Why standard TRT affects fertility
When you supply testosterone from outside, the brain senses there's enough and dials down its own signaling to the testicles. That same signaling drives sperm production — so standard TRT can significantly reduce fertility, sometimes to zero while on therapy.
Protocols that protect fertility
This is solvable, and it's exactly why a urologist-led program matters. Adjunct or alternative approaches — medications that keep the testicular signaling active alongside or instead of straight testosterone — can preserve fertility for men who want it. The right choice depends on your goals and labs.
Is it reversible?
For many men, fertility recovers after stopping standard TRT, though it can take months and isn't guaranteed for everyone. The safer path, if children are a possibility, is to plan for it from the start rather than counting on recovery later.
Have the conversation first
This is precisely the kind of thing a one-size-fits-all online clinic skips. At AndroMD it's part of the initial evaluation — we ask about your family plans before designing your protocol.