Fertility and testosterone

Explores the relationship between testosterone levels, TRT, and male fertility, including strategies to optimize both. Covers topics like sperm health, hormonal balance, and fertility preservation for men on or considering testosterone therapy.

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The essentials for fertility and testosterone — then explore the latest posts below.

TRT side effects. Facts and myths.

TRT side effects. Facts and myths.

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

TRT side effects most often include acne or oily skin, higher hematocrit, fluid retention, and reduced fertility, and they are usually manageable with appropriate dosing and monitoring. Here is a clear, evidence-based guide to testosterone replacement side effects and how to manage them safely. “Most problems blamed on TRT are preventable. The real risk is ...

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 ...

Unexpected effects of testosterone therapy you should know

Unexpected effects of testosterone therapy you should know

Dr. Susan Carter, MD avatar
Dr. Susan Carter, MD: Endocrinologist & Longevity Expert
Aug 23, 2025 · 16 min read

Testosterone therapy can cause “unexpected” side effects beyond libido and muscle gains, including bone marrow driven rises in hemoglobin/hematocrit that can reach erythrocytosis when hematocrit exceeds ~54%, along with water retention, acne, mood changes, and reduced fertility. Here’s what to monitor, why these effects happen, and how to manage them safely with your clinician. “Testosterone ...

Navigating testosterone replacement therapy costs: A simple guide

Navigating testosterone replacement therapy costs: A simple guide

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Aug 09, 2025 · 13 min read

TRT can cost roughly $30 to $200 per month for generic injections (plus supplies) or $50 to $600+ per month for gels and patches, while pellets often run about $600 to $1,200 per insertion every 3 to 6 months. Your total cost is driven mainly by medication type, required labs, follow-up visit model, and insurance ...

Your guide to effective testosterone replacement therapy near me

Your guide to effective testosterone replacement therapy near me

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Aug 06, 2025 · 14 min read

Evidence-based testosterone replacement therapy is most likely to help men who have consistent low‑T symptoms plus repeatedly low morning testosterone, confirmed with solid lab testing. Guidelines vary, but many use a total testosterone threshold around 300 ng/dL, while “borderline” results (for example, roughly 300 to 350 ng/dL) may require closer interpretation based on symptoms, assay ...

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