The Hunter Williams Podcast

Best Fertility Add-Ons for TRT

Feb 6, 2026
A concise tour of five fertility adjuncts used with TRT, comparing how each stimulates the reproductive axis. Talks practicality: which options preserve testicular function, which actively boost sperm, and which are overhyped. Covers dosing ranges, who benefits most, and real-world tradeoffs for family planning on testosterone.
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INSIGHT

Why TRT Threatens Testicular Function

  • TRT suppresses LH and FSH which reduces intratesticular testosterone and sperm production over time.
  • Preserving or restoring these signals is essential to maintain fertility on testosterone.
ADVICE

Use Enclomiphene As A Short-Term Bridge

  • Use enclomiphene short-term to boost LH/FSH by blocking estrogen feedback at the hypothalamus.
  • Dose typically 12.5–25 mg and it preserves sperm and testicular size while on TRT.
ANECDOTE

Personal Response Varied With Enclomiphene

  • Hunter tried enclomiphene but saw limited LH/FSH response likely due to past concussions affecting his pituitary.
  • His total testosterone rose but pituitary hormones barely moved, showing individual variability.
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