Half of it is you.
Nobody checked.
Male factor is involved in roughly half of all infertility, and in most couples the man has never been properly evaluated. That is a strange way to solve a problem with two people in it.
Does this sound like you?
Couples who have been trying and getting nowhere, where all the testing so far has been done on her. Men planning a family in the next few years who want to know where they stand before it becomes urgent. And men already on testosterone therapy who have realized what it is doing to their sperm count.
Worth knowing: sperm parameters respond to intervention. Unlike a lot of what we treat, this is a system with a roughly 90-day turnover, so changes made now show up in about three months.
- Semen analysisCount, motility, morphology and volume. The single most informative test, and the one most often skipped.
- Full hormone workupTestosterone, LH, FSH, estradiol, prolactin and thyroid. Each one points at a different cause.
- EnclomipheneRaises your own testosterone by signaling the pituitary — which supports sperm production rather than shutting it down.
- HCG and FSH supportRestarts and maintains the testicular signal, including for men coming off testosterone.
- Restart protocolsFor men who want off testosterone therapy to conceive. This is a real protocol, not just stopping.
- Lifestyle and nutrient correctionHeat, alcohol, sleep, zinc, selenium and antioxidant status all measurably affect sperm quality.
Availability of any therapy is determined by individual clinical evaluation and may change as federal compounding rules evolve. Pricing is provided in writing before anything is ordered.
Every journey starts with a call.
Before anything is ordered, prescribed or charged, you spend 15 to 30 minutes one-to-one with a coach working out what you actually want to change and what has already been tried. That conversation decides which panel you need — everything after it is built backward from your answer.
The things people actually ask.
I'm on testosterone. Have I ruined my chances?
Almost certainly not, but you do need a plan. Testosterone suppresses sperm production in most men, and it is usually reversible with a proper restart using HCG and a SERM. Recovery commonly takes three to twelve months. Do not just stop and hope.
How long until anything changes?
Sperm take roughly 90 days to develop, so we retest at three months. Anything measured before then is telling you about decisions you made last season.
Can testosterone therapy ever be fertility-safe?
Not reliably. If fertility is a near-term goal, enclomiphene or HCG-based approaches are the better route — they raise your own production rather than replacing it. We will be straight with you about the trade-off.
Do you treat women's fertility?
No. That is reproductive endocrinology and it belongs with a specialist. We handle the male half, and we are happy to coordinate with your partner's fertility clinic.
Find out where you actually stand.
Book your coaching call. Free, 15 to 30 minutes, no obligation and nothing to cancel.