Steroids and Male Fertility

It’s a well known fact that abusing steroids can shrink your balls and cause development of breast tissue. After talking to a number of male fertility specialists, we’ve learned that steroids are also one of the leading preventable causes of male infertility. Learn the facts and keep yourself safe.

How do steroids work?

Topic: Testosterone

Anabolic steroids are part of a class of drugs called androgens, which are compounds that act similarly to testosterone. Testosterone is naturally produced in the testicle where it’s primary role is to help with the development of sperm. Excess testosterone is sent from the testicle to the rest of the body where it binds to other cells and causes them to express proteins that make men more manly (bigger muscles, more body hair, etc). In the brain there is a little thermostat that regulates the body’s hormones. When testosterone levels are low, it produces secondary hormones (LH, FSH, GnRH) which in turn cause the testicles to increase testosterone production.
Taking steroids short-circuits the body’s natural hormone thermostat. Artificially increasing blood testosterone to ultra-high levels causes the body to build more muscle mass, but it also tells the brain that the body is producing too much testosterone and it attempts to correct it by shutting down testosterone production in the balls. Problem is, testosterone can’t get from the blood stream into the testicle and since it is a necessary ingredient for sperm production, the testicles stop producing sperm.

 Do they cause permanent damage?

Well, it depends on how much is used and for how long. Long term use can shrivel up the balls and kill off the cells that are produce testosterone. It can also interrupt the signal pathways that enable the body to correct itself and re-establish a healthy hormone balance.
The healthiest way to boost blood testosterone levels is to super charge your balls. There are a lot of tricks to help your body naturally boost testosterone levels. Check out Lee Myers blog on increasing T.
If you plan on using any androgen – this includes hormone replacement therapy, patches, creams, steroids, etc. Please talk to a male fertility specialist to learn options for enhancing testosterone levels safely so that you are able to preserve your fertility.

Is there any way to regain fertility?

First, stop taking steroids. Depending on how much and how long you used, simply quitting may be enough to restore fertility. It takes up to a year to regain full sperm counts so be patient with your body.
Sometimes the body needs help getting the signals going again. If so, a male fertility specialist will do a blood panel to determine your hormone profile. Based on that, they can prescribe a variety of drugs that will kickstart sperm production.
In extreme cases, the body is unable to get sperm production levels up high enough for natural conception. Don’t worry. There’s technology for that. Thanks to the modern marvels of medicine, if there is even a few sperm hidden away deep in the testicle then there is a chance of conceiving. Highly skilled micro-surgeons can scan the testicle with a microscope in search of sperm. If they find one, they can inject it directly into an egg and implant the egg in the uterus. Check out our articles on assisted reproduction to learn more.


Sara SDx

Sara SDx

Editor of Don't Cook your Balls, Co-Founder of TrakFertility.com, Health Coach and Men's Health Advocate. Passionate about sperm, men's health and helping people build their families.

185 Comments

  1. Slouianaguy March 30, 2018 at 9:23 am

    I just got my results back from my blood work from my eurologist. As well as he did a semen analysis and said i have zero sperm. The blood work said i had slightly declined test levels and slightly elevated other levels as youve talked about before. I have taken test boosters in highschool. But that was 12 years ago. My wife and I have been trying to concieve for 3 years. Im 30 years old about 20 lbs overweight. And Ive noticed that my body hair is alot patchier and thinner even on my legs. And it takes me longer than normal to ejaculate almost like im desensatized. Doctor said i dont have any blockages so thats not an issue. Just wondering what do you think he will give me as far as injections. And should I try to use tribulus tetrittus in such supplements as fertil-a-aid for men.

    • Sara SDx
      Sara SDx April 9, 2018 at 5:23 pm

      Here are a few articles that you can read to help inform conversation with doctor:
      Clomid used as male fertility treatment
      Sperm friendly treatments for Low T

      I haven’t seen any studies that show Tribulus has a positive impact on sperm, testosterone or LH but I haven’t seen evidence that it hurts things either.
      Vitamin supplements (like fertilaid) have been shown to have some positive impact if you have a poor diet.

      How long and how much did you use?
      How low is T and how high is LH / FSH?
      Did doc do blood tests for genetics?

  2. Armando m February 18, 2018 at 4:43 am

    Hello i last did a cycle about a year and three months ago. My testosterone is in the 600’s, estrogen withing range, FSH low normal and LH within range. My testes are atrophied significantly and my ejaculate is less than before and it’s clumpy and thick. I followed my cycle with an HCG blast and pct. Sex drive is hovering about normal and everything else is regular. However I’m really worried about the atrophy. Would another HCG coupled with hmg followed by serm pct help?

    • Sara SDx
      Sara SDx February 19, 2018 at 6:55 pm

      Atrophy takes time to recover. Generally. It is caused by death of various cells in the tissues. I’ve been meaning to do a deep dive literature review on atrophy— currently, I’m not sure what the recovery of size is. I want to say that it will come back with time though maybe not as large as before.

      Since your numbers look pretty good, it seems like the damage wasn’t too bad.

      Were those numbers while you were on PCT or after you went off?

  3. Aldrin February 4, 2018 at 1:50 am

    After using one year of steroid, i’ve done a semen analysis and the result is only 0.2 mill/ml of total count…can u please suggest how long it will take to recover like 15mill/ml is said to be normal ? I am a professional bodybuilder still on the way but due to low sperm count, get confused what to do…?

    • Sara SDx
      Sara SDx February 6, 2018 at 1:02 am

      Have you been to a urologist? They are pretty good at helping men recover sperm. It’s pretty good news that it isn’t zero. It might be able to bound back pretty quickly. Generally docs in the field can do some blood work and figure out the right combination of PCT drugs to safely bring back sperm count. (usually clomid, FSH, HcG or others — sometimes in combination..)

  4. […] steroids has devastating effects on your fertility, and can actually make you permanently infertile. In this […]

  5. […] or past use of testosterone supplements, anabolic steroids, clomid or other performance enhancers (If you are using something at the gym and aren’t quite […]

  6. Hypogonadism | Low Testosterone | Men's Health September 25, 2017 at 8:24 pm

    […] most common way to boost testosterone is to use anabolic steroids or testosterone replacement therapy. These drugs are part of a family of drugs known as androgens. They all work on a similar […]

  7. […] Steroids (often called anabolic-androgenic steroids (AAS) or anabolic steroids) are becoming more popular among recreational and non-professional power athletes. It is estimated that there are approximately three million steroid users in the USA. As more people look for steroids and start using them, the abuse of steroids and their side effects are becoming major concerns. In this article, we are going to tackle one of the most well known side effects of steroid use: testicular atrophy, better known as shrinking balls […]

  8. […] receptors. These receptors allow you to make good use of any testosterone (or other anabolic steroid) floating around in your body. Androgen receptors literally put the hair on your chest, strengthen […]

  9. Martin September 9, 2017 at 12:52 am

    This site has been very informative and I commend you for helping people in these situations. I have been using various steriods for about 6-7 years, I have always cycled roughly 3months on 3months off and have always used hcg as I end my cycle and finished with Clomid and tamoxifen in my pct. I don’t recall ever having any problems. I’m now 29 and considering having children as im getting old and was wondering what advice u would give me. Should I go see someone (who) to have my self checked out…

    • Sara SDx
      Sara SDx September 15, 2017 at 12:50 am

      If you are in the US or Europe there are several over the counter sperm tests that can give you a starting point. I helped to build a start up to give men better options when it comes to this stuff. We developed a system called Trak that is perfect for your situation. If you are in the US that would my first recommendation.

      Otherwise, you could check with your insurance to see if it will cover a semen analysis. It usually doesn’t until you have been trying for 12 months. I would recommend getting tested at urology office if you go that route. They typically are more detailed in lab practices.

      Option 3 is start trying and see what happens. If you don’t get pregnant in 3-6 months I would definitely recommend getting checked.

      If you do end up considering Trak would love to hear what you think of it. It’s relatively new to the market and we are still learning improving the user experience.

      Take care, and good luck

  10. […] off the primary functions of the testicle: sperm and testosterone production. See our article on steroids and fertility for more […]

  11. Danoblack29 February 23, 2017 at 4:03 pm

    Hello, I came here looking for information. There is so much misinformation and deception on the internet regarding this subject . I am looking for answers that have scientific backing. Specifically, facts and statistics.
    I like the first paragraph of this article. It describes the process and is informative. I don’t like the thermostat example,however. If you short circuit the bodies hormonal thermostat, the body would never stop producing hormones. Even if the bodies levels were too high. That would make fertility issues a different story.
    The second paragraph is different. firstly you say that some men that come off exogenous testosterone lose fertility. How many is that? what percentage? You say the loss in fertility is affected by the duration and how much exogenous testosterone is used. I would like to know exactly how much exogenous testosterone affect fertility Beyond barely raising it above the normal levels and shutting off the body’s natural hormone production. I would like to know how more is worse, not just duration. Is there a study where healthy men are given different specific levels of exogenous testosterone for the same duration of time and the ones with higher levels or more likely to be infertile at the end of the study?
    You go on to say that there are natural alternatives to help raise testosterone in healthy males. I would like to know how much of an increase these natural alternatives offer. If a healthy male has between 300 – 1000 nanograms per dekaliter of testosterone in his blood how much of an increase will the healthy alternatives offer?
    When you say healthy alternatives do you simply mean non injectable?
    Also I wonder the point of the statement regarding healthy alternatives. Are you saying a higher testosterone level makes you more fertile? or are you saying that natural alternatives offer comparable testosterone levels to this steroids you were making references to earlier in your article?
    Just so the other readers know using steroids increases your testosterone levels to 5 – 10 times normal levels. These are serious questions and I honestly want answers. I am not criticizing your article.
    I apologize for the messy nature of my comment I’m on break at work and it’s not as well constructed and thought out as it normally would be. Thank you for your time.

    • Sara SDx
      Sara SDx February 28, 2017 at 12:53 am

      Useful questions — thanks for being so open and honest.

      Frankly, some of this is hard to answer. I haven’t seen too many studies that have followed steroid users. I have been meaning to do a deep dive on the literature and see what population studies are available to answer your questions but haven’t gotten around to it.

      I would say there are a couple of things that can impact fertility / long term outcomes of steroid use. 1. dosage 2. length of cycle or continuous use 3. use of additional PCT during and after cycle. 4. amount of total time using. In general, the longer you suppress natural testosterone, the more likely you are to do permanent damage.

      Healthy alternatives in general point to natural ways to improve testosterone production. The delta for change will depend on what your baseline health is. A guy that is in top shape, with a perfect diet, optimal sleep, stress and alcohol consumption may not have as much opportunity to improve his natural testosterone production as a guy who is out of shape, who drinks, etc.

      • Jessie June 9, 2017 at 3:25 pm

        Hi Sarah,

        I am a 42 year old male, I am in good shape and have never used any type of testosterone or Steroids. I recently had a major surgery on my shoulder to repair several rotator cuff muscles and a torn bicep.

        My trainer is suggestion that I do a short 8 week cycle of Dianabol to help my healing process as well as cut some fat and build more muscle.

        I for sure want to have kids in the next few years. Is it at all risky to use Dianabol for just 8 weeks to help my healing process?

        Thanks

        • Sara SDx
          Sara SDx August 1, 2017 at 3:59 pm

          Apologies for not getting to you sooner. I’m not sure if you made a decision. But here’s what I would recommend.
          I would recommend checking in with the doctor. There are safe ways to use short cycles but it can really mess with your body’s natural hormone production cycle. Doctors are trained to minimize these impacts. Trainers are helpful guides but they are not doctors and you should definitely check with a doctor before doing something that can have such a big impact on your body.

          There are some natural hacks that can help boost testosterone without cycling. It kind of depends what your goals are.

