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In this episode I’m breaking down the five most common “fertility adjuncts” men use alongside TRT: enclomiphene, hCG, hMG, kisspeptin, and gonadorelin.

Taylor and I are in the middle of our own family-planning season, so I’ve been going deep on what actually preserves fertility on testosterone, what helps you actively move sperm parameters when you’re trying to conceive, and what’s mostly just a cheaper workaround that gets overhyped.

We’ll start with the core problem: TRT suppresses LH and FSH, which over time can reduce intratesticular testosterone, sperm output, and testicular fullness. Then I’ll compare each option in plain English—how it works, who it’s best for, and where it falls short.

You’ll hear why I view hCG as the backbone for most men, when hMG becomes the “needle mover” for conception, where enclomiphene fits (and why I don’t love it as a decades-long solution), why kisspeptin is more of a libido layer than a true fertility replacement, and why gonadorelin is mainly a budget play for guys who are done having kids.

Big takeaway: TRT doesn’t automatically mean sacrificing fertility—if you use the right strategy.