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

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

Research output: Contribution to journalReview articlepeer-review

25 Scopus citations


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 languageEnglish (US)
Pages (from-to)45-54
Number of pages10
JournalWorld Journal of Men?s Health
Issue number1
StatePublished - Jan 2019


  • 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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