  12. Cameron February 22, 2017 at 2:41 pm

    Hi Sarah,

    I’ve been blasting and cruising cycles for over 1 year now, my test dosage on a blast would be no higher than 600mg, always running a small dose of hcg throughout cycle(500iu per week),
    Then cruising for 8 weeks on 250mg of test, and making sure I get the right blood work done each cruise everytime coming back fine.

    After this last cycle i plan to pct and come off completely for a good 4-6 months.. Do you think I would fully recover after running this protocol? I’m 25 years old.
    Thanks

    • Sara SDx
      Sara SDx February 28, 2017 at 2:06 am

      How was your last blood work? What did it look like? Have you ever done a semen analysis? Are you looking to have kids or more concerned with testosterone and sexual function?

      • Cameron March 13, 2017 at 6:25 am

        Bloods came back fine and have done each time after my last 2/3 cycles.
        I haven’t done a semen analysis but I was planning to do a LH & FSH test as well as blood work once this last cycle is finished.
        I’m more concerned for sexual & testosterone function not also worried for future plans with having kids.

        When would you advise the best time to test my LH & FSH / Semen analysis, should I get it done straight after cycle or should I wait a month or two?
        Thanks again

        • Sara SDx
          Sara SDx March 13, 2017 at 2:53 pm

          If you are stopping cycles and want to confirm everything is normal, I would wait a month or two to let your body normalize to a baseline.

  13. Tyler January 12, 2017 at 7:42 am

    Hi, I am age 19 and wanting to do one cycle to get to the size I am content with. I won’t plan on having kids for about 4/5 more years. Thoughts on that? I want to have kids more than anything so will steroids be even worth it for me?

    • Sara SDx
      Sara SDx January 20, 2017 at 5:42 pm

      If you want to have kids more than anything I wouldn’t risk it. Steroids can destroy tissue in the testicle and leave you permanently sterile. This doesn’t happen to all men but it happens often enough that if I were you I wouldn’t risk it.

  14. Ram January 10, 2017 at 8:57 am

    Hi Sara, I took testoviron (10mgx25) as weekly twice. also winstrol 50mg/ 10ml on alternatice. I did for 2 cycle. It became alomst 4 years now. I didnt do any PCT. Now we are trying for Baby. My sperm count was good than normal and everything was normal. but the viscosity is more thick and not getting liquifying even in an hour. I am worried will the steriod use will make this problem. Please reply to my mail

    • Sara SDx
      Sara SDx January 11, 2017 at 9:35 pm

      If your sperm count and motility are pretty good, I wouldn’t worry too much.
      How long have you been trying? When did you get a semen analysis done?

  15. Billy January 9, 2017 at 1:56 am

    Hi Sara

    My wife and I are going to do ivf in a couple weeks. I have been on steroids (entocort) for 3 months and was wondering to what degree does it affect fertility. I know it is a cortisone steroid but when I google fertility and entocort I get results suggesting that there is a correlation.

    Thanks

    • Sara SDx
      Sara SDx January 11, 2017 at 5:48 pm

      So, first, corticosteroids are very different than sex steroids. In the case of testosterone and other androgens, they directly interfere with male reproductive system is a way that is well understood by medicine and science.

      Endocort doesn’t fall under this umbrella. That said it is hard to know if it has impacts. It may or may not. Most drugs do not have good studies to show impact on male reproductive system (although, the FDA is starting to require more of these studies because many medications have been shown to cause problems with sperm). The underlying conditions that Endocort is used to treat are somewhat at risk / have higher rate of sperm issues. From a brief search of the literature, I couldn’t find anything definitive.

      In your case, it is best to go from your own data and take all the factors into account…

      Have you had a semen analysis (or more than 1)?
      If so, was it before or after taking the medication?

      If you are concerned, it might be worth a follow up semen analysis to see where you are at now.

  16. Triston December 26, 2016 at 1:27 am

    Will taking a dose of 1 1/2 CC’s a week really affect your fertility??? I got off Test C about 2 months ago and since then my sex drive is low and I’m always tired. Just wondering if a low dosage like that would really affect me. I’m 40yrs old

    • Sara SDx
      Sara SDx January 11, 2017 at 4:40 pm

      Sorry for the delay in responding. I’ve been traveling without good access to wifi.

      Everyone responds differently. Those do sound like symptoms of T crash. Sometimes it can take a little while to kickstart natural T after taking it externally.

      Couple of questions — is is getting better? do you have other symptoms (testicular shrinkage, difficulty focusing, depression, hair loss / lack of growth)
      Did you do any type of PCT – clomid, hcg, etc?
      Did you take T for recreation or was it medical?
      Are you currently interested in fertility?

  17. Sarah December 23, 2016 at 9:48 pm

    My husband has been taking 1ml of testosterone cream daily, sometimes every 2-3 days depending on how active he is, for probably 4-5 years now. It is a bio-identical sourced from yams. He suffers from the effects of low testosterone, to the point where it seems his muscles can’t recover from even the mildest activity when he stops taking it. His sex drive has never been low however, even when he stops using the cream.

    He hasn’t had his sperm count tested yet, but we are thinking about trying to get pregnant. Wondering if he could try taking HCG injections to help boost sperm production while also taking the testosterone?

    Also, if you happen to know of any good doctors in the Hudson Valley / Westchester NY area that deal with this sort of thing, would be grateful for the referral. Thank you.

    • Sara SDx
      Sara SDx January 11, 2017 at 4:27 pm

      Sorry for the delay in responding. I’ve been traveling since before the holidays and haven’t had the best access to wifi.

      HCG is probably a good idea.

      There are a lot of great doctors in New York. Cornell is one of the leading schools to train new Urologists in Male Fertility.
      Dr. Natan Bar-Chama with RMA of NY
      Dr. Gilbert in Great Neck
      Dr. Werner who I believe is in Westchester
      All the above are great options and would be able to give you fabulous guidance.

      You will definitely want to do a semen analysis asap to see where things stand. I also work on a start-up that makes a home test that allows you to track over time. It might be a good option to track results particularly if he adds in new hormones to keep some tabs on what sperm counts are doing.

      Let me know if you have additional questions or need more referrals. I’m always happy to help.

      Good luck.

  18. Christian November 7, 2016 at 8:54 pm

    Just for safety. Been taking stanozolol 30mg ED for 2 weeks, Without test as base (stupid, i know) and decided after some research to hop off the cycle. Should i do a Quick pct or am i free of Any sides?
    My Balls are somehow feeling sore.. but nothing Else..

    • Sara SDx
      Sara SDx November 10, 2016 at 5:29 pm

      What are your current goals? Is this your first cycle?

  19. Garry November 3, 2016 at 7:00 am

    Update.
    Hey sara, i used hcg for two weeks 500 iu eod and clomid 50mg ed for four weeks. After pct things got better day by day and i felt completely normal. Suddenly today i crashed again like hell and had trouble getting and maintaining an erection. What could be the reason behind this? By the way the day before i went to club and did binge drinking, could this had affected? I am worried more now because things were all normal and suddenly this happened. I will appreciate your views.

  20. Jim October 13, 2016 at 4:40 pm

    Hi there
    Long time steriod user here. From the old school where pct wasn’t really used. I took a long break years and have a great son. He’s four. Been back on steriods for a coupe years for my own reasons. I’m 40 and my tested t levels were very low (3-7 I’m in canada so don’t know the US conversion) trying for another one now. Been to a urologist and off steriods. But have been prescribed hcg and t-4 for thyroid issues. And my semenalisis said I have swimmers but my test level is nothing and the hormones responsible for making me produce test are not functioning. I’m going for a follow up with a male fertility specialist in three months I figure to make a game plan. That’s the issue should I keep taking this dosage of hcg? 2000ius Twice a week. I’m not taking test and this crash is effecting me pyshiclaly and psychology. The main reason I started using testosterone in the past . (I’ve had mulitpe bloods done over the past 4 years and I’m very low t) and know the difference and want to feel normal. But reading forums and research indicates that this long use of hcg won’t help either of my goals. I told uro that I used a small amount of letro during this cause my nips were flaring up and she dismissed it ? But if you can commmet or email me privately greatly appriaciated.

    • Sara SDx
      Sara SDx October 19, 2016 at 4:45 am

      In US 3 converts to something around 80 which is super low. 7 converts to 200, which is borderline… some men don’t experience symptoms, some do.

      The question of the day is how healthy are testicular tissues. A good measure is FSH and LH levels. Did you get these measured? Also, have you had a semen analysis? Do you have sperm present?

      It is possible that hcg can help or other pct drugs like clomid or even injectible FSH. If tesicle is severely damaged, these drugs might not help. If issues stem from factors outside the tesicle then there is a much higher chance that pct drugs will be effective.

      In either case, uro specialist has a few additional tricks for getting sperm if counts are really low or zero.

  21. […] best shot in this last scenario is to go to a fertility clinic and have a specialized surgeon search for any last remaining sperm that may still be in the testicles. If that doesn’t sound […]

  22. Garry September 16, 2016 at 10:16 pm

    Hi sara! I am a 22 years old male. I did a 10 week cycle of test cypionate at 500mg/week. In the 9th week i started getting problems in getting and maintaining erections but before, even a touch of my gf could make me hard. Now, i am on last week of pct and i have zero libido, no urge for sex. To mention, before cycle i had high libido and long sex drive. I want to marry and have babies in future and wanna spend a healthy life. Will i be recovered naturally and if it is, how much time is gonna take to get me where i was before doing cycle? I am feeling high heart rate in the day also and lethargy. Any help would be appreciated.

    • Sara SDx
      Sara SDx October 6, 2016 at 2:34 pm

      Sorry for the delay in responding. What did you do for PCT? Have symptoms improved?

  23. Samantha Parden September 15, 2016 at 1:58 pm

    After 2 years of consistent use and a ‘0-sperm count test result’ will the use of HGH help to boost the sperm production?

    • Sara SDx
      Sara SDx September 16, 2016 at 1:18 am

      It may. Have you done a blood test? T, FSH & LH are typically recommended. There are a variety of drugs, most used off label, to re-initiate spermatogenesis. My 1st recommendation is to get blood work done and talk to urologist who specializes in fertility or an endocrinologist.

  24. John August 25, 2016 at 10:17 pm

    I’ve been taking steroids for 11 months. A few of them I was only ‘cruising’ on 250mg test enanthate a week, and others I was taking 900mg test enanthate + 200mg tren enanthate + 50mg anadrol. I’m 22 years old.

    When I realized how I might be damaging my ability to have children, I immediately stopped. It’s been a month since my last injection. I still get erections and can have sex, but I definitely notice that my sex drive is not as high as before, and my erections aren’t as hard as before.

    I did not do a PCT. I just wanted to be off everything. I understand it’ll take longer, but how long do you think it’ll take before I can have kids? My balls shrank from their original size, but not extremely so. I’d say they are 80% of their original size.

    • Sara SDx
      Sara SDx August 26, 2016 at 2:32 pm

      How long have you been off?

      It can take time to fully recover normal hormone levels.

      You can’t tell sperm production for sure unless you take a sperm test. Overall, these symptoms look relatively minor and I would suspect that you are ok but if you are concerned, you can get an over the counter test just to check.

      Are you thinking to start trying for children soon?

      • John August 26, 2016 at 3:03 pm

        It’s been 4 weeks since my last injection. I have noticed some sides like depression and lowered sex drive but it is not as bad as I thought. I can still have sex, I still get erections. I don’t want children now, but I do want children in the coming years which is why I stopped. I know I’ll need a test to confirm, but in your opinion, will my test levels/sperm count be normal this time next year? (Considering I was ‘only’ on for 11 months, and I’m only 22 years old).

        • Sara SDx
          Sara SDx August 30, 2016 at 5:24 pm

          Based on what you’ve listed as symptoms.. they don’t seem very severe and should go away with time. By this time next year, I would guess that your levels should normalize and you should be fine. If you are still experiencing symptoms after a year, I would definitely get tested and have a chat with an endo or urologist.

