Hormonal balance for men is important to keep everything inside the body functioning properly. When hormones become dysregulated, unwanted symptoms may occur, including the inability to have a child. Thankfully, there are a number of hormone management options for men to help correct this issue.

Hormone Management for Men

In males, if the pituitary does not secrete follicle-stimulating hormones (FSH) and luteinizing hormone (LH), it can result in the disruption of testicular function and infertility. This can result in low levels of testosterone which can impact fertility as well as overall health.

The effects of low testosterone on male infertility will vary from man to man. However, in general, low testosterone can lead to infertility due to a decrease in the production of sperm. Additionally, low testosterone can also lead to other health problems that can impact fertility, such as obesity and diabetes.

Testosterone Replacement Therapy and Male Infertility

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Low testosterone levels can affect male fertility in a few different ways. First, low testosterone can decrease sperm count and sperm quality. This can make it difficult for men to conceive a child naturally. Additionally, low testosterone can affect a man’s ability to maintain an erection, which is necessary for successful intercourse. Men with low testosterone may also experience a decrease in sex drive, which can make sexual activity less enjoyable. All of these factors can contribute to infertility in men.

Managing testosterone levels in a man who is trying to preserve fertility is complex but doable with a variety of medications that can boost testosterone levels while preserving fertility.  Clomid, otherwise known as Clomiphene, is a medication that is used to help treat low testosterone levels and infertility in men. Its use is currently off-label. It is a synthetic hormone that helps stimulate the body to produce more testosterone, which in turn helps stimulate sperm production. For men with low testosterone levels, Clomid can help boost testosterone production and improve fertility. It is typically prescribed for a six-month course, and many men report improved symptoms such as increased energy levels, improved mood, and improved sexual function.

When Clomid is used to treat infertility in men, it is sometimes combined with HCG (human chorionic gonadotropin), which is a synthetic form of LH. HCG helps to restore the normal production of testosterone.

Another hormone management medication is Anastrozole, which is a non-steroidal aromatase inhibitor that stops the conversion of testosterone to estradiol. It has been found to be helpful for the treatment of male infertility in men with an abnormal testosterone-to-estradiol ratio.

Hormone Management Outlook

Hormone management for fertility is available for men to help improve chances of conceiving. Your first step toward treatment will be to see your urologist who will determine whether you or your partner is infertile. Checking a semen analysis is a vital step in this process. Depending on the outcome of those tests, you may be able to benefit from hormone management treatments. Your urologist can help you and your partner explore the best treatment options to help you achieve your family goals.

Schedule an Appointment

If you are experiencing fertility challenges and are interested to see if your hormone levels are the culprit, contact our office today. Your first step will be to schedule an appointment with Dr. Houman by calling (310) 854-9898 or filling out our online form.

Male Fertility: Optimize Your Sperm Health

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Meet Dr. Houman

Dr. Justin Houman is a board-certified, fellowship-trained Urologist and Men’s Health specialist whose mission is to enhance men’s quality of life by improving their sexual and reproductive health. Dr. Houman’s focus is on making a difference in people’s lives through state-of-the-art, compassionate, and personally tailored care.


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