When you think of testosterone, traditionally masculine images and words may come to mind: facial and body hair, toned muscles, virility.
If the idea of testosterone stirs up all things male, then what are the implications of low or no testosterone? Many might assume that less testosterone makes you less manly. Now add pregnancy to the mix. With low or no testosterone, conception would be tricky.
You might believe the most natural fix would be to take testosterone. It makes sense that added testosterone will surely boost your manliness, including your fertility, right? Well, not exactly.
“Hypogonadism—or low testosterone—can lead to issues with sexual desire,” “It can alter a man’s libido. It could affect sexual functioning—namely, erections. It can also affect the development of sperm.”
In other words: “Low testosterone can definitely affect a man who’s having difficulty achieving a pregnancy,”.
A man’s testosterone levels fluctuate throughout the day. They’re usually highest in the morning and lowest at night; however, there are a few things that can lower testosterone levels:
“Many times people feel that, ‘Oh, I have low testosterone—it affects fertility—I should take a testosterone supplement, That’s actually something we do not want them to do. If a man is taking any extra testosterone, it can basically shut off his body’s ability to make its own testosterone—and the body’s ability to make its own sperm.”
The number of men taking testosterone supplements has noticeably increased in the last decade. This growth is even among men who don’t need to because their testosterone levels are normal, according to a March 2014 study in the Journal of Endocrinology and Metabolism.
“There’s a lot of misuse of these supplements and treatments. “People take them as a sort of anti-aging treatment when they have normal testosterone. Testosterone replacement therapy should be given to someone who has low testosterone and is symptomatic from it.”
Potential causes of low testosterone include:
“When men come in with low testosterone, they may have already gone to another provider who put them on a testosterone supplement.
He explains, “Many times I’m taking these guys off of supplements or medications and putting them on something to get their body to make its own testosterone.”
Additionally, taking exogenous—or external testosterone— shuts off other hormones essential for sperm development. “Many times, these potential fathers have no idea that they are actually undermining their fertility by taking these medications.
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