Semen and TRT

I have been on TRT for almost 2 years and I noticed after sometime that the semen amount is a lot less than it used to be before going on TRT. It is almost half off what is used to be which it is a bit worrying.
Why so, is it a side effect of TRT? What can I do to increase the amount?
 
I have been on TRT for almost 2 years and I noticed after sometime that the semen amount is a lot less than it used to be before going on TRT. It is almost half off what is used to be which it is a bit worrying.
Why so, is it a side effect of TRT? What can I do to increase the amount?

my amount of semen has also gone down, but to be honest with you I really don't care. My libido is awesome and so is sex, plus I don't want any more babies. If I was looking to father another child it may be a different story.
 
Some people find that HCG helps with that as it stimulates your testes and can restore some testicle size for some people as well. For me, HCG does not help with testicle size at all on any dosing schedule or amount and I feel nothing from it. The benefits of HCG are anecdotal - some people feel better on it, some notice no difference.
 
The reason is because TRT has caused your HPTA to pretty much suppress all gonadotropin production, which would include LH (signalling testosteron) and FSH (signalling sertoli cells for spermatogensis).

As noted above, in many case you will see HCG help with this, as it mimics the LH signal. If you want to go "All-In" with getting sperm production to a level pre-TRT, take a look at combining HMG, which has both analogs (FSH & LH). Obviously consult with a good physician on this before proceeding ...
 
Some people find that HCG helps with that as it stimulates your testes and can restore some testicle size for some people as well. For me, HCG does not help with testicle size at all on any dosing schedule or amount and I feel nothing from it. The benefits of HCG are anecdotal - some people feel better on it, some notice no difference.

Correct, it depends on several variables. If a patient is "Primary", having any Leydig cell damage, or pathology related issues, then HCG won't do much if anything for the testicles.
 
THX everyone! captq I would also appreciate if Nelson could answer your question reg " in addition or substitute".
My weekly protocol is HCG 2x250iu and testo 2x40mg.
 

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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

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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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