At Dallas – Fort Worth Fertility Associates, we have been hearing a lot about low testosterone in the media and from our patients.

Millions of men are affected by a common condition known as Low T. But how does it affect fertility? Testosterone is made in the testicles and blood levels in some men drop over time, but the low levels that cause symptoms vary individually.

Some common symptoms of low levels of testosterone:

  • Low libido
  • Erectile dysfunction (ED)
  • Fatigue
  • Irritability
  • Difficulty concentrating
  • Depression

The symptoms listed above can have a very gradual onset when caused by slowly decreasing testosterone levels. Andropause describes the state caused by decreased testosterone levels related to aging. This normal decline occurs over many years and may have no symptoms.

For symptomatic males however, it is very important to talk to your fertility doctor. A simple blood test can diagnose a low testosterone level.  Testosterone supplements can be taken in many different forms: topical creams, oral tablets or injections are common routes of administration. These treatments cause serum testosterone levels to rise and symptoms may improve within a few weeks, but may take as long as 3 months to completely improve.

Well-meaning doctors prescribe testosterone replacement therapy (TRT) without appreciating the effect this may have on male fertility and sperm counts.

Testosterone – a Delicate Balance

Testosterone is essential for sperm production, but elevated testosterone levels caused by supplements can cause the testicles to stop producing sperm. Low libido and erectile dysfunction decrease a man’s fertility, but ironically, testosterone supplementation can decrease sperm counts!

The good news is that sperm production will usually resume once testosterone supplements have not been taken for about 72 days (the life cycle of sperm).

The fertility doctors at Dallas – Fort Worth Fertility Associates are experienced in helping men with low testosterone levels conceive. There are therapies that do not involve direct testosterone supplementation that can improve symptoms without decreasing sperm counts.

Every couple is unique and we at Dallas – Fort Worth Fertility Associates are committed to finding answers and offering fertility treatments that work, whatever the cause may be.

For more information on Male Infertility Causes and Treatments visit or Contact us to schedule your appointment.

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