Stillpoint Integrative Men’s Health
Stillpoint Integrative Men’s Health
How hCG Supports Testosterone Therapy and Preserves Fertility
Why hCG Is Used with Testosterone Therapy
When men begin testosterone optimization therapy (TOT), the body senses higher testosterone levels and temporarily reduces its own hormone signaling. This can lead to two common issues:
- Reduced fertility, as sperm production slows or stops
- Testicular atrophy, or shrinking of the testicles
These changes are reversible and preventable.
By adding human chorionic gonadotropin (hCG) to therapy, men can preserve their body’s natural hormone production and maintain fertility while still experiencing the benefits of testosterone optimization.
What hCG Does
hCG mimics luteinizing hormone (LH)—the natural signal from the brain that tells the testicles to make testosterone.
When LH levels drop during therapy, hCG steps in to keep that signal active, helping the testicles continue producing both testosterone and sperm.
This support maintains testicular size, fertility, and physiological balance throughout treatment.
When hCG Is Especially Useful
hCG can be beneficial in several scenarios:
- Younger men who want to preserve fertility while optimizing testosterone
- Men with secondary hypogonadism, where the brain under-signals the testicles
- Men who want to prevent testicular shrinkage during TRT
- Those transitioning off therapy, as hCG can help restart natural testosterone production
In some cases, hCG can even be used on its own—called hCG monotherapy—to stimulate natural testosterone without introducing external hormones.
How It Fits into a Balanced Approach
At Stillpoint Integrative Psychiatry & Wellness, we see hCG not as a mandatory add-on, but as a strategic tool for maintaining long-term hormonal health.
We discuss its use during your initial evaluation and tailor every protocol around:
- Baseline lab data (total/free testosterone, LH, FSH, estradiol, hematocrit, PSA)
- Fertility goals
- Response to ongoing therapy
hCG is safe for most men when properly monitored and often enhances overall outcomes by keeping the body’s internal systems engaged.
The Takeaway
hCG is one of the simplest ways to protect fertility and maintain testicular health during testosterone therapy.
By supporting the body’s own signaling pathways, it bridges the gap between replacement and restoration—helping men achieve balance without compromise.
If you’re considering testosterone therapy but want to maintain fertility
or explore more natural support options, schedule a Men’s Health Consultation to learn whether hCG is right for you.
Explore the full Testosterone Optimization Therapy guide to learn how Stillpoint customizes treatment plans, monitors safety, and optimizes hormonal balance for lasting results.