Fertility

The Continued Use of Testosterone Does Not Interfere with Human Chorionic Gonadotropin (hCG) -Mediated Return of Spermatogenesis
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In the realm of reproductive health, one of the most challenging puzzles has been how to balance the benefits of testosterone therapy with the desire to maintain or restore fertility in men. A recent study published in The Journal of Sexual...
Dr. Andrew Sun in Dallas: Understanding Male Fertility and Infertility Solutions
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* in general it takes 68-72 days to make a new sperm, so 2-3 months * the sperm are very delicate you have to take care of them, the testosterone generating cells (leydig) in the testicles are fairly resilient, the sperm generating cells...
Dr. Larry Lipshultz - Urologist and Testosterone Therapy Expert in Houston
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My guest today is one of the country’s most respected medical experts on TRT, otherwise known as testosterone replacement therapy. He’s an authority in using testosterone to help males improve muscle tone and strength, and enjoy more energy and...
Beyond Testosterone: The Illustrated Guide is Now on Amazon
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"Beyond Testosterone" is a comprehensive 427-page guide authored by Nelson Vergel, a seasoned expert in the realm of hormone therapy. With a vibrant full-color layout and extensive illustrations, this book stands as an essential resource for both...
What is a Normal Ejaculate Volume? Data from 60,823 Men
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* Of 60,823 individuals, the mean ejaculated seminal volume was 3.4 ml, with median volume 3.1 ml, interquartile range 2.2, 4.3 ml, max 14.5 ml, and standard deviation 1.7 ml (Fig. 1A). The ejaculate volume distribution is skewed right, with some...
Weight Loss Could Be Key to Male Infertility: What the Research Says
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Weight Loss Could Be Key to Male Infertility: What the Research Says There's some exciting news for men struggling with infertility and obesity—losing weight could make a big difference. For the first time, research shows that shedding extra...
Semen Analysis Optimum Parameters
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Here is a sample semen analysis report (optimum ranges) that I was able to obtain from a friend. Infertility testing: In an evaluation of a man's fertility, each aspect of the semen analysis is considered, as well as the findings as a whole...
Combined low-dose hCG, FSH , and T vs conventional treatment to induce virilization and fertility
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Introduction Two primary functions of mature male testis are spermatogenesis and androgen production. Both these functions are under the control of the hypothalamic-pituitary-testicular (HPT) axis. Gonadotropin-releasing hormone (GnRH) secreted...
Fertility after exogenous T replacement
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https://www.urologytimes.com/view/expert-forum-fertility-after-exogenous-testosterone-replacement In this expert panel video, Kelli Gross, MD; Kevin J. Campbell, MD, MS; Darshan P. Patel, MD; Mary K. Samplaski, MD; and James M. Hotaling, MD...
HCG Use in Men on TRT or as Monotherapy: Over 200 Questions and Answers
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I collected questions and answers posted on ExcelMale.com in the last 10 years about the use of human chorionic gonadotropin in men who want to prevent loss of testicular size and fertility while on testosterone replacement therapy or that want...
Updates to Male Infertility: AUA/ASRM Guideline (2024)
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Purpose In 2023 the American Urological Association (AUA) requested an Update Literature Review (ULR) to incorporate new evidence generated since the2020 publication of this Guideline. The resulting 2024 Guideline Amendment addresses updated...
Is fertility-sparing exogenous T therapy a real thing?
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https://academic.oup.com/jsm/article-abstract/21/7/582/7699977 It is 2024. Direct-to-consumer testosterone replacement therapy advertisements on social media are pervasive. Academic and private practice men’s health centers are abundant. At...

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