  25. Jason August 23, 2016 at 5:03 am

    I have a major issue I hope u can help me with…Trying for 1st baby…was ON HCG but not working yet to bring up my motility..I have read a lot of what you have posted on fertility. I am new on here and frustrated. I don’t smoke or drink. I was on TRT for quite a few yrs when a doctor told me I had a low T back in late 20’s early 30’s.. they measured my T in 2 ways…Normal range 400-800 roughly and 10-59 on a different number test..Not sure what milligrams or metric measure they used…I kept falling between 50-200 or 8-27….I was prescribed 2 CC’s every 2-3 weeks that put me at around 780 peak….I liked injections so much better than gels due to transfer in contact and it made my arms hairy where they were not before on gels. 2 different women over that time period. I got both pregnant(both were there first pregnancies) both miscarried after a little over 1-2 months…NONE of these doctors told me TRT would affect my Sperm counts….My current wife was pregnant 4yrs ago after she was on the pill and I still got her pregnant while on TRT to boot! In the last yr n half I have not done any TRT due to after going to fertility center they said I had 0 Sperm! I was prescribed HCG shots with Clomid 2500 IU per shot every 3 days and clomid once a day for about 5 months….Then I went off for 4 months to check to see if my sperm and testosterone kicked in more….It had my testosterone levels in the high 200’s low 300’s…but still no sperm..I then went to a new doctor DR Sher who is pretty famous and has been on talk shows. I was taking for 4 months 5000IU’s per shot every 3 days and is expensive as hell! 550.00 for 1 month supply! Neither of us have kids and both want them bad. I quit that in May…another doctor told me try clomid by itself…a month later i went from 0 motility to 8%…then another doctor told me take 500 IUI hcg, testosterone replacement twice a week .40 shot…tested my sperm n went backwards to 0 again! I have read may increse clomid to 50-100mg a day since its the only thing left that started to work and may raise my T level….1/2 a pill a day did nothing for T level but did get me triple the sperm to 27 mill and 8% motility…by increasing clomid and not take anything else will this finally get me back or did i do too much damage? Sorry so long but had so much to say after all these doctors

    • Sara SDx
      Sara SDx August 26, 2016 at 2:04 pm

      Sorry this has been so frustrating!

      Have you done any blood work to measure FSH or LH?
      Did anyone do any investigation to the underlying cause of the low T?
      Are you on anything now?
      How long ago was last SA?

  26. Anita Patton August 14, 2016 at 4:25 pm

    Can long term teen/early 20s use of steroids cause any problems, ie chemical inbalance in children conceived when the user is 30?

    • Sara SDx
      Sara SDx August 25, 2016 at 3:45 pm

      typically it causes long term health / hormonal problems in the user but not in the DNA of sperm. I haven’t seen any research linking steroid use to problems with future children.

  27. Jay August 12, 2016 at 1:31 pm

    Hello, I’ve seen a lot of people wondering about the effect of anabolic steroid use from using it one time, or even cycling over one years time. But what about 8 to 10 years of use? Would sperm even exist? My fiance and I have never used any kind of contraception and have always had sex very regularly. Mostly because his sex drive was so high. When we first got together his sex drive was extremely high and stayed that way until he started to get off the testosterone. I see that the less he uses the test, the less sex drive he has. He also seems more tired and less motivated during the day. And yes, his balls are very small. We have never had any testing done, and probably won’t for a while, since we were trying for a baby in the sense if it happens we will be happy, and if it doesn’t we’ll still be happy. But I’m wondering about when we reach the time maybe in two or three years where if it happens we will be happy, but if it doesn’t we will be sad.

    • Sara SDx
      Sara SDx August 25, 2016 at 3:42 pm

      Doesn’t sound good. Is he still using? Did he do PCT in between cycles?

      There are hormone therapies (what he would call PCT) that can help restore normal function, but if the tissue is damaged it might be limited. The only way to know where you stand is to get a semen analysis and a blood test to measure hormone levels.

  28. Richie August 9, 2016 at 11:49 pm

    Hi Sara my name is Richie I done a deca and tnt course January last year but was on the, for a good 5 months me and my gf have been trying for a baby ever since I done clomid for pct but suffered really bad with depression I done a fertility test a couple months bk and it came bk abnormal I’m only 23 and weigh 80 kg I don’t have any problems in the bedroom department everything seems normal. Would a clomid course help me restart everything if there is something wrong any advise would be helpful thankyou

    • Sara SDx
      Sara SDx August 24, 2016 at 9:47 pm

      Did you get numbers for the fertility test or was is a home test?
      Have you gotten any blood work done?

      Coming off cycle has been known to cause depression. Are you still experiencing symptoms? Any other problems?

      • Richie August 28, 2016 at 11:56 am

        I don’t have any symptoms of depression anymore I feel fine also I done a home test I haven’t had blood done yet

  29. Sean August 4, 2016 at 12:57 am

    Hi I see in regards to all of you trying to conceive a child and I look on apologetically to greatly increase your chances of concurring a child you should take hcg it will signal your lh (leutenising hormone) to your brain to kickstart your testosterone production I’m only 16 but I have done a lot of research in this as I’m interested

  30. Ajay August 1, 2016 at 10:34 am

    Hey sara your website is amazing and the artical is usefull . But right now i need some help from you as you have knowledge and experiance . I just completed a 10 week test Prop and Test E mixed cycle and after 5 days of last shootbof my last test prop, i started PCT . I took 100mg clomid Every Day AND 40Mg nolva for first week . Will it be enough dose if i take 50mg clomid and nolva 20mg for second week ?? Am kind of worried because my balls are not recovering and this is my first time after came of steroids and it is not feelinh good. Should i go for hCG or will they recover slowly??Also will there be any problem if i skip one dose because am taking another medication for a condition of skin related. My brain is about to blast with these hundered kind of questions. please help me seriously need your help

    • Sara SDx
      Sara SDx August 22, 2016 at 3:42 pm

      Sorry for the delay. How are things going? Have you recovered?

  31. Dillon July 29, 2016 at 4:46 am

    Hello, I am 20 years old and am only taking 1cc twice a week of both deca and sustanon each stacked my planned PCT will be either HCG and tamoxifen or chlomid and nolvadex. I was wanting your opinion on which of the two combos I should use. I haven’t experienced any hormonal side effects while on this cycle, but I’m constantly worried if I could become infertile as I plan to have children one day.

    Thank you.

    • Sara SDx
      Sara SDx August 22, 2016 at 3:25 pm

      I don’t have a strong opinion as there isn’t much research that shows outcomes of different stacks. I have generally seen in medical literature that HCG is pretty good… usually recommended to take during cycle to maintain HTPA and help prevent problems down the road. My best recommendation is to not use but aside from that, I would recommend short cycles with PCT during cycle rather than after.

      Everyone responds differently to the drugs so it’s tough to know how your body will react. if you want to be safe, I would recommend regular monitoring of hormone levels with blood test to make sure that T levels don’t get too high (risk of cardiac events) and that you are able to maintain FHS and LH. I would also recommend semen analysis if you are interested in future fatherhood, so you have a baseline.

  32. Rahul July 25, 2016 at 11:56 am

    Also, in addition to above, does the test indicates that HPTA is restored or still have to wait for some more time to actually confirm for the restoration of HPTA?

  33. Rahul July 25, 2016 at 11:50 am

    Hi Sara,

    I had one injection of Sustanon 250 mg a month back. Now after 28 days I had tests and they read, FSH – 2.67, LH – 6.65, Total T – 6.66, TSH – 10.74, Prolactin – 17.64, T3 and T4 in normal range.

    Now I start to get morning woods after 3rd week. So is it due to the fact the sustanon effect might have been over? because I never had an erection for 21 days after Sustanon was injected, also no sex drive was there and it felt like semen formation also reduced to a severe extent..

    Do I need PCT only after one injection? Feel like I might have been suffering from no ejaculation? because before sustanon whenever I used to have erections lasting 15 minutes, semen used to come out in good amount but I had erection 2-3 days back for 30 minutes and without any drop of semen. Is it reversible? Does it happen because of shutdown? How much time can it take for me to get back to normal.

    Also can anabolic steroid cause thyroid problems because I never had any before sustanon. Can it be normal if I continue to never use anabolic steroids anymore?

    Your advice is highly appreciated.

    Thanks,
    Rahul

    • Sara SDx
      Sara SDx August 22, 2016 at 3:14 pm

      Sorry for the delay in responding. I’ve had a large number of comments to work through.

      Was the blood test you posted here before or after the injection?
      Do you have thyroid problems now?

      How are symptoms now? Have you recovered?

  34. carlos July 17, 2016 at 12:42 am

    Hi Sara I am carlo, regarding steroids I was always taking depo cyp testosterone 10ml week , sum tyms stop taking for 4 weeks,on an of ,sex driver was always gud,, but after dat I quit for gud for week, but as I am gyming I started taking testo blast zma Sa supplements an creatine hcl e amino acid 6000, after3 days taking dos supplements I am experiencing Low libido, but wen I play with my cook dase erect but tek long,even I stopped taking dos supplements for 4 days stl having sem problem . Must I get hcg to kick start natural testerone?

    • Sara SDx
      Sara SDx July 25, 2016 at 11:26 pm

      Let me see if I understand you correctly… you’ve been on 10ml testosterone a week. You quit and sexual functions were normal. After 4 weeks you started on new supplements and loss erectile function and libido. I’m not exactly sure what supplements you are currently on. Are you still taking anything? Are you still experiencing issues?

  35. Charlie R July 13, 2016 at 9:10 pm

    Hi there
    I started taking steroids July 2013 when 40years old . I took a long course and was on steroids until April 2014 having maybe a couple of months off during this time. I resumed steroids again July 2014 till mid sept 14. I then took pct. I started trying for baby in January of 2015 and my wife fell pregnant in April and gave birth in Dec 2015. My steroid courses have never been too heavy . Pct has been hcg followed by nolvadex.
    Hope this info helps but remember everyone is different .

    • Sara SDx
      Sara SDx August 1, 2016 at 4:11 pm

      Thanks for sharing. I agree, everyone is different, this is particularly true with hormones.

  36. George July 13, 2016 at 2:37 pm

    Hi ,I would really appreciate your help if you could answer a few questions for me ,

    I’m a 24 year old Guy , and about 18 months ago I was on anadrol for about 6 weeks followed up by clen for about 6 weeks , I didn’t run a PCT ( idiot ) as I left the gym I left the area and moved abroad.

    i now have a girlfriend and i have no sex drive , I also feel like my balls are smaller and I’m worries about my hormone levels and if they are ok or if I need to get some tests done . I am also worried about my fertility and I was wondering the best way about 1) finding out about my sperm count 2) if my T levels and estrogen levels are balanced as I also don’t get a really hard erection like I used to , any help would be greatly appreciated. Thanks

    • Sara SDx
      Sara SDx July 29, 2016 at 3:59 pm

      Sorry for the delay in responding. I’ve had a backlog of comments.

      First, is this the only time you’ve done T or have you done it in the past? If so, did you do PCT in past? How long ago did you stop and do you still have symptoms?

      Sometime it can take a while to recover function but eventually testis get the message and start doing their job again. The best way to check is to go in for a semen analysis and hormone blood tests. It’s pretty easy to request and you don’t need to mention past use, you can tell doc that you are experiencing low T symptoms and would like to check.

      If you don’t want to go the medical route – there are home testing options.
      For sperm, there are over-the-counter tests. They don’t give the best information but in cases like this, they are good enough.
      For hormones, some places have mail-in kit. I can’t speak to what’s available in the UK.

      Do you have any other symptoms?

