Fertility and Testosterone

If you're on TRT and concerned about fertility, there are options to consider, such as using HCG or cryopreserving sperm. Understanding the difference between primary and secondary hypogonadism is crucial, as many men with low testosterone actually experience the latter. In cases of secondary hypogonadism, testosterone replacement might not be the best choice due to the potential conversion of testosterone to estradiol, which can negatively impact fertility.