Testosterone is a contraceptive and should not be used in men who desire fertility

Amir Shahreza Patel; Joon Yau Leong; Libert Ramos; Ranjith Ramasamy

doi:10.5534/wjmh.180036

Testosterone is a contraceptive and should not be used in men who desire fertility

Amir Shahreza Patel, Joon Yau Leong, Libert Ramos, Ranjith Ramasamy

Urology

Research output: Contribution to journal › Review article › peer-review

14 Scopus citations

Abstract

Testosterone has a variety of functions and is commonly used in older men to treat symptoms of hypogonadism, such as decreased libido, decreased mood and erectile dysfunction. Despite its positive effects on sexual function, it has a negative effect on fertility. Exogenous testosterone therapy can negatively affect the hypothalamic-pituitary gonadal axis and inhibit the production of follicle stimulating hormone and luteinizing hormone. The purpose of this review is to discuss the contraceptive properties of testosterone therapy and to discuss strategies to increase testosterone in men with the desire to preserve fertility.

Original language	English (US)
Pages (from-to)	45-54
Number of pages	10
Journal	World Journal of Men?s Health
Volume	37
Issue number	1
DOIs	https://doi.org/10.5534/wjmh.180036
State	Published - Jan 2019

Keywords

Contraception
Family planning services
Hypogonadism
Infertility
Testosterone
Testosterone replacement therapy

ASJC Scopus subject areas

Reproductive Medicine
Urology
Psychiatry and Mental health
Public Health, Environmental and Occupational Health
Health Policy
Aging
Pharmacology (medical)

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10.5534/wjmh.180036

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Cite this

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title = "Testosterone is a contraceptive and should not be used in men who desire fertility",

abstract = "Testosterone has a variety of functions and is commonly used in older men to treat symptoms of hypogonadism, such as decreased libido, decreased mood and erectile dysfunction. Despite its positive effects on sexual function, it has a negative effect on fertility. Exogenous testosterone therapy can negatively affect the hypothalamic-pituitary gonadal axis and inhibit the production of follicle stimulating hormone and luteinizing hormone. The purpose of this review is to discuss the contraceptive properties of testosterone therapy and to discuss strategies to increase testosterone in men with the desire to preserve fertility.",

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note = "Funding Information: The authors would like to thank the physicians and patients of Jackson Memorial Hospital, University of Miami Hospital, and the Miami VA for inspiring the creation of this review for clinician use.",

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