  37. sanj June 14, 2016 at 7:48 am

    Hi mam taking steroid ( like anavar) can cause Epididymo-orchitis infection or I ve taken anavar anavar just for 18 days then after leaving anavar for 6 days I got sick felt ache on left testicle then I went to urologist after ultra sound he found there is lumps on left testicle and I got Epididymo-orchitis right now I m in antibiotics for 10 days so is that possible from anavar

  38. Mike June 12, 2016 at 8:49 am

    Hey Sara,
    Im 24 and about to start a 8 week cycle of test and I’m planing on taking a pct after words. My concern is after I get off and take the PCT, would my sperm level go back up in time? In the future I would like to start a family and I would t want to mess it up.

    • Sara SDx
      Sara SDx June 20, 2016 at 5:26 pm

      There’s no guarantee that even with PCT you won’t have issues, but there are a few things you can do to be a little safer. Some of the safest practices are to include PCT during cycle – (Clomid or HCG) to help maintain production during cycle. Then to monitor T levels and continue PCT if T levels drop.

      If you are really planning on having a family soon my first recommendation would be to not go on a cycle, but if that’s not possible, I would try to get sperm tested to get a baseline of where you are and monitor levels while cycling so not to get HPTA too out of whack.

      Does this help?

  39. Robert May 15, 2016 at 12:41 pm

    Hi Sara,

    Respect for the help you give people! I had unsuccessful PCT after a veery light 1st cycle and am in doubt what to do. Is it OK to contact you on the mail? If I paste all the labs, I think will take up too much space here.

    • Sara SDx
      Sara SDx May 24, 2016 at 2:10 pm

      Sure. You can write to dontcookyourballs AT gmail DOT com.

  40. Hamza May 14, 2016 at 5:29 am

    I am a 22 years old guy i used a stack for 3 weeks androl 50 mg and stanazol 20 mg in first week and 30 mg in 2nd week and 40 mg in third week and noticed s decrease in libido to almost 0 and erection also very less but now after three weeks i have recovered as my erection is 70% back and libido as well but i am not completely recovered yet do you think i’l get back to normal ever.?

    • Sara SDx
      Sara SDx May 24, 2016 at 1:57 pm

      Yes. It can take time for the body to recover. I would give it a few more weeks. If you are really concerned, you can go in for a blood test to check levels. If it doesn’t continue getting better, you can try cycle of Clomid or hcG to try to kick-start things. Does this help?

  41. sanj May 5, 2016 at 7:55 pm

    Tnk you thinking for the future.

  42. dk May 4, 2016 at 7:59 pm

    I am an footballer
    I fallen a year ago when i was 20
    After few day i found i lost my left testicle ! I felt decrease in cum while having sex !
    Now i m 21 an willing to have steroids for abt 3 months from now for body building ! Will it affect me in future for having childrens or boy child ?

    • Sara SDx
      Sara SDx May 5, 2016 at 3:30 pm

      Sorry to hear about your left testicle. Hope it didn’t hurt too bad!

      Steroids will harm the testicle that you have, especially if you do not know safe ways to use them. It can cause lots of problems.
      It won’t directly impact your ability to have a boy, but could make it so that you are unable to conceive any children. Be careful.

      Hope this helps. Let me know if you have more specific questions.

  43. sanj May 4, 2016 at 8:50 am

    Is that okay 2 week on 2 week off only anavar cycle to avoid male fertility

    • Sara SDx
      Sara SDx May 5, 2016 at 3:22 pm

      It’s hard to know what will impact fertility. Each man responds to cycles differently. In general, lower doeses and shorter cycles with HCG during cycle and PCT post cycle are safer but nothing is 100%. I might leave it to some of the other guys here to comment on cycle lengths and doses that have worked for them.

      Regular testing is really the only way to monitor how your body is reacting — semen analysis for sperm, blood tests for T levels.

      Are you currently trying to conceive or just thinking about it for the future?

  44. sanj May 4, 2016 at 6:41 am

    I was in only anavar cycle for 7 week on 30 mg ed two month ago . Will it affect my fertility ?

  45. bim April 26, 2016 at 11:54 am

    Pls can I have your email?

    • Sara SDx
      Sara SDx April 26, 2016 at 3:01 pm

      dontcookyourballs AT gmail dot com

  46. bim April 25, 2016 at 7:34 pm

    Hi,
    my husband and I have been trying to conceive for 3 years unsuccessfully. He recent had a SA done which came back zero.
    Color creamy white, PH 8.0, Odor normal, volume 3.5ml, consistency watery, Total count none seen.
    LH 26miu/ml , Fsh 42miu/ml , prolactin 16ng/ml, test 3.0g/ml.
    Doctorplaced him on clomid,ginvite-f, vit E, Addyzoe, andriol
    I would like to know if all this drugs could boost up his sperm.Thanks

    • Sara SDx
      Sara SDx April 25, 2016 at 10:04 pm

      The LH, FSH are high. I can’t tell what to think of testosterone cause the units aren’t quite right to what I would expect to see on a report.

      Generally, the hormone levels indicate there is something going on with testicular tissue. Has he ever had a serious illness, undecended testicle, injury, testicular infection, mumps or TB? I would recommend a screening test for Y Chromosome microdeletion to see if he has that.

      In regards to the medication:
      clomid might help and probably wouldn’t hurt. It tends to boost LH which is already high in your case, but it can help stimulate testosterone production if there is hormonal issues.
      Givite-f is basically ginseng. I would say this probably won’t help or hurt.
      Vitamin E is known to boost sperm quality.
      Addyzoa is a bundle of herbs that claims to boost sperm quality by helping with free-radicals. I haven’t read scientific literature on it to know how effective it is, but it probably won’t hurt anything
      Andriol is a form of testosterone. Generally, this will harm sperm production. I wouldn’t take this one. It could mess things up further.

      Before taking the medications, I would try to get to the bottom of what is causing azoospermia. It appears from blood tests that something is hurting the tissue. It would be good to find out what it is and if it can be reversed.

      • bim April 26, 2016 at 9:12 am

        Thanks for the quick response.
        His testosterone 3.0ng/ml,Epith cells positive, pus cells 6-8.
        Doctor told us his testosterone is low and FSH, LH are high.I’ll visit my Doctor
        Thanks

  47. Dr. Owen Monroe April 20, 2016 at 12:50 pm

    Hi

    This article is complete nonsense, and based on inaccurate and outdated information.

    I wouldn’t direct any questions, nor take any advice from SARA SD – as she doesn’t have a cock and balls, and I doubt she has ever used AAS.

  48. Rick April 15, 2016 at 7:32 pm

    I recently was suffering from hard to treat sore throat and my ENT Doctor prescribed me with Prednisone 10mgX3 for four days, 10mgX2 for four days and 10mbX1 for 4 days.
    I accidentally tool 10mgX3 four times yesterday and he wants me to restart the original schedule now forgetting about overdosage yesterday.

    My concern is that will if affect my semen quality?

    We are making preparation for donor egg IVF this summer and worried if it is affecting the quality of my sperm, should we delay the IVF cycle?

    I am also taking 500mgX2 Cipro for 2 weeks, does it have any affects on male fertility?

    • Sara SDx
      Sara SDx April 18, 2016 at 2:29 pm

      To ease your mind, prednisone is not of the same class of steroids as anabolic steroids and has little effect on the reproductive system. I

      Cipro is a little more controversial. There are no studies that I could find that show damage to sperm in humans. There are some smaller studies that show potential minor impacts in animals. When literature is light, I look up the “pregnancy class” for a drug which is how people rate the danger of impacting a fetus. Sperm are pretty similar, so it’s a good rule of thumb. Cipro is a class C drug which means that there has been evidence of problems in animal models but human studies have not shown anything. Generally, class C drugs are mostly avoided during pregnancy but can be used if the situation requires it.

      To help think through the decision, I would consider 3 factors:
      First, how high have SA results been on average? If you have more borderline results, it would be more of a concern than if your numbers were really high to begin with.
      2nd, when in the summer is the cycle scheduled? It takes about 3 months to refresh sperm.
      3rd, is ICSI going to be used during the cycle?

      Hope this is useful.

      • Rick April 22, 2016 at 1:32 am

        Hi Sara,
        thanks for the quick and informative response.
        1. SA is generally ok but not great. Some labs show low morphology (Kruger strict) and some lab show motility issue time to time but not consistently.
        Dr says it shouldn’t be problem with IVF.
        2. We are planning on middle of July or a little later.
        3. I think we will do ICSI.
        Thanks a lot,

        • Sara SDx
          Sara SDx April 22, 2016 at 2:09 pm

          Good luck. I will keep you both in my thoughts.

  49. The boss79 April 10, 2016 at 12:08 am

    im sorry but this is bullshit. i have done over 8 cycles with testosterone, trenbolone, deca and harsh stuff. i took them while monitoring my body though blood works.
    taking Anti Estrogen throughout the cycle to avoid developing Gynecomastia. As for Balls getting smaller, there is HCG. it Prevents your testicles from getting smaller and keep HPTA going and have some natural testosterone in the body. upon finishing cycle ( usually 8-20 weeks ) HCG is taken as a blast for 2 weeks then start post cycle therapy for 5 weeks. blood work done 4-5 weeks after that. i have yet to have one problem. i have 4 children. (one is conceived while i was ON STEROIDS ) due to use of HCG.
    im 6 ft 240 lbs under 10% BF. healthy strong and do cardio for one hour a day. never had high cholestrol or any liver issues

    • Sara SDx
      Sara SDx April 12, 2016 at 3:39 pm

      First of all — I commend you on good practices. Regular monitoring of blood levels and use of HCG on cycle are both good and responsible ways to use.

      Not everyone knows as much or uses as responsibly as you do.

      I just had a friend die of a massive heart attack at 49 due to chronic, long term over-use. I have also met a good number of men through this forum who have completely destroyed their testicles which has caused them to be unable to have children and has seriously impacted their sex lives.

      I recognize that there are real reasons to use and real pressures among the builder community to use. So, I don’t pretend there are easy choices here. However, I also recognize real risks and health concerns associated with steroids that need to be understood.

  50. yogesh April 8, 2016 at 10:29 am

    Hi there,

    I m on Dbol and Ghrp-2 for 2 months straight. and i can feel my testosterone are low. i m ending my cycle now. what should i use in pct?

    • Sara SDx
      Sara SDx April 12, 2016 at 3:31 pm

      I’m going to leave this one up to some of the other guys on here…

  51. Josh March 31, 2016 at 5:21 am

    Hi there,

    I have been on cycle now for about 3 years… blasting and cruising. I tried coming off for 3 months but I was depressed, couldn’t go to work and started having major issues at work and at home so I jumped back on. I am 28 years old and want to know if I want to have a baby in my early 30’s while continuing this blast and cruise how can I do it? More importantly what are some things I can do now and when I do want a baby? I am a bodybuilder and I see some elite bodybuilders with children and they are in their late 30’s ie. Shawn Roden, Juan Morel, Ronnie Coleman.

    Please help!

    • Sara SDx
      Sara SDx April 5, 2016 at 8:50 pm

      Major side effects from coming off is a sign that your body needs a rest. You need to cycle down with lower doses and good pct.

      Having kids depends on a lot of things —

      1. How sensitive your testicular tissue is and how much you damage it from cycling.
      2. How responsible you are while using – dosing, supporting drugs and PCT can make a difference. Some guys use under guidance of physician.
      3. How much recovery time you give yourself each cycle and when you start trying to have kids
      4. Some guys use pretty extreme measures to have kids — sperm retrievals and IVF to get a few sperm for babymaking. It can be quite hard on wives to do it that way, but for some that’s the only option.

      If you are looking for a way to come off — I might suggest researching lower dosage, HCG, clomid and other supportive drugs that can help ease your body into natural testosterone production.

      If you are looking for a way to stay on — I recommend finding a physician that you can work with and monitor your health, hormones and sperm while cycling. It’s rough for builders because most, if not all use. That seems to be part of the sport. If you want to remain competative and want to minimize negative side effects, I’d highly recommend endocrinologist + urologist to monitor your levels and keep you in a good window. It’s pretty easy to get to dangerous levels without good supervision.

