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How can I increase my testosterone without sperm?

To treat low testosterone without supplements, you may take an HCG supplement, which will increase your testosterone levels without negatively impacting FSH levels or sperm production.

uranj.com - Testosterone Effect on Sperm - University Reproductive Associates

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Millions of men in the United States use testosterone replacement therapy (TRT) to treat low testosterone (Low T). With the rise in testosterone supplement use, fertility doctors are warning men who would like to have children in the future to reconsider starting TRT.

Testosterone’s Role in Sperm Production

The pituitary gland produces follicle stimulating hormone (FSH) and luteinizing hormone (LH). LH stimulates the testes to release testosterone. When in balance, testosterone works with follicle stimulating hormone (FSH) to help generate sperm.

Testosterone Supplements and Infertility

Men suffering from low testosterone may experience fatigue and low libido. As a result, TRT has been on the rise, with men of all ages using testosterone supplements. However, fertility doctors are seeing many of these men as their testosterone supplements may be causing azoospermia (no sperm in their ejaculates). The pituitary gland uses testosterone levels in the blood to determine how much FSH and LH to release for both testosterone and sperm production. When a man is given exogenous testosterone (much like when a woman takes birth control pills), their hypothalamus and pituitary believe the testis is already working and FSH and LH secretion are suppressed, leading to less production of testosterone in their own testes and reduced or failed sperm production (much like a woman does not release eggs while taking birth control pills).

Treating Low Testosterone without TRT

If you wish to have children in the future but are suffering from low testosterone, consider foregoing treatment or alternative treatment options. Low testosterone does not necessarily mean low sperm count. Your fertility doctor can conduct a sperm analysis if you and your partner are having difficulty conceiving. To treat low testosterone without supplements, you may take an HCG supplement, which will increase your testosterone levels without negatively impacting FSH levels or sperm production. You may also decide to freeze sperm prior to starting TRT to preserve the ability to have biological children.

Stopping Testosterone Supplements

If you are already taking testosterone supplements and are still wanting biological children, your fertility doctor will likely recommend you cease taking testosterone. Studies have shown that sperm production will increase in most men after discontinuing supplements, although it typically takes 6 months or longer to resolve (up to 12 months has even been reported). Do not stop taking any medication without checking with your doctor first. While the majority of men do not have permanent effects, a small percentage of men still had low sperm production after stopping testosterone. More studies and tests need to be conducted to determine whether or not testosterone supplements led to permanent sperm production issues. For men suffering from low testosterone who would like the opportunity to have children, avoid TRT and work with your fertility doctor if you have challenges conceiving.

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Can cartilage grow back?

As you recover from surgery, the cartilage cells regenerate, forming new tissue to replace worn-out cartilage.

gvh.org - New Procedure Helps Patients Regrow Cartilage in Their Knee

Locking. Swelling. Pain. Clicking. When you feel any of these in your knee, it’s a sign the cartilage in your knee may be eroding. If treatments like rest, medication or physical therapy don’t work, you may benefit from a newer surgical procedure that helps people regrow their knee cartilage. Orthopedic surgeon Peter Wang Jr., MD, with Upper Bucks Orthopaedics at Grand View Health is skilled in a technique called MACI. It transplants your body’s own cartilage-forming cells into your knee to help regrow damaged cartilage, relieve pain and increase range of motion. MACI stands for matrix-induced autologous chondrocyte implantation. It’s a modern enhancement to ACI surgery, which orthopaedic surgeons have performed for more than 20 years. “Clinical trials show MACI offers less pain and better range of motion for patients compared to microfracture surgery, which requires drilling into the bone” Wang said.

How MACI at Grand View Health Works

The MACI procedure works in three stages. First, patients undergo a biopsy that extracts cartilage-forming cells, called chondrocytes, from the body. Next, medical team members send your cells to a lab, where they’re embedded onto a collagen membrane and multiply. Then at Grand View Health, on the day of surgery, a surgeon implants the collagen membrane into your knee. As you recover from surgery, the cartilage cells regenerate, forming new tissue to replace worn-out cartilage. “Healthy cartilage helps cushion the bones in your knee and give you better movement, but when it erodes, it causes pain which can be severe,” Wang says. “With MACI, we can help restore people’s cartilage and help them get physically active again.” Watch this video to understand more about MACI or about non-surgical ways to relieve knee pain.

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