Fertility & reproductive health

Navigate conception with clarity and science. Explore semen analysis, male infertility evaluations, and preparation for assisted reproduction like IVF and IUI. Learn how hCG, enclomiphene, and targeted supplements can improve sperm count, motility, and semen quality. Clear, evidence-based guidance to improve fertility and reproductive outcomes.

Testosterone Сypionate: Relief you can feel, but what about fertility?

Testosterone Сypionate: Relief you can feel, but what about fertility?

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Oct 17, 2025 · 14 min read

Testosterone cypionate can relieve true hypogonadism (diagnosed in men with consistent symptoms plus repeatedly low morning testosterone; AUA guidance uses a total testosterone cutoff around 300 ng/dL, while EAU guidance uses about 12 nmol/L, roughly 346 ng/dL), but it commonly suppresses LH and FSH and can sharply reduce or shut down sperm production. Learn how ...

Enclomiphene: Double testosterone without injections

Enclomiphene: Double testosterone without injections

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Oct 12, 2025 · 13 min read

In randomized trials of men with functional hypogonadism, daily enclomiphene (a SERM) blocks estrogen feedback in the hypothalamus and pituitary to raise LH and FSH. This can increase morning testosterone into or near the normal range, and in some men with very low baseline levels it may roughly double testosterone on labs while sperm counts ...

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