Fertility: Semen analysis and freezing Sperm prior to TRT

[jj123]

Hi, I'm 26 and will be starting TRT soon (with or without HCG initially - not sure yet). Would you recommend having a Semen analysis prior to starting TRT and would you recommend getting Sperm frozen for fertility concerns if you have the opportunity?

Is semen analysis necessary prior to the commencement of testosterone supplementation therapy in men of reproductive age? - PMC

www.ncbi.nlm.nih.gov

 

[Nelson Vergel]

How expensive is it to freeze your sperm (I guess they also charge a monthly fee?)?

 

[Nelson Vergel]

"How much does it cost to freeze sperm? The cost of sperm freezing varies. There's often one cost for sperm collection and analysis, then ongoing storage costs for freezing. Storage costs can range from $100–$500 per year, but it's important to check with your insurance provider and physician to understand the costs."

Sperm Banking

Sperm banking is freezing and storing sperm for future use. It’s ideal for people who are at risk of infertility due to age or medical conditions.

www.hopkinsmedicine.org

I would do it if I was young and had the money.

Of course, TRT + hCG may work Ok for 66% of men. Clomiphene may also work. But if you have the money, why not?!

 

[Nelson Vergel]

How long for TRT to shut down spermatogenesis

As per title of the thread, does anyone know if there are studies showing how long it takes for exogenous testosterone to kill spermatogenesis? As stated in other posts, I'm thinking of dropping HCG because it raises my E2 to 100+, giving me terrible sides even at doses as low as 50 IU 3x week...

www.excelmale.com

 

[Nelson Vergel]

Recovery of sperm production following testosterone replacement or anabolic steroids

The use of testosterone replacement therapy (TRT) for hypogonadism continues to rise, particularly in younger men who may wish to remain fertile. Concurrently, awareness of a more pervasive use of anabolic-androgenic steroids (AAS) within the general population has been appreciated. Both TRT and...

www.excelmale.com

 

[jj123]

How expensive is it to freeze your sperm (I guess they also charge a monthly fee?)?

Im in the UK so wanted to see if sperm freezing can be done under the NHS, if it can then I suppose it would make sense to do so since I'm young as a backup. My TRT would be self-pay through a TRT clinic/provider but I will ask my NHS PCP/GP regarding the sperm banking.

Was also looking at how long sperm can be frozen for.

 

[Systemlord]

Im in the UK so wanted to see if sperm freezing can be done under the NHS, if it can then I suppose it would make sense to do so since I'm young as a backup. My TRT would be self-pay through a TRT clinic/provider but I will ask my NHS PCP/GP regarding the sperm banking.

Was also looking at how long sperm can be frozen for.

Yes the NHS does provide sperm freezing for patients if treatment side effects are reduced sperm count.

Adobe Acrobat

documentcloud.adobe.com

 

[Swilsondc]

I would definitely freeze it if you can. I am 51 & got on TRT when I was 35. I froze mine at the time b/c HCG, clomid etc we’re not brought to my attention as another option. If I had to do it over again I would still freeze a sample b/c if/when you need it it is there. But I would also supplement the TRT with HCG. It is a heck of a lot cheaper if you can get pregnant naturally vs in vitro. At least in most of the USA.
as far as how long a frozen sample is good for I’m not sure but I used mine after 10 years and it was still good.

 

[Nelson Vergel]

Sperm Maturation and Fertilization

www.excelmale.com