Tag: fertility

TRT & Fertility: What Our Patients Experience

Posted on by AmyADMIN

If you’re thinking about starting testosterone replacement therapy (TRT) but also want to have kids, you’ve probably heard mixed messages about how it affects fertility. Some say TRT makes you sterile, while others claim it has no impact at all. So, what’s the truth about TRT and fertility?

The truth lies somewhere in between. At Victory Men’s Health, we’ve helped countless men navigate TRT with fertility in mind. Some men naturally maintain their sperm production throughout treatment, while others need a little extra support. 

If you’re on testosterone therapy, there are effective ways to preserve and even restore fertility—you just need the right medical providers by your side. On an episode of the Women Want Strong Men podcast, we sat down with HRT expert Dr. Jordan Grant for a discussion on the intricacies of hormone optimization, including maintaining fertility on TRT. 

Listen to the full episode below. Then, keep reading to learn how to protect your fertility on testosterone therapy and what our patients have experienced.

Can You Have Kids on TRT?

Many people assume that TRT automatically causes infertility, but that’s not entirely true. Testosterone therapy can significantly lower sperm production, but it doesn’t mean every man on TRT becomes sterile—and it also doesn’t mean you should use testosterone as birth control.

Some men’s sperm count drops to zero, while others still produce enough to get their partner pregnant. We’ve seen men successfully conceive while on TRT, but it varies from person to person. If you’re actively trying to conceive, it’s usually best to wait until after your partner is pregnant to start your TRT journey.

If you’re planning for kids but want to start testosterone now, there are steps you can take to reduce the impact on your fertility. With the right approach, it’s possible to balance both goals.

How to Maintain Fertility on TRT

It’s normal to worry about losing fertility on TRT, but the right treatment plan can make a big difference. If fatherhood is in your future, here’s what you should consider before and during testosterone therapy: 

1. Get a Baseline Sperm Analysis

2. Think About Freezing Sperm

3. Use HCG Therapy

4. Consider FSH 

Get a Baseline Sperm Analysis

Before starting TRT, it’s crucial to test your sperm count and quality. We’ve seen men assume their fertility is fine, only to find out later that they had issues before even starting testosterone. Getting a sperm analysis up front gives you a clear starting point and helps guide your decisions down the road.

Think About Freezing Sperm

Fertility can sometimes be restored after stopping TRT or adjusting medications, but there are no guarantees—especially if you’re younger and don’t plan to have children for several years. 

The longer you’re on testosterone therapy, the greater the potential risk that your body won’t return to normal sperm production. Freezing sperm before starting TRT gives you a reliable backup plan for the future.

Use HCG Therapy

One of the best ways to maintain fertility on TRT is by using HCG (human chorionic gonadotropin). HCG mimics luteinizing hormone (LH), which tells the testes to keep producing testosterone and sperm.

A typical starting dose for men looking to maintain fertility is 250 IU of HCG, three times per week, although some men require higher doses. If you’re actively trying to conceive, a sperm analysis after two to three months will help determine if the dose is right for you. 

Many of our patients have successfully conceived within months of adding HCG, even at relatively low doses.

Consider FSH

For men whose sperm count drops to zero during testosterone therapy, and HCG alone isn’t effective, follicle-stimulating hormone (FSH) can be a powerful tool. FSH plays a key role in sperm production, and adding it to your treatment plan can help you restore fertility without stopping TRT.

TRT & Fertility | How to Maintain Fertility on TRT

How Long Does It Take to Restore Fertility After TRT?

We get this question all the time, and the answer depends on multiple factors—including age, baseline sperm levels, and whether fertility-supporting medications are used. If a man stops TRT completely without adding any fertility medications, sperm count recovery can take anywhere from three months to two years. 

If you add HCG during your TRT journey, a sperm analysis at two to three months can determine if the dosage needs adjusting. Some men recover their sperm count faster by taking Clomid after stopping TRT, but this can bring unpleasant side effects due to how it affects estrogen receptors.

TRT & Fertility: What Our Patients Experience

Every man’s fertility journey is unique, and we’ve worked with many who have conceived without stopping testosterone therapy. Here are some real-world insights from our patients’ experiences: 

  • Many men on TRT have successfully conceived, but it is unusual without HCG. While some maintain sperm production naturally, most men who conceive on TRT are using fertility-supporting medications.
  • Men who stop TRT to conceive often restart it after pregnancy is confirmed. Many of our patients do well with conceiving but report feeling noticeably worse without TRT. Once pregnancy is far enough along, they often return to therapy for the benefits.
  • Not all infertility is caused by TRT. Even men who have never been on testosterone may struggle with fertility. Age, overall health, and your partner’s fertility all play a role in conception.
  • HCG therapy works well for most men and can often restore fertility within months. Some men need only a small dose, while others require a higher amount to get optimal results. A sperm analysis helps guide adjustments.

