TRT and Fertility Planning in Abu Dhabi
Testosterone treatment can suppress sperm production, sometimes to zero. If you want children now or in the future, discuss this before starting TRT. Dr. Juan Uría offers assessment of low testosterone and male fertility in Abu Dhabi, including a review when sperm counts fall during treatment.
- Confidential consultation
- Consultant Urologist & Andrologist
- NMC Royal Hospital, Abu Dhabi
Dr. Juan Uría González-Tova · Consultant Urologist & Andrologist · NMC Royal Hospital Khalifa City, Abu Dhabi
Medically reviewed by Dr. Juan Uría · October 2, 2026
A normal testosterone blood level while taking TRT does not show whether sperm production is preserved. Hormone assessment and semen analysis answer different questions.
What the assessment involves
Bring hormone and semen results from before and during treatment, if available.
Clarify symptoms, previous fertility and when you hope to conceive.
Record all testosterone, anabolic steroids, hCG and other hormone use.
Interpret testosterone, LH and FSH in the context of treatment; arrange semen analysis.
Discuss sperm banking when appropriate and coordinate with the partner's fertility care.
Treatment
Treatment depends on the cause of low testosterone and your fertility goals. Specialist-managed options may stimulate your own hormone production where suitable, rather than supplying external testosterone. Some uses are off-label and require monitoring.
If already on TRT, arrange a supervised fertility plan with your prescriber. Recovery is variable and may take many months or longer; neither stopping testosterone nor adding hCG guarantees sperm recovery. Follow-up semen tests guide decisions.
Evidence
Read the clinical guidance and published evidence behind this page.
- EAU: male infertility — hormonal therapy and fertility goals. Read source
- AUA/ASRM: diagnosis and treatment of infertility in men, part II. Read source
Common questions
01Can I start TRT while trying for a baby?
External testosterone is generally avoided when trying to conceive because it suppresses sperm production. Discuss an alternative plan before treatment.
02Does adding hCG guarantee fertility?
No. hCG has specific indications, and hormone levels alone cannot confirm fertility. Its use must be individualized and followed with semen testing.
03Does a low FSH during TRT prove permanent infertility?
No. TRT can suppress pituitary signals. A semen analysis and clinical review are needed; FSH alone cannot establish sperm count or future recovery.
04Is TRT reliable contraception?
No. Suppression is unpredictable, so pregnancy can still occur. Use an established contraceptive method if pregnancy is not desired.
About Dr. Juan Uría
Dr. Juan Uría González-Tova is a Consultant Urologist and Andrologist at NMC Royal Hospital, Khalifa City, Abu Dhabi, with over 30 years of clinical practice. He gained his medical degree at the University of Oviedo and his PhD at the University of Barcelona, and has practised in Abu Dhabi since 2018. Consultations are held in English, Spanish or Catalan.
View Dr. Uría's official NMC profileBook a consultation
Consultations take place at NMC Royal Hospital, Khalifa City, Abu Dhabi, in English, Spanish or Catalan.
Related topics
This page is general medical information and does not replace individual medical advice, diagnosis or treatment. If you have symptoms, seek assessment from a licensed physician.