TRT and Fertility: What Every Man Needs to Know
··5 mins
■ TL;DR — The Short Answer Yes, TRT significantly reduces fertility — sperm counts drop to near-zero in roughly 65% of men within 6-12 months. But you can still have children with planning: add HCG (250-500 IU, 2-3x/week) alongside TRT, freeze sperm before starting ($300-1,000), or use fertility-preserving alternatives like enclomiphene or clomiphene. TRT-induced infertility is usually reversible, with ~90% of men recovering normal sperm parameters within 12 months of stopping. TRT suppresses sperm production in most men — this is one of the most important things to understand before starting testosterone therapy. However, it doesn’t mean you can’t have children while on TRT or after stopping. Here’s what you need to know.