Will TRT Affect My Fertility? Here’s What You Should Know

Testosterone Replacement Therapy (TRT) is life-changing for many men — boosting energy, recovery, muscle, mood, and libido. But if you’re planning on having kids now or in the future, you might be wondering:

Will TRT affect my fertility?

⚙️ How TRT Impacts Sperm Production

TRT signals your body that testosterone levels are already high, which leads to reduced production of LH and FSH — the hormones responsible for sperm production.

This can cause a drop in sperm count, but it's important to know:

• TRT is not birth control — many men still conceive while on therapy

• We’ve had many patients grow their families while on TRT, especially when doses are kept low and monitored carefully

🩺 How We Help Protect Fertility at VRT

At Village Rehab Team, fertility is always part of the conversation.

Here’s how we support you:

• hCG (Human Chorionic Gonadotropin): This helps maintain sperm production while you’re on TRT

• Annual sperm checks: We can refer you for yearly testing to monitor your fertility and make adjustments if needed

For most healthy men, even a 20–25% reduction in sperm count still leaves more than enough to conceive — especially when treatment is managed medically.

✅ The Bottom Line

TRT can impact fertility, but it doesn’t mean you won’t be able to have kids. With proper supervision, bloodwork, and fertility-focused support like hCG, you can optimize your health and protect your future plans.

💬 Planning a family and considering TRT?
Click here to learn more or book a consultation