When a woman types “my husband takes testosterone injections — can I still get pregnant?” into a search engine, she’s looking for clarity, reassurance, and medically accurate information. Testosterone therapy (often called TRT) is increasingly common among men experiencing low energy, reduced libido, fatigue, or hormonal imbalance. But TRT can significantly affect fertility—and many couples don’t realize how.

This article provides a clear, medically grounded explanation of how testosterone injections impact male fertility, whether pregnancy is still possible, what risks and timelines couples should understand, and what options exist for those trying to conceive.

**Short Answer: Yes, You Can Still Get Pregnant — But It May Be More Difficult**

Testosterone injections do not work as birth control. While they can reduce a man’s sperm count, pregnancy is still possible depending on:

His dosage
Frequency of injections
How long he has been on TRT
His sperm count before using testosterone
Genetic factors

Some men become completely infertile while on testosterone therapy. Others maintain enough sperm to cause pregnancy.

So the realistic answer is:

👉 Yes, you can still get pregnant — but testosterone can significantly lower fertility.

How Testosterone Affects Male Fertility

To understand the situation, it helps to know how TRT interacts with male reproductive biology.

1. Testosterone Injections Suppress Natural Hormone Production

When a man injects testosterone, his body detects high hormone levels and reduces—or completely shuts down—its own production.

The pituitary gland normally releases LH (luteinizing hormone) and FSH (follicle-stimulating hormone), which signal the testes to produce sperm.

But when TRT raises testosterone levels artificially, the pituitary receives the message:

➡️ “We have plenty of testosterone. No need to make more.”

As a result, LH and FSH drop dramatically.

2. Lower LH and FSH Means Lower Sperm Count

Without LH and FSH, the testes slow down or stop sperm production.

This can lead to:

Low sperm count (oligospermia)
Zero sperm count (azoospermia)
Smaller testicles

The degree of sperm reduction varies widely between men.

3. Time on TRT Matters

The longer a man has been on testosterone injections, the more likely his sperm count is reduced.

Typical timeline:

First 3 months → noticeable decline
6 months → many men reach very low sperm levels
12+ months → azoospermia becomes more common

Again, this varies. Some men retain fertility longer.

4. Dosage Matters

Higher doses cause more suppression.
Lower therapeutic doses cause less—but still significant—impact.

Is Pregnancy Impossible During TRT?

Absolutely not.

Pregnancy is still possible because:

Some men maintain partial sperm production
Sperm quality might remain adequate for fertilization
Sperm count fluctuates even during therapy
A single healthy sperm can cause pregnancy

There are countless cases of couples conceiving while the man is on testosterone injections.

Should You Rely on Testosterone as Birth Control?

No.
Never.

TRT is not a contraceptive method.

Medical studies confirm:

Some men become infertile on TRT
Some maintain normal fertility
Some fluctuate unpredictably

Using testosterone as birth control is unsafe and unreliable.

What If You Want to Get Pregnant and Your Husband Is on Testosterone?

If you and your partner are trying to conceive, the presence of testosterone therapy requires strategic planning.

Here’s what you should know:

1. Stopping Testosterone May Restore Fertility

Most men recover sperm production after stopping injections.

Typical recovery timeline:

3–6 months → partial recovery
6–12 months → major improvement for many men
12–18 months → full recovery for most

However:

Some men recover faster
Some take longer
A small percentage may not fully recover

Recovery is individual and unpredictable.

2. Medications Can Help Recovery

Doctors can prescribe medications to jump-start sperm production after TRT.

Common treatments include:

hCG (Human Chorionic Gonadotropin)

Mimics LH to stimulate the testes.

Clomid / Clomiphene Citrate

Boosts natural testosterone and improves LH/FSH output.

HMG (Human Menopausal Gonadotropin)

Directly stimulates sperm production.

Enclomiphene (a newer option)

Supports natural testosterone without suppressing fertility.

These medications are widely used by fertility specialists.

3. Some Men Can Stay on Testosterone and Still Preserve Fertility

For certain cases, doctors may add fertility-preserving hormones alongside TRT.

Example:

TRT + hCG
or
TRT + enclomiphene

These combinations help maintain testicular function while supporting hormone balance.

This MUST be done under medical supervision.

How to Know Whether Pregnancy Is Likely

If you want to understand your odds, the best approach is a semen analysis.

This test evaluates:

Sperm count
Motility (movement)
Morphology (shape)
Overall fertility potential

It’s affordable, widely available, and very informative.

If your husband is concerned about fertility, a semen test is the first step.

Can TRT Cause Birth Defects or Harm a Baby?

No.

The father’s testosterone therapy does not harm the baby.

The only impact of TRT is on male fertility, not the health of sperm DNA or developmental outcomes once conception occurs.

If pregnancy happens, the baby is not put at risk due to testosterone injections.

When You SHOULD Talk to a Doctor

You should book an appointment if:

You are actively trying to conceive
You’ve been trying for 6–12 months without success
Your husband has been on testosterone for years
You suspect low sperm count
You want to explore TRT-safe fertility protocols

Fertility doctors deal with TRT-related cases every day.

Options for Couples Trying to Conceive While the Husband Is on TRT

Here are the most common medical approaches:

1. Pause TRT

allows natural hormone recovery.

2. Add Fertility Medications

stimulate LH, FSH, and sperm production.

3. Combine TRT With Gonadotropins

maintain both hormone balance and fertility.

4. Bank Sperm Before Starting TRT

ideal for younger men or those planning future children.

5. Seek Assisted Reproduction

IUI or IVF may be recommended in more challenging cases.

What If You’re NOT Trying to Get Pregnant?

If pregnancy would be unwanted or difficult at this time:

➡️ Use regular contraception.

TRT does not provide reliable protection.

Final Answer: Can You Still Get Pregnant if Your Husband Takes Testosterone?

Yes.
Pregnancy is still possible—even common—depending on individual fertility factors.