Common Mistakes We See Men Make

These are some of the most common mistakes we see men make while trying to preserve fertility on TRT:

  • Not getting a baseline sperm analysis before starting TRT.
  • Assuming fertility will return automatically without testing.
  • Failing to discuss TRT and fertility concerns with their partner.
  • Ignoring nutrient needs—just like women take prenatal vitamins, men should take fertility-supporting supplements, like our Strong Swimmers vitamin pack.

Optimize Your Testosterone Without Sacrificing Fertility

Testosterone replacement therapy can be life-changing, but if you want kids, it’s important to have a plan. Can TRT lower sperm production? Yes, but that doesn’t mean fertility is off the table! With the right approach, you can conceive while optimizing your testosterone levels. 

If you’re thinking about TRT but worried about fertility, we’ve got your back. At Victory Men’s Health, we specialize in helping men optimize their hormones without sacrificing their long-term goals. Contact us today to book a consultation, and let’s build a plan that works for you.

Your initial visit is $99, which includes a confidential consultation with one of our medical providers, comprehensive lab work, PSA testing, testosterone assessment, body composition analysis, and a customized treatment plan. We accept HSA (Health Savings Account), FSA (Flexible Spending Account), and Care Credit cards!

Sperm Testing for Men: What to Know & Where to Go 

Posted on by AmyADMIN

When it comes to family planning and overall health, male fertility often takes a back seat in the conversation. But let’s face it—fertility is a two-way street. Whether you’re starting a family, planning for the future, or simply curious about your reproductive health, sperm testing allows you to take control.

At Victory Men’s Health, we’re making sperm testing more accessible and less intimidating with Fellow sperm testing kits. These at-home kits provide a convenient and stress-free option, giving you reliable results without any uncomfortable conversations.

On an episode of the Women Want Strong Men podcast, we sat down with Will Matthews, CEO of Fellow, to discuss the incredible advancements in at-home sperm testing and preservation. Check out the full episode below, then keep reading to learn about sperm testing for men, why it matters, and how you can get started right now. 

What Is Sperm Testing?

Sperm testing, also called semen analysis, is a diagnostic tool used to evaluate a man’s fertility and reproductive health. This test measures several key factors of your semen to determine the health and viability of your sperm. Here’s a look at what sperm testing measures:

  • Sperm Count – The total number of sperm present in your sample. A healthy count indicates good fertility potential.
  • Motility – The percentage of sperm that are moving and how well they move. Active, forward-moving sperm are more likely to reach and fertilize an egg.
  • Morphology – The shape and structure of the sperm, which affects their ability to fertilize an egg.
  • Volume – The total amount of semen in the sample, which impacts the delivery of sperm.
  • Concentration – The number of sperm per milliliter of semen, which helps to gauge overall sperm density.

Beyond fertility, sperm testing can serve as a general health indicator. Poor semen quality has been linked to underlying health conditions, including hormonal imbalances and lifestyle-related issues. It’s also a critical step in post-vasectomy evaluations to confirm the procedure’s success.

How Does Sperm Testing for Men Work?

Getting a sperm analysis might sound complicated, but the process is simpler than you think. Here’s how it works: 

  1. Preparation – Abstain from ejaculation for 2–7 days before the test to ensure the most accurate results.
  2. Sample Collection – You’ll either collect your sample at home using a kit like Fellow’s or at a clinic. At-home kits include a preservative solution to stabilize the sample during transport.
  3. Sending the Sample – If you’re using an at-home kit, follow the instructions to package your sample securely and mail it to the lab.
  4. Lab Analysis – Once the lab receives your sample, it will undergo a detailed analysis of the key metrics mentioned earlier.
  5. Reviewing Results – Results are typically available within 12–24 hours. They’ll be shared in an easy-to-understand format, so you’ll know exactly what the numbers mean and if any next steps are needed.

Who Needs Sperm Testing?

Not sure if sperm testing is right for you? It’s not just for men facing fertility issues—it’s a proactive way to understand your health and take charge of your future. To help you decide, here are some of the scenarios we’ve seen where it can make a big difference. 

