How Does Testosterone Therapy Make You Sterile
The male body naturally produces testosterone through a complex process of hormone interactions. To simplify, the brain constantly monitors the bodys level of testosterone and produces gonadotropin-releasing hormone when it detects that levels are low. In turn, the pituitary gland secretes follicle stimulating hormone and luteinizing hormone , signalling sperm and testosterone production in the testes.
When you take exogenous testosterone in the form of medication, this process is disrupted if brain never detects a low level of testosterone, so it doesnt produce more GnRH. Without GnRH, the body doesnt produce its own testosteronenor does it produce more sperm. Depending on how long you use testosterone replacement therapy and which dose youre taking, your sperm count could completely zero out.
Its common for men on TRT to experience significantly diminished fertility and to struggle with conceiving due to low or zero sperm count. This is how men can become sterile by taking testosterone. In most cases, this infertility is temporary. The effects can be reversed by stopping TRT and waiting for sperm and internal testosterone levels to rise again. This process can take six weeks, six months, or a couple of years. But some men never recover their fertility at all.
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What The Research Says
Steps to reduce cancer risk often include a lot of things you shouldnt do. So, it may be welcoming news to learn that something many men find pleasurable may help reduce your risk of prostate cancer.
Researchers dont understand exactly why frequent ejaculation might provide protection against prostate cancer. One theory is that ejaculation rids the prostate gland of cancer-causing materials, infection, and matter that can cause inflammation.
Despite strong evidence in favor of frequent ejaculation, the theory remains controversial. And there are . The greatest controversy regarding these studies is about the age when ejaculation occurs.
A 2008 determined that men were more likely to develop prostate cancer if they were very sexually active in their twenties and thirties. The study also found no conclusive evidence that masturbation provide greater risk than intercourse.
Prostate cancer is the second most common kind of cancer men get. Skin cancer is the most common cancer. In the United States, one in seven men will get prostate cancer at some point in their life.
The following factors affect your risk of getting prostate cancer:
You may also have an increased risk if youve had sex with 30 or more women or if youve had a sexually transmitted disease. This may be because of your sexual habits. Alternately, it could be that you have a stronger sex drive due to higher levels of male hormones, which can be a risk factor.
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Common Factors That Affect Sperm Count
Earlier, we illustrated the decline in testosterone levels over time. In addition to testosterone levels dropping in the US and other developed nations, sperm counts are also dramatically declining. In fact, according to recent research, the average sperm count for the average American man has dropped by more than 50% in less than fifty years. Interestingly, no similar trends have been seen in certain developing regions like Africa, leading many endocrinologists to speculate about the underlying causes for these shifts in the advanced countries of Europe and North America.
A 50% loss of sperm count is extremely disturbing for public health groups attempting to figure out how to reverse the trend and save the sexual health of an entire generation of American men. According to the top experts studying this issue, the most concerning aspect of the downward trajectory of sperm production is that it shows no sign of slowing down. Dr. Shanna H. Swan of the Icahn School of Medicine at Mount Sinai reports that this decline is strong and continuing. What is causing lowered sperm counts in so many men?
How Sperm Count Affects Fertility
Boosting sperm counts through testosterone replacement therapy , which well discuss later, as well as through lifestyle changes is a proven strategy to increase the chances of successful fertilization of an egg and a resulting pregnancy. As the graph below demonstrates, the total sperm count is closely linked to pregnancy rates. As the numbers of sperm increase, so does the likelihood of pregnancy.
Any man who has struggled to impregnate his partner should consider being tested both for low sperm count and for low testosterone. As well explore later, the two conditions often go hand-in-hand.
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What Is The Connection Between Low Testosterone And Infertility
Hypogonadism is a condition often affecting aging men but increasingly common in younger age groups in which the testes fail to produce an adequate supply of testosterone for distribution throughout the body.
Healthy testosterone levels vary depending on individual factors with total testosterone levels in the range of 300-1,000 nanograms per deciliter indicating normal amounts of the hormone.
Normal free testosterone levels for men fall within 47-244 picograms per milliliter .
How To Prevent Infertility During Trt
Fortunately, it is possible to reverse or even avoid infertility while on testosterone therapy.
