Doctor recommended Natesto because of fertility concerns...other options?

My doctor is very open to different treatment plans, but initially recommended Natesto because I brought up I would like to potentially have children in the next few years. I don't remember my actual numbers, but I believe my total T levels were around 400 (which my doctor noted was in the normal range), but he said my free T was low (and I don't remember the number).

I have no problem with Natesto as a product, but holy shit is it expensive. Even with the savings plan, I'm looking at like ~$6000 a year.

Are there other options I should ask him about? He's very well respected and recommended around these parts.
 
I don't think I can edit my original message. I wanted to provide a bit more context:

I've suspected low T for awhile now: low libido, brain fog, general depressive symptoms, and I've always been a little dough-y physically. I've tried anti-depressants and they've never really done much for me.
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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