  • Planning for a Family: If you and your partner are trying to conceive, sperm testing provides essential insights into your fertility.
  • Post-Vasectomy Testing: To confirm the success of a vasectomy, sperm testing checks for the absence of sperm in the semen.
  • Before and During TRT: Testosterone therapy can impact fertility, so testing your baseline sperm count before starting treatment is important. Periodic testing while on TRT, especially if using HCG, may also be recommended to monitor sperm levels and adjust HCG dosing as needed.
  • Health Concerns: If you’re experiencing symptoms like low libido, hormonal imbalances, or other health issues, a sperm analysis can offer clues about your overall health.

What are the Benefits of At-Home Sperm Testing For Men?

Gone are the days of awkward clinic visits for sperm testing. Modern at-home options, like the Fellow kits we offer at Victory Men’s Health, are making the process easier and more accessible than ever. 

But how accurate are at-home sperm testing kits? 

When used correctly, quality home testing kits provide results comparable to those from clinical testing. These kits include advanced preservative solutions to stabilize your sample during transport, ensuring the lab receives it in optimal condition for analysis. 

While at-home kits are highly reliable for assessing key metrics like sperm count, motility, and morphology, more complex diagnostic evaluations—such as identifying underlying medical conditions—may require additional testing at a clinic.

Here’s why our patients choose at-home sperm testing: 

  • Privacy – Collect your sample in the comfort of your own home.
  • Convenience – No need to schedule an appointment or deal with clinic wait times.
  • Hassle-Free – Avoid the pressure of performing in an unfamiliar environment.
  • Accuracy – When used correctly, quality at-home kits provide lab-quality results.
  • Speed – Quick turnaround times mean you get your results faster.

Where Can I Go for Sperm Testing?

At Victory Men’s Health, we’re here to support your fertility journey every step of the way. Our clinics in Illinois and Missouri carry Fellow sperm testing kits, making it easy for you to get started. If you’re still unsure, you can schedule a consultation with our staff to learn more about the process and discover whether it’s the right move for you. 

If you’re on testosterone therapy or considering it, we can also help you maintain your fertility with personalized discussions and treatments designed to keep your sperm production active. For men already on testosterone, Fellow kits are a great tool to monitor sperm health over time.

What Happens if My Test Results Show Abnormalities?

If your sperm analysis reveals abnormalities, such as a low sperm count, poor motility, or irregular morphology, it doesn’t necessarily mean you’re infertile. Many factors, including stress, lifestyle habits, and temporary health conditions, can impact sperm quality.

Here’s what you can expect if abnormalities are detected through sperm testing:

  1. Review with a Healthcare Provider. Your results will be reviewed by a provider who can help determine the potential cause of the abnormalities. In some cases, follow-up testing may be recommended to confirm the findings.
  1. Lifestyle or Treatment Recommendations. If lifestyle factors like diet, alcohol consumption, or smoking are contributing to the issue, small changes may lead to significant improvements. For hormonal imbalances, treatments like testosterone optimization therapy (tailored to preserve fertility) may be considered.
  1. Specialized Testing or Referrals. If an underlying medical condition is suspected—such as a varicocele (enlarged veins in the scrotum) or a hormonal disorder—your provider may recommend additional diagnostic tests or refer you to a fertility specialist for more in-depth evaluation.

By addressing abnormalities early, you’ll have more options to optimize your reproductive health and increase your chances of achieving your goals.

When Should I Consider Sperm Preservation?

Sperm cryopreservation, commonly known as sperm freezing, preserves your sperm cells for future use. This technique is invaluable for men who face potential fertility challenges due to medical treatments like chemotherapy, which can impair sperm production. It’s also a practical choice for men who want to delay parenthood until later in life, ensuring that viable sperm are available when they’re ready to start a family.

The procedure is straightforward: a semen sample is collected, analyzed, and then frozen using advanced cryogenic methods. The frozen sperm can be stored for extended periods, maintaining their viability for future fertility treatments. Fellow sperm preservation kits are a convenient and affordable option for men considering this proactive step. 

The cost of sperm preservation with Fellow is approximately $140 per year, so it’s an accessible investment in the future of your fertility. By choosing to preserve your sperm, you’re taking control of your reproductive health and ensuring that you’ll have options. 

Take Charge of Your Reproductive Health

Male fertility is a huge part of your overall health, and sperm testing offers a simple, effective way to get the answers you need. We also offer custom vitamin packs called “Strong Swimmers” with a combination of nutrients aimed at supporting male fertility. 

Whether you’re planning for a family or preserving your options for the future, our team makes it easy and approachable. From sperm preservation to erectile dysfunction to weight management, we’re here to help with any of your health needs. 
Ready to take the first step? Contact us to schedule a consultation and learn more about sperm testing kits or any other health concern you may have. Your future self will thank you!