When trying to conceive, particular caution is warranted with hormonal interventions.
When trying to conceive, particular caution is warranted with hormonal interventions. Testosterone replacement therapy can suppress the body’s own sperm production and is therefore generally contraindicated in this situation.
Instead, differentiated, fertility-preserving treatment approaches are available. These include gonadotropins such as hCG and FSH, aromatase inhibitors, or selective estrogen receptor modulators. The aim is to stimulate the body’s own testosterone production without impairing spermatogenesis.
At the IMA, careful assessment of the indication is based on hormonal findings, semen parameters, and clinical symptoms. Realistic counseling regarding treatment timelines is essential: improvements in spermatogenesis often require several months.
Treatment is closely monitored and regularly adjusted. In this context, integrative men’s health means considering fertility, well-being, and long-term hormonal balance together.