Episode 2: Your guide to effective testosterone replacement therapy near me
January 20, 2026 · 10:49
This episode guides diagnosing low testosterone, realistic TRT benefits, and finding safe, evidence-based local care.
Fertility and testosterone
Covers how natural testosterone levels and testosterone therapy can impact male fertility, including sperm production, hormones, and family planning. Learn strategies to protect or restore fertility while optimizing testosterone for health, performance, and long-term wellbeing.
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Episode 1: Facing the truth: My experience with testosterone replacement therapy side effects
January 19, 2026 · 10:42
Evidence-based look at TRT side effects and the monitoring steps needed to manage them safely.
Start here
The essentials for fertility and testosterone — then explore the latest posts below.
TRT side effects. Facts and myths.
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Nov 14, 2025 · 13 min read
Testosterone replacement can change energy, mood, strength, and sex drive — but it also shifts blood, skin, fertility, and prostate health. Here is a clear, evidence-based guide to TRT side effects and how to manage them safely. “Most problems blamed on TRT are preventable. The real risk is starting testosterone in the wrong man, at ...
Testosterone Сypionate: Relief you can feel, but what about fertility?
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Oct 17, 2025 · 13 min read
Testosterone cypionate can relieve true hypogonadism (often when total testosterone is
5 testosterone side effects you must be aware of
Dr. Susan Carter, MD: Endocrinologist & Longevity Expert
Oct 14, 2025 · 15 min read
Testosterone replacement commonly causes a 2–5 mmHg rise in blood pressure, can thicken blood via erythrocytosis (hematocrit may climb to ≥54%), may suppress sperm production and fertility, can increase oily skin/acne, and can worsen obstructive sleep apnea. Tracking blood pressure, hematocrit, and symptoms from day one helps you and your clinician adjust dose or formulation ...
Enclomiphene: Double testosterone without injections
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Oct 12, 2025 · 12 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/FSH and increase morning testosterone into or near the normal range—sometimes roughly doubling very low baseline levels—while sperm counts stayed largely stable. Here’s who is most likely to benefit, what to monitor, and ...
Unexpected effects of testosterone therapy you should know
Dr. Susan Carter, MD: Endocrinologist & Longevity Expert
Aug 23, 2025 · 15 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 can be ...