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My Husband Takes Testosterone Injections Can I Still Get Pregnant


If you and your partner are thinking about having children and your husband is considering testosterone injections, you might be wondering if it will affect your ability to get pregnant. Let’s break down what you need to know about testosterone replacement therapy (TRT) and fertility in simple terms.

What is Testosterone?

Testosterone is a hormone that plays a crucial role in men’s health. As men age, their testosterone levels naturally decrease, which can lead to symptoms like low sex drive, fatigue, and mood swings.

What is Low Testosterone?

When a man’s testosterone levels drop below what’s considered normal, it’s called low testosterone or hypogonadism. This condition can cause various symptoms, including a decrease in sex drive, low energy, and even depression.

How Does Testosterone Replacement Therapy Work?

TRT is a treatment for low testosterone. It can help alleviate symptoms like low libido and fatigue by replenishing testosterone levels in the body. However, it’s essential to know that TRT can affect fertility.

Does TRT Affect Fertility?

Yes, TRT can impact fertility. When a man undergoes TRT, especially through injections, it can lower sperm count, making it more challenging to conceive. Here’s why: TRT disrupts the natural hormone signals that stimulate sperm production, leading to a decrease in sperm count.

Can You Still Have Kids on TRT?

While TRT can decrease sperm count, it doesn’t necessarily make a man infertile. Many men on TRT can still father children, but it might require more effort or assistance. It’s crucial to discuss your plans for having children with your doctor if you’re considering TRT.

Is the Impact of TRT on Fertility Permanent?

In most cases, infertility caused by TRT is not permanent. If a man stops TRT under a doctor’s guidance, his testosterone levels and sperm count should return to normal within a year, though it can vary from person to person.

Treatment Options for Men Who Want Kids

If having children is a priority, there are treatment options available that can address low testosterone without affecting fertility. These options include medications like human chorionic gonadotrophin (hCG), which can help maintain testosterone levels in the testes while preserving fertility.

Expert Tips for Couples

Before starting TRT, it’s essential to get a baseline sperm count to understand your natural levels. Consider banking sperm as a precautionary measure in case fertility is affected by TRT. Additionally, discuss your plans for having children with your doctor to explore the best treatment options.


If you’re considering testosterone injections and planning to have children, it’s essential to understand how TRT can affect fertility. While TRT can help alleviate symptoms of low testosterone, it’s crucial to weigh the potential impact on fertility and explore alternative treatments if preserving fertility is a priority.

In summary, TRT can affect fertility by decreasing sperm count, but it’s not necessarily permanent, and other treatment options are available. By discussing your concerns and goals with your doctor, you can make informed decisions about managing low testosterone while preserving your fertility.

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