Testosterone Use and Preventable Male Infertility: A Public Health Perspective

Exogenous testosterone has been on the rise in the United States, even in men of reproductive age. Testosterone can be used in the treatment of fatigue, low libido, and decreased vitality. It has a known suppressive impact on sperm production. Exogenous testosterone impairs the hypothalamic pituitary gonadal axis and decreases the intratesticular testosterone that is needed to induce spermatogenesis. A lot of men enter therapy without a definite counseling of fertility hazard. This facilitates a means of male infertility against which one can act. In the context of the health of the population, infertility caused by testosterone raises the need to use assisted reproductive technologies, as well as leads to the imbalance of access to care. The paper discusses biological processes and clinical findings about recovery and unmet needs in patient education. It also presents prevention measures which concentrate on training of the providers, counselling standards, and policy alignment. By resolving this problem, reproductive autonomy is facilitated, and the unnecessary healthcare burden is minimized.