      There are a lot of negative consequences to long term use — biggest of these being increased risk of stroke and heart attack. Long-term low T and infertility are also pretty rough side effects that some guys have to live with for the rest of their lives. It can be pretty devastating.

    • The boss79 April 10, 2016 at 12:15 am

      i have done 8 cycles before and im fairly advanced bodybuilder. i have 4 children and all of them were born while i was doing on/off cycles. but i have always taken 4-5 months between cycles and always did pct with HCG blasts. i even tried HMG with my last post cycle therapy as i was doing 150mg tren ED. which was rough and had some erection problems. but it was fine within a month or 2. i think you need to come OFF steroids because you are abusing it. trust me the cruise/blast isnt worth it. too much
      i advise you to look into Scally restoration protocol. he has very good PCT include blasting HCG. even if it doesnt work, he would make you do another blast with higher amount and adding some HMG. google it.
      good luck

  52. Orlando March 17, 2016 at 2:14 pm

    Hello Sara. There is alot of good info on here. Ran two cycles of Test Cypionate 600mg a week, in two shots every week times 12 and sixteen weeks respectively. I took a long break in betwwen, with doses of Arimex to decrease S/E. My testicles shriveled and my libido dropped. Is Provision good for me with GH to recover my HPTA? I haven’t used in 11 months. Thanks so much.

    • Sara SDx
      Sara SDx March 21, 2016 at 2:56 pm

      Aridimex is an aromatase inhibitor designed to prevent estrogen from causing issues like gyno.

      If I were you, I would get a quick blood test to check levels before adding anything new into the mix.

      Symptomatically, you seem to need a kick start of LH — clomid or HCG are generally popular choices to do this.
      Have testicles or libido recovered at all?

  53. Jane March 11, 2016 at 5:26 am

    Yep, agreed to retest after 3 months PCT. It hard to believe that steroids could have that effect given so many other friends have conceived natural whilst on longer & higher courses. Do they just effect different people in different ways?

  54. Jane March 8, 2016 at 5:57 am

    Thanks for your response. He is currently PCTing in order to be re checked after 3 months. He hasn’t had a hormone test done. H3 had his pelvis reconstructed in 2006 and the hernia in 2014 (I think).

    • Sara SDx
      Sara SDx March 10, 2016 at 6:09 pm

      Even better news if he was just on cycle. What is he doing for PCT?
      3 month re-check following PCT sounds like a good next step.

  55. Jane March 5, 2016 at 10:28 am

    Hi Sara, my husband and I have been trying to conceive for 3 years unsuccessfully. He recent had a SA done which came back with 2 dead sperm in the whole sample. He has been on several different courses of steriods over 6 years. Also he has broken his pelvis and had a hernia repaired.
    I know the best thing is further test but he is reluctant (incase of further disappoinyment. I just wondered if you could give me any info on why there would be dead sperm?
    Thanks

    • Jane March 6, 2016 at 8:21 am

      Just to mention there were 0 live sperm.

    • Sara SDx
      Sara SDx March 7, 2016 at 3:26 pm

      Jane, sorry to hear the rough road you’ve been on. Hopefully I can offer some helpful insights.
      A couple of dead sperm is actually good news in this case. It means — 1. he is making sperm. 2. they are able to get out of the testicle.

      Sometimes hernia repair can cause blockages that prevent sperm from getting out. Many men who are long term steroid users do not have any sperm and the fact there are a few in the ejaculate means that there are likely to be more sperm in the testicle.

      A few questions.

      1. how long ago was his last cycle?
      2. has he had hormone tests done?
      3. How long ago was surgery.

  56. Joe March 4, 2016 at 5:02 pm

    I’ve did a cycle of test (12weeks) and deca (10 weeks) along with hcg, wait three weeks from the end of my last injection the started pct of nova and clomid at 100/40 for two weeks then 50/20 for two weeks. 6 weeks have now past and still having E.D problems and very low labido. Will this correct itself on its own or will I need to get blood test and mess from a doctor? Thanks

    • Sara SDx
      Sara SDx March 4, 2016 at 7:25 pm

      I would give it a bit more time. Are you experiencing any other symptoms?

      It would be good to keep hitting the gym, working out can help natural recovery process. Along with good sleep — think morning wood.

  57. Gary March 2, 2016 at 3:09 pm

    If you have problems with sperm production stop using steroids. Give ur body a long break,( At LEAST 6 months) then do
    a S.A. and see if there is any change. If no change try menopur injections. The Dr. Told me 1 vial every 3 days but I didn’t have any change until I did 2 vials every 3 days. You may not get a million sperm but you will get enough for IVF.

  58. nick February 25, 2016 at 6:33 pm

    ive been on AAS for quite sometime, noticing bad libido drop. Will discontinuation and/or certain LH and FSH be enough to correct this and the original topic?

    • Sara SDx
      Sara SDx March 2, 2016 at 3:16 pm

      Hard to say, but probably. Depends how long and how hard you’ve been using. Sometimes the body can rebound on it’s own but if you have recently quit, you may experience a lot of symptoms while the body recovers. Most guys use some sort of post-cycle therapy to help — clomid, hcg and others typically stand in for LH and help the testicles regain testosterone production. Sometimes, if it has been long term continual use, the testicle will have atrophied — think about not working a muscle for a long time, it gets smaller and needs to be exercised to get strength back. Same applies to the balls. It takes time for them to regain function.

      FSH is primarily to trigger sperm production. Not all guys need this — if the pituitary responds well to the changes it kicks back on and starts producing FSH.

      Libido drop tends to occur as a side effect of low T most commonly. You might want to get your levels checked to see where you are. Libido drop could also come from other non-related issues like stress or other things going on in the body.

      Does that help?

  59. George February 22, 2016 at 2:41 pm

    Hi Sara, continuing from the above post, I forgot to mention also that my friend now recommends me to take some hcg to try to increase my natural testosterone production. Does this sound right and if so, is it too late to use after I have stopped for 2 months? Also if I should, how much should I be taking? Any alternatives to try to help my body recover from the side effects I’m having that I mentioned above from those 8-10 weeks of testosterone of 250 mg each week? Thank you so much.

    • Sara SDx
      Sara SDx February 23, 2016 at 4:39 pm

      hcg and clomid are both stand in for luteinizing hormone which can help re-balance natural testosterone. It can help, particularly in situations when you experience symptoms of low T. It doesn’t fully help recover sperm as they also require FSH — if testicles are working properly they should be getting things in order on their own, it just might be slower than typical.

      I would hold off on PCT unless you are experiencing very bad symptoms of low T (which it doesn’t sound like you are.) If you need it, doctors can put together a more finely tuned cocktail of drugs to help get the natural systems working better. So my recommendation would be to work with urologist or endocrinologist who understands reproductive hormones in great detail.

      Like I said in the last post. I would take a quick home test to see where you stand with sperm production. if you are positive on that and don’t have too many other severe symptoms I would just continue to give your body time to recover. Interestingly, continuing to hit the gym hard can help as large muscle use (squats, quads, pecs and shoulders) can push the body to want to keep producing testosterone naturally. Also, avoiding sugars and alcohol and also help body more effectively use testosterone you are producing….

      • George February 23, 2016 at 10:45 pm

        Thank you so much for your response. Where can I can a home test?

        • Sara SDx
          Sara SDx February 24, 2016 at 6:17 pm

          There are a couple available on amazon. I haven’t tested all of them but I know at least spermcheck is legit. It works like a pregnancy test – if you have at least a few sperm it will show 2 lines and if you have very few or no sperm it will show 1 line.

          If you are interested in an experimental system that would let you estimate how many sperm you have, you can email me — dontcookyourballs@gmail.com

          Regarding body hair, many of the symptoms of low T – loss of libido, inability to focus and others are pretty non-specific — some with some of your symptoms – achne, watery semen. Those can have lots of causes and it’s hard to tell if they come from use of T or not. However, changes in hair growth is good evidence about what is going on with testosterone. Women who have elevated testosterone levels will begin to grow facial hair. Men that have reduced testosterone will generally find facial hair growing more slowly and have to shave less often.

          I looked up accutane, seems like some pretty nasty stuff. According to what I read it was a recalled drug and I’m surprised you would be prescribed it. Was there are conversation about options? It doesn’t seem to have any particular effects in men but it also doesn’t seem like there were reproductive studies done in men. It does show a high incidence in birth defects and was initially developed as a form of chemotherapy which makes me a little nervous that while it might not cause issues with your hormones, I would be concerned that it could impact sperm.

          • George February 29, 2016 at 10:38 pm

            Hi Sara I’ve sent you an email just wondering if you’ve received it yet. Thanks!

      • George February 23, 2016 at 11:20 pm

        And what did you mean about body hair? I’m not sure I can notice a difference but can you tell me why you ask? Also, no I don’t drink alcohol much, however I am on prescribed 40mg accutane and about 3 weeks into it. Is that bad for my recovery?

  60. […] Fontes: mdemulher/empowher/dontcookyourballs   Imagens: Reprodução/dicasdemusculacao/ saclarimveben […]

  61. James February 13, 2016 at 6:51 am

    As I understand it HCG is an LH analog and if supplemented during a steroid cycle the testes will continue producing endogenous testosterone and will not atrophy. Will including HCG in a steroid cycle preserve fertility?

    • Sara SDx
      Sara SDx February 19, 2016 at 3:50 pm

      It can help but it doesn’t guarantee things completely. Sperm production requires 2 hormones – FSH (produced by the brain) and Testosterone (produced by the testicle). Steroids cause receptors in the brain to generate a hormone called inhibin that prevents the production of LH and FSH. LH is used by leydig cells to generate testosterone which can be used locally in the testicle to aid in sperm development. However, you will still be short FSH which actually initiates the sperm production cycle.

      I haven’t done specific research around the use of HCG during a cycle to know the actual impacts, but my guess is that it would help with symptoms of testicular atrophy and may make it easier to re-initiate spermatogensis, but I think interrupting the process will inevitably come with some risk that the body has a hard time getting it going again.

      • George February 22, 2016 at 2:26 pm

        Hi Sara, I’m 24 and I was on testosterone injection at 250mg per week for about 8-10 weeks and then I had arimidex as a pct for about 2 weeks at 1 mg every other day and then toned it down to 0.5mg for the last few days. It is about 2 months after I stopped the testosterone but I still fine that testicles, especially the left one, still hasn’t recovered to the size that I remember. Also, my semen seems to be more fluid then what I remember before I started the testosterone. Is this normal? Is there something wrong with me? How long will it take for me to recover back to what I was before? I should also mention this was my first time using testosterone or any kind of hormones. I’m really worried that it will affect my future in having children due to the side effects I mentioned above. And also, the acne from my back also doesn’t seem to be going away. What’s happening? Will it get better? Thank you. Sorry for bombarding you with so many questions, but because I made an mistake of trusting a friend and now I regret it.

        • Sara SDx
          Sara SDx February 23, 2016 at 4:32 pm

          It can take a decent amount of time to recover from steroid use. These symptoms are fairly normal part of it.
          Many men do recover, but not all. You used for a relatively short time and are pretty young so I feel like you have a good chance of recovering.

          Your symptoms do not sound very severe. The fact that semen seems fluid means that you are able to get an erection and do not have ejaculation problems. So that’s good. How is facial / body hair — do you notice any differences there?

          It seems that testicles have recovered some size, is that correct?

          The only way to know for sure about fertility is to get a semen analysis. You can consider a home test as a quick check to make sure you have sperm. If it comes back positive, then you should be fine for the future. If it comes back negative, you might consider getting a full analysis done with a urologist who specializes in fertility. Depending on your insurance, the evaluation should be covered. The urologist would have best guidance on how to recover hormonal balance if things haven’t come back correctly.

          Like I said, your symptoms aren’t too severe so don’t beat yourself up too much — stopping quickly definitely helps.

          Let me know if you have other questions — happy to help where I can.

