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Hormone Support That Respects Your Fertility

Low hormones can impact everything from your mood to your ability to have biological children. At RPMG, we offer fertility-friendly hormone support so you can feel better without compromising your future family-building goals.

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Not All Hormone Therapy Is Fertility-Friendly

Feeling tired, low libido, or just not yourself? Hormones might be part of the picture. But here’s the catch: many common hormone therapies, especially testosterone, can actually stop sperm production in its tracks. What helps you feel better today could make it harder to conceive tomorrow.


That’s why it’s so important to get hormone care that looks at the full picture - not just one number on a lab report.

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A Smarter Approach to Hormone Optimization

At RPMG, we don’t just specialize in fertility. We specialize in men. Our reproductive urologists look at how all your hormones interact to support energy, sexual health, and fertility. We offer alternatives that boost testosterone while preserving your ability to have children - plus evaluation of other key hormones that could be quietly interfering with your sperm quality.

It’s Not Just About Numbers

We get it. You want to feel better - but you also don’t want to close the door on having a family one day. Dr. Weinberger has published about ways to utilize a combination of oral testosterone with other medications to increase the chances of preserving fertility. When you come in for a consultation, our job is to help you understand your options, feel more like yourself again, and protect your reproductive health while we do it.

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Hormones We Commonly Evaluate and Treat

Hormone

Why It Matters

Testosterone

Low levels can affect energy, sex drive, and sperm production

LH (Luteinizing Hormone)

Signal to the testicles to produce testosterone

FSH (Follicle-Stimulating Hormone)

Stimulates sperm production

Estradiol

Elevated levels (especially in overweight men) can suppress testosterone

Prolactin

High levels can signal a pituitary issue and affect sexual health and fertility

TSH (Thyroid-Stimulating Hormone)

Thyroid dysfunction can affect overall metabolism and reproductive hormones

SHBG (Sex Hormone–Binding Globulin)

Affects how much free, active testosterone is available

DHT

A more potent form of testosterone that is key for mood, sexual health, and fertility. Commonly blocked by medications for hair growth like Finasteride or Propecia

We test these hormones as part of your diagnostic workup and tailor your care based on what your body needs, not just what’s “average.”

Treatment That Keeps Fertility in Mind

Rather than jumping straight to testosterone replacement (which suppress sperm production), we may recommend:


  • Clomiphene citrate (Clomid): stimulates your body to produce more of its own testosterone and sperm
  • hCG (human chorionic gonadotropin): supports natural testosterone production and testicular function
  • Anastrozole: helps balance estrogen and testosterone, especially if estradiol is high
  • Thyroid or pituitary support: if another hormone imbalance is to blame
  • Lifestyle coaching: targeting weight, sleep, or stress, which all influence hormone levels

In some cases, testosterone may be the right option for you. Our reproductive urologists are well versed in all formulations of testosterone including injections, gels, pellets, and orals. Our experts specialize in the use of the new oral testosterone that more closely mimics how your own body releases testosterone.  

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Ready to Reclaim Your Energy - Without Sacrificing Fertility?

Book a consult with our Men’s Health & Fertility team today to explore safe, effective, and personalized hormone support.

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FAQs

It depends how long you’ve been on it and how your body responds. Some men bounce back, others need help. That’s why early intervention matters.

Fatigue, low sex drive, difficulty building muscle, depression, brain fog, infertility, even subtle changes can be signs of a hormone imbalance.

We go beyond the standard lab reference ranges to evaluate how your hormones function together. Normal isn’t always optimal.

You may start feeling better in a few weeks, but fertility improvements often take 3-6 months. We track labs and sperm quality along the way.

Many diagnostic labs and fertility-safe medications are covered. We’ll walk you through your benefits and offer clear pricing for any out-of-pocket costs.