question from a user
Does trt improve or reduce sperm count?
AlphaMD's Answer
Exogenous testosterone will always have a detrimental effect on sperm count.
It’s strange, because low testosterone is also a risk factor for low sperm count, so you would think adding testosterone via TRT would raise sperm counts.
The problem is, it’s intractable-testicular testosterone level (as opposed to systemic testosterone levels) that matters regarding sperm production.
Exogenous testosterone does not cross into the testicles to increase intravenous-testicular testosterone levels and it also shuts down LH and FSH.
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