  62. matt February 11, 2016 at 4:43 pm

    Hi Sara , about four years ago I took a small cycle of test tren and anavar. One vile each . I have a girlfriend now and things are pretty serious. For the past two years we have been trying to conceive but have not succeeded. My question for you is could that small cycle mess up our chances of having a baby?

    • Sara SDx
      Sara SDx February 11, 2016 at 4:49 pm

      Hard to tell. 2 years is a long time. I would get a semen analysis to check. If you are really nervous about the doctor, you could at least start with a home test. They aren’t that good (I’m working to make a better one) but at least they would tell you if you have no sperm. If you get a single line on one of those I would go directly to a urologist focused on fertility to get a full evaluation.

      Typically, one cycle a long time ago shouldn’t do that but each person is different and some are more sensitive.

      Either one of you could have issues. I would definitely consider taking some next steps to figure out what’s going on.

  63. Ian February 10, 2016 at 7:54 pm

    Hello,

    I currently compete in bodybuilding and have been natural to this point, I had blood work done and my Total testosterone level was only 434 and my free was 9.0… Im only 23 years old. My coach say has mentioned that I need to address the low levels but I am within the FDA’s “Normal level” so my endo cannot give me any HRT. My coach has mentioned getting on gear but my wife does not want to take the chance to affect my ability to have kids in the next few years. My question is how likely is it to affect permanently my ability to have kids?

    • Sara SDx
      Sara SDx February 11, 2016 at 4:41 pm

      You might talk to your coach about something softer like clomid or other PCT that work on the hormones that stimulate testosterone rather than replacing testosterone itself. Your testosterone levels are in the healthy range for a normal man, but I know that athletes, particularly in fields full of doping can have much higher levels.

      I would strongly recommend against testosterone. adding testosterone to your normal levels can put you at risk of not only having fertility issues in the future, but can cause cardiovascular risk – stroke, heart attack etc. PCT drugs like clomid should stimulate testicles to produce more natural testosterone and could increase your levels.

      I’m sure you are doing a lot on your own to optimize natural production and usage – minimizing alcohol, diet, etc. You might look at sleep cycles and testicular cooling as some additonal hacks for natural production boosting.

      Just be careful, messing with your hormone levels can really mess up your body. Your wife loves you.

  64. nteot February 3, 2016 at 6:50 am

    You are Amazing! Many thanks for the help you have provided over my concerns. I will try my best to work on all 5 points to improve hormone regulation.
    I will definitely come up with detailed progress of hormone recovery, once I will see improvement.
    Greetings & Best Regards,

    • Sara SDx
      Sara SDx February 3, 2016 at 3:08 pm

      I would like to hear how you are able to improve. Please let me know how things are going and if you have any other questions, don’t hesitate to ask.

      Good luck, Sara

  65. Shauna January 30, 2016 at 1:28 am

    If my boyfriend has been using steroid creams on his goods, (he has inverse psoriasis and has tried so many different creams) is it possible that his potency has diminshed? If so, is there any way to help him regain that potency while helping remove itching? He is currently using the following:
    Cetirizine HCI
    Desonide cream
    Betamethasone valerate lotion
    Triamcinolone acetonide ointment
    Calcipotriene ointment

    -Any help or suggestions would be greatly appreciated, he wants to stop itching and I don’t want us to lose the ability to have children!

    • Sara SDx
      Sara SDx February 2, 2016 at 3:51 pm

      Steroids are a confusing thing. There are two types of steroids. Sex steroids — testosterone, anabolic steroids and Corticosteroids — used to reduce inflammation (like the creams that your boyfriend uses). While using anabolic steroids have a very good chance of sterolizing you, corticosteroids have not been shown to be terribly damaging to fertility. In rare cases, doctors will prescribe them to improve sperm health. So, I think you are good.

      I looked up each of the medicines quickly to see if there were any major flags and I don’t think they would cause problems. So, no worries.

  66. Peter January 26, 2016 at 4:13 pm

    Hi… i am 20 years old … my height is 6 feet and my weight is 90 kgs… and i am overweight…. mg bmi is not normal..im going to gym 4 days a week… and i have been going for a year…. i have used a many fat burners …and gectic diet.. i have gynecomastia..and a bulged belly…my butt and thighs are fat too.. i m on a decent diet for 6 months…. i m a typical endomorph … i am planning to start my very first steroid cycle…the cycle would have clenbuterol.winstrol.and post cycle would be letrozole…. would that make me infertile permanently …. plz i look forward for a detailed advice…

    • Sara SDx
      Sara SDx January 28, 2016 at 3:23 pm

      Hi peter, you are a little overweight but not too much. You shouldn’t need to take such drastic measures to get in shape. If you lost about 10kg you would be very trim, and if you were lifting weights you might only need to lose like 5kg and you’d look great.

      Depending on how you process them, steroids could make the gynecomastia worse. Testosterone is converted into estrogen. High estrogen levels cause gynecomastia. Sugar and alcohol can also contribute to high estrogen.

      I might first recommend a sugar free / low carb diet. Try to walk about 5 miles a day and try to lift weights 3 times a week.

      In regards to steroids and fertility, I can’t give you straight answer. Some men recover ok and some don’t. Taking steroids is a risk that you are going to mess up your junk. That’s just a reality. Some guys recover fine but a lot of them don’t. There are some safer practices — shorter cycles, longer PCT. But even then, you are still running a risk. Also, steroids if too high of doses are taken can cause heart problems which are very serious.

      I know how hard it is to lose weight. When I was your age, I was about 30kg overweight and it took me a couple of years of hard work to lose it. But I can tell you, after I did, I was healthier, my hormonal imbalances went away and I felt amazing. You can totally do it without taking unnecessary risks.

      Good luck.

  67. nteot January 26, 2016 at 1:31 pm

    Thanks Sara,

    All your instructions are valuable to me and many thanks to understand and clear my doubts over several things which were running in my brain.

    My answer to your questions:
    1. are you under care of a specialist who is helping you monitor results?
    No one is helping to monitor results, its web that help me to gather information. Specialist suggests only PCT stuff and I think that’s not a natural recovery. I have already consumed so much of medicines

    2. are you currently under a lot of stress?
    Yes! I am under stress and that only due to erection problem, most of the time I use to think and search on web about ways to increase testosterone. The problem of low T steals my happiness and I am not feeling good about myself, which further causes problem of low confidence in day-to-day life.

    Because of hormonal imbalance I am not doing gym related workout, I am doing Meditation, Yoga and Pushup at home. But, in coming days I will start weight lifting and heavy workout at gym

    Is there is any way to stimulate pituitary & hypothalamus to get more LH/FSH?
    If possible then please list ways to naturally boosting T?

    Thanks again for your help, I am reading your blogs and knowledge over this issue helped me and will help many other who did blunder with their body by stupidity using AAS.

    Best Regards!!

    • Sara SDx
      Sara SDx January 28, 2016 at 3:11 pm

      Some of the best things to help improve hormone regulation (from the research that I’ve done)…

      1. Healthy diet — good food does a lot to help the body heal itself. Whole grains, healthy fats, legumes, green vegetables, fruits, etc. Avoiding processed foods, sugars and alcohol.

      2. Good sleep. The body uses the sleep cycle to reset hormones and testosterone production is usually highest in the morning right when you wake up. Typically, men will notice that they have slept well because they wake up with a stronger erection or just feel really good. Doing what you can to get good sleep will help.

      3. Boosting self esteem: There is actually a connection between your emotions and your physical body. Studies have shown that men have higher testosterone levels when their favorite team is winning, when they get a promotion at work or when they have a big a accomplishment. Trying to find things that you can focus on besides the testosterone where you can make good progress and feel proud can help you boost your T levels.

      4. Lowering stress: Meditation, yoga, running, talking to your wife, etc are all ways to reduce stress. Stress is an enemy of testosterone.

      5. Exercise: Like I said, lifting weights is helpful for boosting T.

      Hopefully these suggestions help. I know that there are a lot of things on forums that talk about herbs and other natural T boosting. I’m not sure about how effective any of these things are. Science doesn’t do great work studying herbal stuff. I would recommend caution if you explore those things — just research what it is and what the method of action is. Many herbs are quite powerful in their impact on the body and act just like medication. I’d be happy to help look up information if you are considering something.

      Good luck. Keep me posted. happy to give you more feedback whenever you need.

  68. Brad January 25, 2016 at 12:05 am

    Hi sara,

    I am 23 years old and have actively been taking steroids for 6 months (Test cypionate) for a 12 week blast and using Sustanon for a TRT until next blast. I never went above 500mg of testosterone a week. TRT was more like 200mg-250mg a week. I recently decided to PCT and come off because I will be graduating college soon and wanting to conceive a child in the near future, preferably in 4-5 years. My PCT will most likely consist of Clomid/Nolva/ and hopefully HCG.

    What is the general cost of a full hormone panel? I would like to get my LH and FSH levels evaluated by urologist. Thank you.

    • Sara SDx
      Sara SDx January 28, 2016 at 4:42 pm

      It is probably in the order of $50-200 depending on insurance and if you also measure testosterone or if you just measure LH / FSH. If your insurance situation isn’t great, you should be able to order tests online and might be able to find a better price.

      I would wait until you’ve been off for PCT and everything for like 6 months to get an accurate baseline.

      If you have persistent testicular atrophy or blood levels come back abnormal, I might consider a semen analysis and meeting with a urologist who specialized in fertility to determine any other course of action so that you can get all systems operational before you are actually trying to conceive.

  69. nteot January 23, 2016 at 5:06 am

    I am 31, 90 Kg and I was on Steroids for more than a year oral + injectable and didn’t go under PCT after any cycle. I have started with testosterone enanthate then Boldenone Undecylenate and last I was on Sustanon 250mg/ml one per week

    Later, as a part of treatment I have started Clomid/nolva for 2 months that increases LH and FSH nicely within range and T level boost to 565 ng/dl but no libido. Then stopped taking it to check natural testosterone production and T level crashed to 250 ng/dl. Several lab tests was performed throughout year to keep an eye on testosterone level but it is hovering around 250. Testicles size looks okay.

    Lab Results: A month ago
    Total T- 260.17 ng/dl (241 – 827)
    ESTRADIOL (E2) – 39.47 pg/ml (0 – 39.8)
    FSH – 2.04 mIU/ml (1.4-18.1)
    LH – 2.32 mIU/ml (1.5 – 9.3)
    SHBG – 14.89 nmol/L (14.5 – 48.4)

    Semen test detail:
    Total Sperm Concentration: 42.00 million/ml
    Volume: 2.50 ml
    Percentage Motility: 55.00%
    Normal Morphology: 50.00%
    Abnormal Morphology: 50.00%
    Semen Fructose: Positive

    Other lab test like cholesterol, liver, kidney, sugar & cortisol are in range and body shape is normal, with around 20% body fat. I don’t smoke or drink

    Symptoms:
    – Slight Anxiety & depression
    – Inhibition for sex
    – Poor Libido
    – Weak and short duration erection with intermittent morning wood

    Question:
    Does it possible to restore natural T production at the age of 31?
    Any way to increase libido naturally?
    We are planning to conceive in few months. Does steroid induce any genetic defect in newborn baby?
    I am away from steroids from 9 months, how much time it will take to fully recover?

    Sorry for lengthy comment. We need help, please provide guidelines

    • Sara SDx
      Sara SDx January 25, 2016 at 4:07 pm

      It looks like you’ve begun a road to recovery. The good news is your sperm / testicular function looks like it is working pretty well even though your testosterone levels are a little lower than they should be.

      Here are my thoughts on each of your questions:

      Is is possible to restore T naturally?
      Your testicles and hormones look like they are functioning pretty normally, so i think there is a pretty good chance that you will be able to boost T. Your body has gotten a little lazy about testosterone production because it hasn’t had to do it in a while. Hormone regulation issues can take time to improve, you should keep at it and monitor it.

      Couple of questions:
      1. are you under care of a specialist who is helping you monitor results?
      2. are you currently under a lot of stress?