Studies have suggested that discontinuation of TRT and administration of hCG for 3 months or more can restore normal spermatogenesis and even maintain normal T levels inside the testicles. In reversing infertility, hCG can be combined with SERMs.
HCG is also effective in preventing infertility when used during testosterone replacement therapy. Different studies revealed that using low-dose hCG in combination with TRT leads to a significant increase in blood testosterone levels without any suppression of normal spermatogenesis and fertility.
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Prostate Specific Antigen Testing
Prostate Specific Antigen is a protein made by the cells in your prostate. Your PSA levels can be measured using a blood test and give an indication of your prostate health.
A PSA test isnt a test for cancer. Higher levels of PSA might indicate prostate cancer, but a high reading could also be caused by other conditions. It is also possible to have low level readings and have prostate cancer. This means that a PSA test isnt enough to definitively diagnose or rule out prostate cancer. Your PSA levels can vary, so your doctor might run this test a few times to compare your results and help determine your risk of prostate cancer.
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How Much Alcohol Affects Sperm
We already know how does alcohol affect male fertility and sperm quality!
However, whether it will be a moderate increase in sexual function or a drastic decrease in sexual function, it totally depends on how much alcohol you consume.
Any alcoholic drink can harm your fertility when taken in excess.
Hence, an important matter of concern is how much alcohol is considered too much?
As per the Centers for Disease Control and Prevention:
- Heavy drinking is consuming more than 15 units of alcohol in a week.
- Moderate drinking ranges below 14 drinks in a week, and that would be around 2 drinks in a day.
Another pattern of drinking getting popular these days is binge drinking.
Binge drinking is a modified version of the moderate drinking pattern. But rather than taking it slow with 2 drinks a day, it follows a pattern where you drink 5 to 8 units within 2 to 3 hours on an occasion.
And then you dont drink for the rest of the week or the next few days.
Out of all these patterns, the best pattern to follow if you dont want your sperm and fertility to crash down is the moderate drinking pattern.
You can even follow the binge pattern only if you can take it slow.
However, if the harm has already been done, then we suggest you not go for any alcoholic drinks even on a moderate basis.
This is primarily because your reproductive health needs time to overcome the stress caused by alcohol.
So, how long after quitting drinking will sperm improve?
How Is Low Testosterone Diagnosed
Low testosterone is diagnosed by measuring the amount of testosterone in the blood with a blood test. It may take several measurements to determine if a patient has low testosterone, since levels tend to change throughout the day. The highest levels of testosterone are generally in the morning, near 8 a.m. This is why doctors prefer to measure testosterone levels in the early morning.
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Should All Men Be Tested For Low T
Men who are otherwise healthy don’t need to be screened, according to guidelines released in 2018 by the Endocrine Society, an organization made up of endocrinologists.
The American Urological Association, made up of urologists, also issued guidelines in 2018. These advise doctors to think about measuring testosterone in patients who meet any of the following criteria:
- unexplained anemia
- exposure to chemotherapy or testicular radiation
- those with HIV/AIDS
- pituitary issues
- chronic corticosteroid use
The guidelines state testing should be considered in these situations even without symptoms of low T.
“We are not recommending general screening of the population,” Dr. Mezitis says. The test can be expensive. It varies, but he cites costs of around $100.
What Is Benign Prostatic Hyperplasia
As you get older, your body suffers some changes, one of them being the prostate enlargement. The prostate is a walnut-sized gland located between the bladder and the penis. It surrounds part of the urethra, the tube that carries urine and semen out of your penis. The prostate secretes a fluid that nourishes and protects sperm. During ejaculation, the prostate squeezes this fluid into the urethra and its expelled with sperm as semen.
The enlargement of the prostate represents a natural part of ageing, but in some points, it can lead to a condition called BPH. BPH is a non-malignant disease. This means that it is not cancer and it does not cause nor lead to cancer.
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Talk With Dr Steven Gange
With all of these conflicting and complicated circumstances, it is always best to consult with your doctor if you are experiencing BPH especially with sexual side effects.
Trust Dr. Gange to determine which treatment will be best for all of the symptoms you are experiencing. Call 993-1800, or request an appointment online, to schedule a visit.
