Skip to content

Men's Health

Low Testosterone and Infertility

Font Size
A
A
A
By
WebMD Feature

If you have low T, you may find that it stalls your sex drive. It can also contribute to erectile dysfunction, although there are other causes of ED.

Testosterone replacement therapy (TRT) can bring your testosterone levels back to normal and restore your sex drive.

Recommended Related to Men

Tips for a Successful Doctor Visit

"Help me ... help you. Help me, help you." That famous line from the film Jerry Maguire may be the best advice a doctor could give his or her patient. "Some patients have the attitude, 'I'm putting myself in the hands of a professional,'" says Stephen Permut, MD, chairman of family and community medicine at Temple University School of Medicine in Philadelphia. "They want you to make all their decisions for them." Permut prefers to have patients get involved in their own care and engage the...

Read the Tips for a Successful Doctor Visit article > >

But if you want to have children, there's one downside to TRT you should know about. It gives you back your sex life, but it might also reduce your ability to father children as long as you're on it.

"Testosterone replacement therapy has a profound impact on a man's reproductive potential," says urologist Michael Eisenberg, MD. He's director of male reproductive medicine and surgery at Stanford Hospital and Clinics in Palo Alto, Calif.

"In fact," Eisenberg says, "it's been studied as a method of birth control, because 90% of men can drop their sperm counts to zero while on testosterone. By increasing testosterone, you're not going to increase fertility."

Testosterone and Fertility

Testosterone plays an important role in making sperm.

Eisenberg describes the relationship between testosterone and sperm production as part of a "feedback loop." Here's how the system works.

Your brain makes special hormones, called gonadotropin-releasing hormones (GnRH). These hormones signal the testes to make more testosterone, vital for a healthy sperm count.

When you're getting testosterone replacement therapy, testosterone is added into the bloodstream by patches, gels, or other treatment methods.

Your brain interprets this rise in testosterone levels as a sign that you now have enough testosterone. So it stops sending signals to the testes to make more testosterone. But when your testes don't make more testosterone, your sperm production goes down.

A low sperm count makes it harder to conceive a child.

"If you have any kind of reproductive goal, you should not be using TRT," says Eisenberg.

Endocrinologist Spyros Mezitis, MD, PhD, agrees. "You want to increase the patient's own testosterone production in order to get an appropriate sperm sample for pregnancy," says Mezitis, who practices at Lenox Hill Hospital in New York City. "When testosterone comes from the outside, it suppresses the body's production of sperm."

Today on WebMD

man coughing
Men shouldn’t ignore.
man swinging in hammock
And how to get out it.
 
shaving tools
On your shaving skills.
muscular man flexing
Four facts that matter.
 
Food Men 10 Foods Boost Male Health
Slideshow
Thoughtful man sitting on bed
Quiz
 
Man taking blood pressure
Slideshow
doctor holding syringe
Slideshow
 

Loaded with tips to help you avoid food allergy triggers.

Loading ...

Sending your email...

This feature is temporarily unavailable. Please try again later.

Thanks!

Now check your email account on your mobile phone to download your new app.

Condom Quiz
Quiz
thumbnail_angry_couple_in_bed
Slideshow
 
man running
Quiz
older couple in bed
Video