      How to increase libido naturally?
      Sex can become a negative cycle when you have testosterone issues. Steroids can create a monsterous appetite for sex and then it can feel like it has fallen flat when you go off of them. Feeling stressed about your body can create a negative cycle and lead to performance anxiety and other issues. There’s a couple of ways to tackle the libido issue.

      First, taking steps to try to boost testosterone will help. Doing things that make you feel good about yourself — feeling like you are making accomplishments, feeling like you are the man, getting good sleep at night, eating healthy (low sugar, low alcohol), working out (lifting weights and particularly large muscle groups — quads, hams, traps). Pay attention to the days that you have morning wood — what was different? Did you sleep better? Did you eat better? listen to your body. It will help you learn what helps and what hurts.

      Second, open dialog with your wife / partner about intimacy and relationship can help to reduce any stress associated with trying to get things going. She could benefit from knowing that it’s not her fault and learning ways to be supportive. It might be helpful to work through anxiety / depression with her as well. She might be able to notice things and do things like take you on a walk or talk about something fun or other things like that help you maintain a sense of balance.

      Steroids and birth defects:
      I haven’t seen any studies that have associated steroids with birth defects. Typically, birth defects come from poorly developed sperm that have higher rates of DNA abnormalities. In your case, the morphology looks very good. It’s not a perfect measure of DNA integrity but is a pretty good indicator that things are happening as they should.

      How long will it take to recover?
      I haven’t seen good research on recovery time for steroids. My best guess is that it depends a lot on you. It depends on how well you treat your body during the recovery period and it depends on how sensitive your body is to the effects of steroids. It looks like you are on a good path. Testicular size good. Hormone levels normalizing, sperm production up.

      There are quite a few resources on the web on naturally maximizing testosterone production. T levels naturally drop with age and it can cause these types of symptoms in middle aged men. So there are a lot of forums and website with ideas of things that have worked for naturally boosting. I am working on developing a better resource list but haven’t finished it yet. I can point you to a few if you’d like.

      Let me know. Hope this helps. Let me know if you have any other questions, happy to try to help.

      S

  70. Amar January 21, 2016 at 9:29 pm

    Hi i have been smoking weed past ten years my gf nd i are triying it has been 2years now any help would be appreciated?

    • Sara SDx
      Sara SDx January 22, 2016 at 3:39 pm

      Marijuana can have pretty big impacts on fertility — it depends on the amount and frequency and how sensitive your cells are. I would recommend an semen analysis to get an idea of where you are at. 2 years is a pretty long time to go with out conceiving so there is likely something going on.

      If you don’t want to get medical tests done and just want to try to improve chances, you can work on both sides to improve fertility. this would be taking a break from marijuana, alcohol, cigarettes, eating healthy — lots of fruits and vegetables, regular exercise, making sure you are at a good weight, avoid hottubs, saunas or other things that heat up the testicles.

      On her side, its about doing things to try to make her cycle very regular. Eating well, exercise, avoiding stress, avoiding toxins (alcohol, marijuana, cigarettes, harsh chemicals)

      and both of you could probably benefit from a prenatal vitamin which would ensure that sperm and eggs are getting proper nutrition to help make a new baby.

      Here is a list of other things you could try to do to improve your fertility. This is a risk assessment to determine if you have any other risk factors that could be causing a problem.

      Does this help?

  71. Ashley January 21, 2016 at 7:08 pm

    I have a question..
    My husband has been on them for a year and has recently stop them completely because we want to have a baby , we did the home kit to check his sperm count and it says below normal , he’s taken clomid for the 2nd week (100mg of clomid) everyday , will there be a chance it will get his sperm back to normal ?

    • Ashley January 21, 2016 at 7:09 pm

      We’ve been trying for 6 plus months …

    • Sara SDx
      Sara SDx January 22, 2016 at 3:29 pm

      Yes there is, it might take some time. He may want to consider meeting with a urologist who specializes in fertility to assess where he is at and put together a plan to help speed recovery. You can also wait a little longer. It takes about 3 months from the time that the testicles start making sperm until they make their way out of the body. So, it is possible that the testicle is making sperm but they aren’t fully developed yet.

      How long ago did he quit?

  72. Johncard January 21, 2016 at 1:56 am

    I did AAS for six months give or take. I’ve been off for month and A half months. No pct. wife and I been trying to conceive for two months now. No luck yet. My labs for hormones were normal meaning (LH, FSH, ect.). Except for testosterone. 3 labs in 3weeks. My lowest was 144ng and highest was 240ng. Labs done around 8AM. Should I give it time or get on HCG, Clomid, Nolvadex? The doc wants me on TRT. I wanna at least wait till my wife gets pregnant. Your thoughts? Thanks!

    • Sara SDx
      Sara SDx January 21, 2016 at 4:38 pm

      What were LH and FSH values?

      Definitely not TRT….

      Have you done a semen analysis?

  73. John card January 21, 2016 at 1:38 am

    I was on cycle for six months give or take. Had hurnia surgery at the beginning on cycle. Left testicle was effected. But now normal. I’ve been off cycle for bout month and half now. Been trying to conceive with wife for two months now. No luck. All hormones (FSH, LH, etc.) are normal now except testosterone. Test is at a range of three test in three weeks 144-240ng. Do you think I’ll be fine? Just give it time? Or should I get HCG, clomid, and nolvadex?

    • Sara SDx
      Sara SDx January 21, 2016 at 5:41 pm

      If you are hesitant about semen analysis, I might just give it a bit more time.

      PCT drugs like clomid, hcg, etc can be helpful, if your LH and FSH values are normal, then I would give it a bit more time before trying those. I might also consider working with a urologist who has more training in reproductive hormones. Most urologists are not very well versed and many use TRT like a hammer — not everything is a nail. One with specialized training would have more tuned in ideas about dosage and effectiveness of each type of drug and could help lay out a better recovery plan.

      I can refer you to some folks if you’d like.

      Let me know if this is helpful.

      Sara

  74. Joe January 16, 2016 at 5:22 am

    As someone who is doing research and trying to understand this subject, what is the importance of fertility in a male? Let’s say I have no interest in having children, is there any other downside to infertility? Whether it’s the quality of sex for non-reproductive purposes, general health or anything else?

    • Sara SDx
      Sara SDx January 20, 2016 at 6:48 pm

      There are a few downsides to infertility — in general it depends on the cause of the infertility as to what the downsides are.

      If infertility is due to genetic reasons, there is an increased risk of reproductive cancers (testicular and prostate cancer). If infertiliy is due to infection or testicular damage, natural testosterone production may be suppressed and cause a number of uncomfortable symptoms. A lot of guys experience infertile because they don’t take care of themselves (eat right, exercise, smoke, etc) These poor health habits are also linked to chronic diseases such as diabetes, heart disease, and cancer.

      I might guess you are wondering about the long term effects of steroids. There are a couple of things to consider – long term use will generally cause testicular atrophy reducing the body’s natural ability to produce testosterone in the future. This leads to lifelong dependence on testosterone supplementation or eventual discomforts from having chronic low T. Also, long term elevated andogren levels are very taxing on the cardiovascular system and can lead to stroke or heart attack in some cases. And often leads to long-term cardiovascular problems or premature aging of the heart.

      So, while sperm are only really useful for making babies, testicular health is important for long, high quality life. It is connected to regulation of essential hormones that are important for a number of key bodily functions. And, yes, good sex is a part of it. Cardiovascular health and regulation of key hormones is essential for strong erections, healthy orgasms and ejaculation. All of which come from taking good care of your balls.

      Does this help?

  75. Grangor January 4, 2016 at 9:13 pm

    I have been using low doses of steriods for the past year, between 400-800 mg every 7-8 days. I have used various forms of testosterones, decadurbolin, proviron ect… At this point what is your opinion of my fertility? I do have a script for the testosterone due to my natural levels being below 300.

    • Sara SDx
      Sara SDx January 18, 2016 at 11:47 pm

      Hard to tell. A semen analysis is really the best tool to determine how your fertility is doing right now. My guess is that if you are actively on steroids, your sperm count would be decreased from normal and potentially 0. Hard to know for sure without getting a test done (although if you collect semen and look at it — semen with very few sperm is more clear than semen with lots of sperm — though its hard to tell that unless you’ve done lots of semen analysis). You are spacing doses out a fair bit so you might be giving body a chance to recover between doses and this could reduce effects but still hard to tell. Do you feel testosterone crashes between doses?

      I would categorize the impact on fertility both in the near term (what is currently happening) and long term (ability to produce sperm in the future). External testosterone definitely suppresses natural testosterone production as well as sperm production. It shuts off the internal feedback system to the testicle and causes the testicles to stop working. Often, this can be reversed when steroid use is stopped. However, long term use can lead to long term damage to tissue and the underlying endocrine systems and cause permanent damage. Each man reacts different to external hormone interference. Some bodies are naturally more sensitive to external hormones than others and are more easily damaged by steroids. Some people have greater resilience and can with stand higher doses for longer periods of time.

      In your case, I’m curious about the lower level of natural testosterone. Testosterone levels in the 200s are not terrible, but are a little suppressed (depending on your age). Some major contributors to natural low testosterone include aging, excess weight, high sugar or alcohol consumption, sometimes marijuana can contribute, general poor health or low activity can also contribute. In men that are otherwise in top physical condition, low T can be caused by a number of things including testicular issues (trama, varicocele, infection, etc) or by issues with the hormone regulation (pituitary function, etc)–

      Additional questions for you:

      Have you had multiple testosterone tests or just one? what time of day was it taken? had you used steroids at all? What prompted you to get tested?
      How old are you? (normal testosterone levels decrease with age)
      What type of shape are you in — are you in peak form and using the steroids to get past a plateau or supplementing to help get in the groove of working out? What prompted steroid use to begin with, what are your long term goals?
      Have you tested other hormones – estrogen, LH, FSH, etc?
      Are you thinking about conceiving in the near future?

      Helpful?

  76. Jay January 2, 2016 at 1:06 pm

    My wife and I are trying to have a baby for 5 years already, but to no avail. I’ve had semen analysis done 4 years ago, and the result was that I have 70% live sperm, and it kept decreasing annually. Last year, I had another semen analysis and the result was I only have 30%. And the White Blood Cell count was higher. I have already been prescribed strong antibiotics but we still aren’t lucky. Is there any way that my wife can conceive? Thanks a lot.

    • Sara SDx
      Sara SDx January 14, 2016 at 7:52 pm

      Really sorry to hear about the difficulty you’ve had. It can be very hard on both of you.

      What type of doctors have you seen? what have they said?
      Has the count decreased or just the motility?
      How old are you?
      How high was the white blood count? When were the antibiotics prescribed?
      Does your wife also have issues?
      Have you tried an IUI or any other type of procedure?

      Hoping I can help think of new paths to try.

      Blessings, Sara.

  77. Bernice Smith December 22, 2015 at 12:50 pm

    My man is 56 yrs old.I am eyes old. Some day I would like to a child. He took prednison (steroid) once. He had to take 6 pills one day then so on. But he got sick so he stop taking them. He was sick for 3 days. We have sex that’s not a problem. He gets an erection but when he gets the urge to cum it goes away. What can we do any suggestions?

    • Sara SDx
      Sara SDx January 8, 2016 at 6:34 pm

      Sorry for the long delay. I was traveling during the holidays and didn’t have access to internet.

      First, I’d like to clarify that there are 2 types of steroids – sex steroids (like testosterone) that control sexual function and Corticosteroids (like prednisone) that are used to reduce inflammation. While they are both steroids, they are pretty different from each other in how they impact the body. Usually, corticosteroids do not have much effect on sexual function. So, I don’t think the Prednisone is related to his ejaculation issues.

      However, delayed ejaculation can be a frustrating problem. Has he always had issues or only recently? Is he on any other regular medications? Is he able to ejaculate at all or does the erection just go away without ejaculating ever?

