ADVERTISEMENT
ADVERTISEMENT

Q. What is the best treatment for increasing my low testosterone level

Answered by
Dr. Shaikh Sadaf
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 05, 2022

Hi doctor,

I have low testosterone of 100. My urologist will put me on medication and gave me options, to which I do not know what is better. Either true Testosterone, hCG or Clomid. I am only 30 years old, so he advised against testosterone because of the possible fertility issues. My testosterone was checked four years back, and my levels were 350. Since then, my levels have dropped dramatically. However, I will try to have a child in the next few years. I need treatment, but I do not want to hurt my fertility. I was taking True Testosterone and came off of it with hCG and Comid in the past. All blood work for three weeks in a row shows low testosterone. Prolactin was checked to be safe, and it shows normal levels. I would like to get an expert opinion.

ADVERTISEMENT
#

Hello,

Welcome to iciniq.com.

I just read your query, and from what you have attached (attachments removed to protect the patient's identity), it appears that you have very low testosterone levels. If you are deficient in testosterone, it is better to take testosterone replacement therapy in any form suitable for you. Prior testosterone therapy will not affect fertility prospects. Although when you desire fertility, it must be stopped before initiating gonadotropin therapy.

Regards.

Hi doctor,

Thank you for the reply.

My urologist's concern was that taking testosterone could result in my sperm count dropping to zero and that I could have fertility issues. His advice is to do hCG or Clomid instead to boost natural test levels. Are you saying that you do not think that is the best? Should I do a combination of these medications if he allows it? What is your reasoning?

#

Hi,

Welcome back to icliniq.com.

The sperm count decline is not permanent. It will recover once testosterone is stopped. According to your wish to conceive now or later, the treatment can be planned with your plans beings of primary importance.

For example, if you need fertility now, then go for hCG (human chorionic gonadotropins) or clinic therapy. However, if you need to improve your testosterone levels for the general well-being of your body, then you can opt for testosterone replacement therapy.

What you need now will decide your therapy choice, to be honest. All are better options. It cannot be a combination of all treatment options, and it does not work like that.

Testosterone treatment aims at:

1) Improving libido and sexual function.

2) Improving mood and well-being.

3) Improving muscle mass and strength.

4) Preventing osteoporosis.

Whereas the therapy itself can cause a decrease in sperm count temporarily. So when fertility is desired, HCG or Clomid (Clomiphene) are prescribed.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
My total testosterone came out to be 232.84 ng/dL. Is it low for my age?

I have a total testosterone level of 23284 ng/dL ... What can I do to increase my testosterone levels ...   Read full

Would low testosterone affect erection?

.. understand your concern. There is no need to get stressed due to low testosterone levels. As you are getting early morning tightness, this means that there is no organic issue. If you have to go for urine in the morning, even then, that tightness ...   Read full

I do not have any sexual desire. Is it due to low testosterone levels?

This could be the reason for poor libido in your case ...   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»
Importance of Sex Hormones - Types, Functions, Normal Ranges, and Roles
Sex hormones are steroids produced in the body that control sexual development, pregnancy, and overall health. Read belo...  Read more»
Fallopian Tubes - Anatomy, Function, and Diseases Affecting It
Fallopian tubes are important structures of the female reproductive tract. This article discusses the same below.  Read more»

Ask your health query to a doctor online?

Ask an Endocrinologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.