Androgel - testosterone replacement gel?

[mperloe]

@leeleeua Yes. Angrogel can reduce your sperm production. Any form of testosterone will suppress pituitary secretion of FSH which is needed for sperm production. hCG, clomid, letrozole and other injectable medications like Bravelle, Menopur, Gonal F may increase sperm production since they replace pituitary hormones.

[leeleeua]

@mperloe This information is disappointing to me since none of my husbands medical professionals nor mine (my OBGYN) have mentioned this. We are a young couple and obviously want to have a family one day. Even in questioning my OBGYN about the use of androgel and sperm production, she stated it shouldn't be a problem. He has been on the gel off and on for about 2 years and he has also had injections in the past. Thank you for your quick response!

[mperloe]

I am sorry that you received information that was not informed. Hopefully you can move forward and find more informed medical information.

[mperloe]

@abvmoose87 Yes. It will improve your libido, but decrease sperm production. You may benefit from clomid or letrozole oral medication, or in some cases injectable hCG injections may be needed.

[abvmoose87]

@Jahkillian i would like to know this also. I think testosterone injections will increase your libido but reduce your sperm count. I would like to know what it was he recomended instead. I know that you can inject lh hormone to increase sperm count but you cant do that forever either

[Jahkillian]

So let me understand. The testosterone will give you higher libido but less sperm? I thought the very feeling of male libido is the filling of being full of sperm?

So is there something you can take while being on testosterone therapy that will increase sperm?