Does Testosterone Replacement Therapy Help Improve Sperm Production?

Testosterone replacement therapy can offer great assistance to the male reproductive cycle, from boosting the sex drive to help treating erectile dysfunction, but one of the most common misconceptions about it is that it can boost sperm production. Introducing testosterone into the body by artificial means causes the body to stop producing its own, and there is a possibility that infertility can result, especially if the treatment is not done professionally. A lot of men are able to treat other testosterone-related problems with hormone replacement therapy and have great success, and only find out later that the process may have caused infertility. Being aware of the side effects and ensuring you understand what the long term consequences for your body are, is essential for you to have a positive testosterone replacement experience. What it really comes down to is why you need testosterone replacement therapy. Do you need it because your T levels are low and have a negative effective on your body’s ability to produce sperm, or is it solely due to other reasons?

Why Testosterone Replacement Therapy Is So Popular

testosterone replacement therapy
Testosterone replacement therapy


One of the biggest reasons that testosterone replacement is so popular with older men is that most of them have already had children, and they do not have plans to conceive again. In younger men who need help boosting their testosterone levels, they need to weigh up the benefits or relief from low testosterone side effects against the chances of them not being able to have a family.

One of the most obvious areas we see the effects of long term anabolic steroid use is in the bodybuilding world. Men who have been supplementing testosterone, and often in cases where they have been supplementing it without the right kind of medical assistance, for an extended period of time, experience fertility problems. The problems may only show up a few years later, or they may be immediate. In some cases, infertility may be temporary and stop when the person stops taking the supplements, and in other cases the effects may be permanent and irreversible.


When you start bringing testosterone into the body, you send a message to your body that it does not need to make its own, or it should be making substantially less of its own. Your body is hardwired to maintain homeostasis, or constant levels throughout each system and cell, and to conserve energy and supplementing with testosterone sends it the message that the body does not need as much. Artificial testosterone signals the pituitary gland to stop producing the hormones that stimulate the testicles to generate sperm. In some people, it can reduce sperm production substantially, while in others it can stop it completely. In some cases the testes actually shrink in size, because of their reduced functionality in the body.


In older men who experience hypogonadism as a natural response to ageing, this is not cause for concern, but in younger men whose conditions may be hereditary or caused by a trauma to the body, this is not always the best option. If you are thinking of having a family and need to have testosterone replacement, you should approach it in an informed manner and find out as much as possible about the treatment procedure and what it means for you.


Some men can take reverse hormones and other forms of treatment to encourage sperm production later on, but the process is not always successful for all men. Other men may decide to wait a little longer before having testosterone supplements and have their family first.


While testosterone replacement therapy can improve your quality of life and relieve uncomfortable symptoms, it is a powerful process that will have effects on your body, which need to be discussed with your doctor. It can help your sex life in terms of boosting your libido and even helping with premature ejaculation, but if you want to conceive a child, you might need to investigate it further before making a decision.