Worried About Fertility on TRT? Here’s What You Need to Know

Worried about fertility on TRT? With the right approach, you can optimize testosterone and still preserve sperm production. Learn how we help men have both.

Kim S.

8/10/20251 min read

Worried about fertility on Testosterone? It's not an either/or...

Considering testosterone therapy but worried about fertility? You’re not alone—and we’re glad you’re asking the question.

It’s true that traditional testosterone replacement can reduce sperm production by suppressing your body’s natural hormonal loop. But that doesn’t mean TRT is off the table if you want kids now or in the future.

At Ironwood Men’s Health, we specialize in helping men get the best of both worlds: hormone support and fertility preservation. With the use of medications like HCG (human chorionic gonadotropin) or Clomid, we can keep your body’s natural sperm production running while restoring healthy testosterone levels.

We’ll work with you to develop a personalized plan that fits your goals—whether that means optimizing your performance, improving your energy and mood, or building a family down the line.

Fertility doesn’t have to be a dealbreaker. It just requires a smarter approach—and that’s exactly what we offer.


References:

  1. Patel AS, et al. An update on the use of clomiphene citrate in male hypogonadism. Andrology. 2019.

  2. Lima TFN, et al. Testosterone replacement therapy and fertility. World J Mens Health. 2022.