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Hi there, I have chronically low T , but not quite low enough that my doctors will prescribe it for me (hovers around 225-290 ng/dl) . I’m also trying to conceive, so exogenous T is right out. What are my best alternatives aside from diet, exercise, sleep (I’m already doing those)? I’ve heard of Clomophene Citrate and Gonadotropins as being good for boosting T endogenously and also assisting with spermatogenesis, but not sure if I can get access to them. Living in bc Canada.

AlphaMD's Answer

For fertility purposes, clomiphene and enclomiphene are your best bets. They are the first line treatment used by fertility doctors to increase sperm count in men. They do have the added benefit of increasing testosterone levels as well.

The gonadotropins like Gonal also work, but are more expensive.

We do not currently practice in Canada, though I have little doubt if you spoke to a fertility specialist, they would likely prescribe something for you.

Best of luck!

Added edit: We will be working in Canada in the future.

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