  78. Alex December 15, 2015 at 11:30 pm

    Will anabolic steroids decrease semen volume? I ask because I naturally produce a high amount of volume when ejaculating. Thank you.

    • Sara SDx
      Sara SDx January 8, 2016 at 4:04 pm

      Probably not. Steroids will decrease sperm production, but should not terribly impact semen production. If you start using steroids, you may notice some changes — each person is different and each body reacts to the steroids differently.

  79. Thomas December 15, 2015 at 9:17 am

    Hi. Am 21 year old and I started steroids at 16 only on 200to 300 Dianabol then stopped when I went to the Army I then did 2 cycles of 20 ml test and 20ml decker then stopped then for the past year and half Iv done about 30ml test 400 and 30ml decker and about 200 Dianabol. Will my sperm be totally gone or will I still have a chance of it regaining because me and my girlfriend are planing on a baby?

    • Sara SDx
      Sara SDx December 16, 2015 at 5:25 pm

      Hard to tell. First thing when thinking about having a baby is to get off cycle.

      After you’ve fully recovered, you should probably get a semen analysis done. You can start with a home test which would let you know if you are still zero. If your body is good at recovery, you might recover sperm production naturally.

      If the home test comes out showing a low sperm count, then you would need to go to a urologist that specializes in fertility to get medication to help restore testicular function.
      Most of the time, if you didn’t abuse too hard or too long, they can help recover sperm function, but it might take a bit of effort.

      If I were you, I’d find out where you stand sooner than later, because sometimes this can take a while and even after sperm comes back, it can take a while to conceive, so giving yourself more time to heal is probably a good idea.

      Feel free to let me know if you have any additional questions. Got my fingers crossed that they’ll come back on their own for you.

  80. Queen December 14, 2015 at 2:55 am

    I know an allie who has used steroids for 10+ years. He and his girlfriend are hoping to try for a baby however, so far no luck. What are his chances of being able to have a baby?

    • Sara SDx
      Sara SDx December 16, 2015 at 6:47 pm

      If he is actively on steroids, the chances are pretty much impossible.

      If he has gone off the steroids, then chances are higher, but 10+ years is a very long history of abuse. He will need to complete PCT and allow a few months for his body to recover baseline hormone levels. Then he should be evaluated with a blood test and semen analysis. It will probably take a while to recover sperm count, if at all. I would recommend help from a urologist trained in fertility and male reproductive hormones. I’d be happy to look at blood test and semen analysis results.

      • Stacey August 12, 2016 at 9:16 pm

        Hi sarah
        If my bf is on steriods for a year now and injecting 1cc every 3days,will that make him infertile?

        • Sara SDx
          Sara SDx August 25, 2016 at 3:42 pm

          It can. Depends on what he’s using, how his body reacts to it and how long he does it.

  81. RAZI December 10, 2015 at 10:42 am

    Hi there ..
    i am trying for baby since 5 years .. but haven’t got any good news ..
    today went for sperm analyze my sperm is 0% … i am on steroids cycle now …
    my doc told me to come back after finish steroids cycle and PCT..
    i am doing 10 weeks small cycle of Testerone prop / Primobolan / anavar cycle …
    PLz suggest me PCT for Boost my sperm count …
    i am thinking of clomid and nolva for 1 month PCT

    • Sara SDx
      Sara SDx December 10, 2015 at 4:09 pm

      How long have you been using?

      Clomid + Nolva not a bad combo. Not sure if there is anything that would directly stimulate FSH. I know there are drugs you could get from doc to do this.

      I agree with doc.

      Step 1: get off cycle and complete PCT
      Step 2: wait 1-2 months for hormones to normalize
      Step 3: blood test hormone levels – T, LH, FSH

      If hormone profile 1-2 months after pct is normal, then go for semen analysis again 1-2 months after that. If still no sperm, then I would recommend urologist specializing in fertility to review hormone profile and complete physical exam. At that point, doc may have a few tricks up his sleeves to try to re-start sperm production.

  82. simran saini November 29, 2015 at 4:17 pm

    Hey,
    I am 20 yrs old guy. i am doing gym and want to take protein supplements. So is there any risk regarding fertility in future?

    • Sara SDx
      Sara SDx November 30, 2015 at 10:33 pm

      Protein is a great supplement to help you build muscle. It will not impact your fertility.

      The only caution to using protein is that you should not eat too much of it. Extra protein that your body cannot absorb will get processed by your liver and kidneys and can be a little hard on the body. For men your age, the amount of protein that you can eat is generally pretty high. It is partially determined by your body mass. You can use a calculator online to determine how much protein you should take each day.

      You should however avoid pills or anything that get injected. Most of those things include some form of testosterone supplement that can mess up your natural hormones.

      A tip for getting big and naturally boosting testosterone is to make sure you do squats and deadlifts. Working the large leg muscles will boost testosterone naturally in the body and help you build muscle elsewhere.

      Good luck, buddy.

  83. Jasen November 22, 2015 at 7:43 am

    Hi,

    I had a sperm count of 20Mn and below avg. T-levels – 4 months ago and my doctor recommended (i really doubt that doctor now) that i take testosterone injection (10Ml) and after that I have had azospermia. I took that at 10-Aug-15 and it has been nearly 3 months and still my sperm count is zero.

    Can you please tell me what is the normal time during which i can start producing sperms.

    My wife and I were planning to have a baby and are now really disappointed.

    Regards,
    Jasen

    • Sara SDx
      Sara SDx November 30, 2015 at 9:02 pm

      Grrrr…. this is a frustrating post.

      Testosterone supplements have been known to cause azoospermia. Injections take a few months to wear off.

      I would recommend getting a full hormone panel (Testosterone, LH, FSH) and discus the matter with a urologist who specializes in fertility. There are medications available that can help to kick start the testicles back into production but you will need to work through that with a good doctor.

      If you let me know your general area, I can provide some recommendations for doctors that I know.

      If you would prefer to communicate over email, you can email me at dontcookyourballs AT gmail DOT com

      Good news is — this is generally fixable and a good doctor should be able to help 🙂

  84. Jonny November 18, 2015 at 12:41 am

    Hi, I’m a 27 male and I have not had any tests done yet and I’m hoping to get some close answers to my questions.
    In the past I used steroids, having consumed 2 long cycles followed by PCT. Secondary effects I suffered from have been baldness and testicular atrophy.
    Apart from that I see nothing “wrong” with me and I feel and look fine – however, I have extremely high sex drive (almost the same as if I was using steroids) and my testicles are extremly small. I dont know how to go about this, it worries me. I have friends with the same usage as me with worse side effects and who have problems with their sex drive and erectal dysfunction – however this is not the case with me, and it worries me. Will I ever regain the size of my testicles? what does it mean when they are so small? what can I do? Why is my sex drive still so high? how can I restore my normal hormone levels?
    I have been off steroid use for 5 almost 6 years now.
    Thank you

    • Sara SDx
      Sara SDx November 30, 2015 at 4:42 pm

      Jonny, sorry for the delay responding. There has been a long cue of comments that I’ve been working through.

      A few questions come to mind..
      How long were the cycles? What did you use for PCT?
      Were your testicles larger before steroid use? How small are they now?
      How does your sex drive compare to before steroids?
      Have you done a test for hormone levels? I would recommend Testosterone, FSH, LH.
      Are you interested in future fatherhood?

  85. mandeep November 13, 2015 at 2:22 pm

    i started taking steroid at the age of 16 for short period of time? what it effects on me? i have seen now that my cum amount is decreased…. how can i get it normal

    • Sara SDx
      Sara SDx December 1, 2015 at 1:00 am

      How old are you now? How long did you take steroids? Are you trying to have a baby? Do you have any other symptoms?

  86. Heather October 11, 2015 at 6:04 pm

    My boyfriend was told years ago that he would not be able to have any more children ( after his 2nd child). He did use steroids for about a 1 yr when he was in his 20’s. Now he’s 44, what do you think the chances of us conceiving (I’m only 24)? Any thoughts would be great!

    • Sara SDx
      Sara SDx October 12, 2015 at 10:13 pm

      Has he had a semen analysis done?

      Without a semen analysis, it will be hard to tell. From the research that I’ve done, most of the time damage done due to steroid use is temporary and should recover especially if he only used for 1 year a long time ago. He’s also had children already, I’m assuming after steroid use, that show that he did in fact recover from the steroids.

      I’m curious. Who said he wouldn’t be able to have more and why? Did something happen — injury, illness?
      How long ago did he have his kids?
      Are you actively trying to conceive? If so, for how long?
      Has he had a semen analysis done? or a exam by a urologist?

  87. Ella October 8, 2015 at 1:25 am

    Does anyone know of the/any effects to the baby if conceived whilst father is on steroids ?

    • Sara SDx
      Sara SDx October 8, 2015 at 6:15 pm

      I haven’t seen any research that would suggest negative outcomes to the baby if the father is taking steroids. About 3% of all children born have some sort of birth defect. If both parents are young and healthy, that number drops to something closer to 1%. If older or unhealthy, it increases.

      Most of the time, steroid use completely stops sperm production so most men can’t father children while using steroids. Usually they don’t have any sperm at all. So there aren’t too many studies that evaluate the health of sperm from men on steroids. Primarily the role of testosterone in sperm production is to support the maturation of sperm cells. If they are able to swim and fertilize the egg, there shouldn’t be any additional reason why they would have compromised DNA.

  88. Aky September 8, 2015 at 2:43 pm

    Hi, is there anyone i can talk to in regards to the male infertility side??

    • Sara SDx
      Sara SDx September 9, 2015 at 2:45 pm

      Yes, what is your question?

      • eric January 19, 2016 at 2:22 am

        Sara,
        My question is how soon does the body stop making viable sperm after you start taking steroids? Is it immediate or will it gradually decline and if so how long till not producing?

        • Sara SDx
          Sara SDx January 21, 2016 at 4:52 pm

          Interesting question. I’ll try to answer.

          Testosterone molecules turn off a switch in the brain that produces 2 hormones — FSH and LH. LH stimulates the testicles to make testosterone. FSH causes the germ cells in the testicles to start dividing to create new sperm. Sperm also require testosterone to mature. Naturally, your body has a cycle where testosterone levels are high and FSH is turned off. Then testosterone levels drop (usually in the afternoon) and the brain kicks on like a furnace and pumps out LH and FSH and the cycle continues.

          Taking steroids breaks the switch, keeping it permanently in the off position. So, once you start taking them the brain stops producing FSH and LH. (Unless you do long breaks between doses and allowing testosterone levels to droop to pretty low levels which should cause the brain to kick start again). So, its not long after you start taking steroids that sperm production general stops. However, there are lots of sperm in the pipeline at that point that are developing. Depending on the doses of steroids, you may have residual testosterone left in the testicle to support ongoing development of new sperm for a little while.

          I haven’t seen studies that measure the rate of decline of sperm count in men who use steroids but I would imagine that it is gradual and that the sperm would have low motility and poor morphology following the introduction of steroids. Each person is a little different as to how sensitive they are to alterations in hormones and have different thresholds and rates of decline. So its hard to give a firm answer on this.

          Does this help?

      • Marisa June 2, 2016 at 5:06 am

        Can one dose of sostenon( testosterone) 250mg.cause zero sperm count. My husband took it 4 weeks prior to semen test and this hpened. His count had been low to begin with. Has never taken testosterone.

        • Sara SDx
          Sara SDx June 17, 2016 at 3:59 pm

          If the count was already low, it is possible the that T could have caused it to drop. Not likely that a single dose would cause permanent damage but it was close to SA, so very easily could have shown a zero on that test.

          Has he been tested for hormone levels – T, FSH, LH?

          Was the T given for medical reason or was it for performance / recreational use?

          • Marisa November 23, 2016 at 5:26 pm

            How long until testosterone leaves his body? He only injected 1 ml
            Back in may, and it was a one time use only. He has never used testosterone.

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