TRT & Fertility: HCG and Enclomiphene Explained
How TRT suppresses sperm production, and the options — HCG alongside TRT, or enclomiphene as a TRT alternative — for men who want to preserve fertility.
Will TRT make me infertile, and how do I protect fertility?
- •Standard TRT suppresses the body's own signaling (LH/FSH), which typically reduces sperm production, sometimes to zero.
- •HCG taken alongside TRT mimics LH and can maintain testicular function and fertility for many men.
- •Enclomiphene raises the body's OWN testosterone without shutting down sperm production — a TRT alternative for fertility-conscious men.
- •Suppression is often reversible after stopping, but recovery time varies and isn't guaranteed — bank sperm if fertility is critical.
- •Fertility goals should be discussed BEFORE starting; the protocol differs substantially.
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Educational information, not medical advice. Testosterone-therapy decisions should be made with a qualified physician. Figures are typical ranges, not prescriptions.