Can you get pregnant if your husband has low testosterone?
If you’re trying to get pregnant and just found out your partner has low testosterone, it’s totally normal to feel a wave of confusion, or even panic. You might be wondering if this explains why it hasn’t happened yet… or if it means it never will.
The truth is, low testosterone can impact fertility, but not always in the way you’d expect. And to complicate things further, some common treatments for low T (like testosterone injections) can make it harder to conceive.
There are fertility-safe options that support testosterone levels and improve sperm quality and quantity. Let’s break down what’s really going on and how to move forward.
What Does Low Testosterone Actually Mean for Fertility?
Testosterone plays a key role in male reproductive health, but its relationship to sperm isn’t always straightforward.
Testosterone helps stimulate the production of sperm in the testes, but having “low T” doesn’t automatically mean your partner is infertile. Some men with low testosterone still have normal sperm counts. Others may have fewer sperm, poor motility (how well the sperm swim), or simply less interest in sex, which can all impact how easy it is to conceive.
In short: low testosterone can affect fertility, but it’s not the whole story. That’s why testing sperm quality directly (with a semen analysis) is usually the first step if you’re having trouble getting pregnant.
But here’s where things get tricky, and where a lot of couples unintentionally make the problem worse…
How Testosterone Injections Can Suppress Fertility
It might seem logical: if testosterone is low, just replace it, right? Unfortunately, it’s not that simple.
Many men are prescribed testosterone replacement therapy (TRT) in the form of injections or gels. These treatments can improve energy, mood, and sex drive, but they come with a major downside for couples trying to conceive:
They can shut down sperm production entirely.
Here’s why:
When external testosterone floods the body, it signals the brain to stop producing luteinizing hormone (LH) and follicle-stimulating hormone (FSH)—the hormones that trigger the testicles to make both natural testosterone and sperm.
Without that signal, the testes essentially go offline. Sperm count can drop drastically—sometimes to zero.
This side effect isn’t always explained up front, but it’s a critical piece of the puzzle for anyone trying to have a baby.
So if your partner is on TRT and you're not getting pregnant? That could be the reason.
What to Do If You’re Having Trouble Getting Pregnant
If you’ve been trying to conceive and it’s just, not happening, it can feel isolating. Every month becomes a rollercoaster of hope and heartbreak. And if your partner has recently been diagnosed with low testosterone, it’s easy to wonder if that’s the missing piece.
First, take a breath. This doesn’t mean it’s impossible—not even close. It just means it’s time to look at the full picture and take a few smart, fertility-focused steps.
Here’s a simple, clear game plan to help guide your next move:
1. Get a Full Fertility Workup—Together
The first step is for both of you to get checked.
For your partner, that usually means a semen analysis to look at sperm count, motility, and overall quality.
For you, your doctor might start with:
- Hormone testing (FSH, LH, AMH, and more)
- A pelvic ultrasound to check for any structural issues
- Tracking ovulation to see if and when it’s happening
None of it has to be scary or invasive—it’s just about gathering information so you’re not guessing.
2. If His Sperm Count Is Low, Look At Testosterone
If the results show a low sperm count, the next step is to check hormone levels—especially testosterone. Low testosterone could be a contributing factor, but again, it’s not the whole story.
A full hormone panel can give you a better idea of what’s going on internally.
3. Skip Testosterone Injections—Look Into Fertility-Safe Support
If testosterone is low, don’t rush into testosterone replacement therapy —especially if you're trying to conceive.
As we covered, traditional TRT can stop sperm production altogether.
Instead, consider fertility-preserving alternatives like enclomiphene. Unlike TRT, enclomiphene works by signaling the brain to make more of your body’s own testosterone—while also supporting sperm production.
In one study researchers found that 100% of men taking oral enclomiphene saw elevated sperm counts at 3 months, and again at 6 months.
It’s one of the few treatments that can raise testosterone levels and improve male fertility at the same time.
This process can feel overwhelming, but you’re not alone—and you’re not out of options. With the right information and care, there’s a clear path forward.
Summary: Yes, Pregnancy Is Possible (But There Are Some Important Things to Know)
If your husband has low testosterone, it doesn’t automatically mean you can’t get pregnant. But it can impact sperm quality and overall fertility, and certain treatments, like testosterone injections, can make things worse.
Here’s what to remember:
- Low T can affect fertility—but many men with low testosterone can still conceive.
- TRT (testosterone replacement therapy) can suppress sperm production and should be avoided if you’re trying to conceive.
- Enclomiphene is a safer alternative—it helps boost testosterone naturally and supports sperm production.
- A full fertility workup for both of you is the best first step.
You’re not starting from scratch. You’re just getting better information, and a better plan.
Strut Treats Low T Online
Fellas, if your testosterone is low and you're feeling it (fatigue, low libido, performance issues, or fertility concerns), there's a smarter way to treat it—especially if you're not ready to risk your sperm count with traditional TRT.
Enclomiphene is a fertility-conscious alternative that stimulates your body’s own testosterone production, it may help you feel like yourself again, without shutting down sperm production.
Some men also benefit from adding Tadalafil for improved bedroom performance and confidence.
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