Does Low Testosterone Affect Fertility?

February 19, 2024
Fact-checked by Dr. Avidon Appel

Testosterone, the primary male sex hormone, is a key player in the complex symphony of hormones that regulate the male reproductive system. In fact, its influence extends well beyond its well-known influence on libido and muscle mass. In recent years, the conversation around low testosterone levels has expanded. With growing concerns about reproductive health among men, understanding the connection between testosterone levels and fertility is becoming increasingly important.

In this article, we'll delve into the science behind testosterone's role in male fertility, explore what happens when levels are low, and discuss what options are available for those experiencing low T.

How Does Testosterone Affect Fertility?

Testosterone plays a significant role in fertility. It's essential to the development of male reproductive tissues, including the testes and prostate, as well as secondary sexual characteristics like increased muscle and bone mass and body hair.

Moreover, testosterone is pivotal to the regulation of sperm production—a process called spermatogenesis. Optimal sperm levels are necessary for the creation of healthy, viable sperm capable of fertilization. However, both low and unusually high levels of testosterone can disrupt this delicate balance, potentially leading to reduced sperm count and quality and, in turn, diminished fertility.

Can You Get Pregnant with Low Testosterone?

Low testosterone in men can compromise fertility by reducing libido and decreasing sperm production. However, it does not make pregnancy impossible. Men with low T can still produce healthy sperm.

In addition, thanks to assisted reproductive technologies such as in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI), couples in which the man is experiencing serious low T can often still get pregnant.

That said, it's important to consult a healthcare professional for personalized guidance.

Does Taking Testosterone Make You More Fertile?

The assumption that taking supplemental testosterone can enhance fertility is a common misconception. In fact, external testosterone can disrupt the body's natural hormonal balance, potentially reducing sperm production and decreasing male fertility.

For this reason, it's imperative to seek advice from a healthcare professional before using testosterone supplements for fertility purposes.

How Do You Fix Low Testosterone?

Lifestyle Changes

Making positive lifestyle adjustments is often the first step in treating low testosterone. This includes maintaining a balanced diet, engaging in regular physical activity, and getting adequate sleep. Reducing stress through mindfulness or yoga can also positively impact hormone levels.

Hormone Replacement Therapy

For some men, testosterone replacement therapy (TRT) may be appropriate. This treatment involves administering testosterone through injections, patches, gels, or pellets to increase testosterone levels until they reach normal levels.

Natural Supplements

Supplements such as vitamin D, zinc, and magnesium may help increase testosterone levels naturally. However, it's crucial to consult a healthcare provider before starting any supplement regimen.

Medications

Certain medications can help stimulate the body to produce more testosterone. Again, discussing the benefits and risks with a healthcare professional is essential before using any new medication for low testosterone.


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About Author

Dr. Avidon Appel is the founder of Iron Mountain Men’s Health. He is an Internal Medicine Specialist based in Willow Grove, PA who specializes in men’s sexual health and hormone optimization and has over 19 years of experience in the medical field. He is a graduate of Philadelphia College of Osteopathic Medicine, as well as Saint Joseph’s University.

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