Thanks for tuning in to the Armor Men’s Health Hour Podcast today, where we bring you the latest and greatest in medical and urology care and the best urology humor out there.
In this segment, Donna Lee and NAU Urology Specialists' Dustin Fontenot, PA-C answer a listener's question about fertility and testosterone treatment. While many assume that testosterone therapy would increase sperm production, the opposite is usually the case--the body's feedback mechanisms tend to inhibit sperm production in response to surges in testosterone. What does that means for men in their child-bearing years? Anyone beginning testosterone therapy needs baseline labs, and semen analysis should be part of that baseline if you ever plan on conceiving. There is a relationship between low testoerone (which leads people to seek hormone treatment) and low sperm count already, so taking testosterone could reduce an already low sperm count to almost zero. If you are actively seeking to get pregnant, there are ways to boost your natural sperm and testosterone production with adjunctive medications. There are also medications like Clomiphene which boost testosterone in fertility-sparing ways. While stopping testosterone treatment is often enough to bring sperm counts back up, there is always the back-up option to freeze sperm before beginning treatment. Importantly, whether you're hoping to conceive tomorrow or ten years from now, the best thing you can do is talk to your doctor about how your hormone treatment might affect your fertility and what plans you can make to preserve it.
This episode was previously aired on 1.23.21. Don’t forget to like, subscribe, and share us with a friend! As always, be well!
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Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.
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