Testosterone Is a Contraceptive and Should Not Be Used in Men Who Desire Fertility

The World Journal of Men's Health

Joon Yau Leong¹  Amir Shahreza Patel²  Libert Ramos²  Ranjith Ramasamy² 

[1] Thomas Jefferson University;University of Miami Miller School of Medicine;

关键词: Contraception;    Family planning services;    Hypogonadism;    Infertility;    Testosterone;    Testosterone replacement therapy;   

DOI  :  10.5534/wjmh.180036

来源: DOAJ

【 摘 要 】

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 contra-ceptive properties of testosterone therapy and to discuss strategies to increase testosterone in men with the desire to preserve fertility.