Can Testosterone Replacement Therapy Increase Sperm Count
As we discussed earlier, testosterone levels in the testicles are independent of testosterone circulating in the blood meaning that a man can experience a deficit of testosterone throughout his body but still maintain enough where it counts to produce healthy amounts of sperm.
Although TRT is not recommended as a treatment for infertility, it does improve fertility indirectly by increasing sex drive and potentially treating erectile dysfunction. For men who struggle to achieve erections, performance anxiety can significantly reduce the enjoyment of sex. When men recover their ability to perform and become more confident in the bedroom, many report higher levels of sexual satisfaction within their relationships.
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What Are The Dangers Of Common Medications For Male Fertility
Pharmaceutical drugs often come with a lengthy list of potential side effects, usually written in fine print on the backside of an insert. Unfortunately, many Americans simply ignore the warnings highlighting the potentially devastating impacts of these drugs on their health, including the implications for fertility. Even worse, many doctors fail to provide adequate warning to their patients about the potential risks associated with medications they prescribe.
In this article, well focus on the most serious pharmaceutical threats to male fertility from over-prescribed antibiotics like penicillin, antidepressants like SSRIs, and similar drugs.
Can A Man Drink Alcohol When Trying To Conceive
Can a man drink beer when trying to conceive? Well, this concerns fetal alcohol syndrome.
Not just beer but all alcoholic drinks have been associated with the mothers being scared of the syndrome passing down to their babies.
Though there havent been many possible signs on whether a man drinking when trying to conceive can lead to fetal alcohol syndrome, it does reduce the chances of pregnancy.
Further, it also leads to a threat of your child having future problems like weak immunity or abnormal health disorders.
Hence, its ideal to consult a doctor before continuing drinking when trying to conceive.
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How Does Alcohol Affect Fertility In Males
Heavy drinking has been associated with infertility in both men and women.
However, the tendency goes higher in men as alcohol can have negative effects on male sexual function due to:
- Reduced sex drive
- Compromised sexual performance
And all of this gradually can lead to impotence.
However, the primary root of all infertility issues among men comes from poor sperm quality and quantity!
Hence, its important to understand how does drinking affect sperm.
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Does proviron lower sperm count
You can expect to gain as much as 30lbs from just a 4 week cycle of Anadrol. This weight will be made up of lean muscle tissue and water, does proviron lower sperm count. Anadrol is best used in a stack among other steroids such as D-Bol, as when anadrol is run by itself a user will initially see huge gains, but can quickly diminish post-cycle. Whereas when A-Drol is stacked with base steroids such as testosterone, deca durabolin and trenbolone most of your gains will stay even post cycle.Thus, it is necessary to supplement your bodybuilding goals with the right muscle building pills, does proviron lower sperm count.
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If A Man Is Infertile And Taking Testosterone What Are His Options
A man should see a male reproductive specialist who will perform a complete history and physical examination for him. He will need to have hormone testing, at least two semen analyses, and possible additional testing performed. He will need to stop taking testosterone and have hormone tests and semen analyses checked periodically as it could be months before his sperm count returns to baseline.
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How Do Men Qualify For Using Testosterone Replacement Therapy
The use of a TRT program is not recommended for men who want to preserve or improve their fertility with a robust sperm count. The doctors who prescribe hormone replacement therapy programs for adults know that a reduced sperm count is an associated effect for TRT users, so they would not prescribe its use for any man who plans to father children. And there are other factors that are considered by doctors when evaluating the appropriateness of Low T therapy for their adult male patients who are not necessarily as concerned with the answer to does low testosterone cause low sperm count. Men who have had prostate or breast cancer are not considered to be viable candidates for using TRT as it could increase their risk of recurrence.
Yet for men who are medically qualified to use testosterone replacement therapy, the health benefits are genuine and the treatment is considered to be low-risk. So how do TRT doctors qualify each patient? At Nexel Medical, our standard protocols include the performance of a serum testosterone levels blood test a medical exam a careful review of the patients medical history and the evaluation of the patients current symptoms and condition of health. Our doctors typically do not prescribe Low T replacement therapy for males who are under the age of 30 since our focus is on patients who have developed the adult-onset version of Low T, which usually develops in men who are older than 30.