According to Teresa Powell, FNP, while testosterone significantly slows down sperm production, it does not completely eliminate it. Many older men mistakenly believe that by undergoing testosterone treatment, they are effectively practicing birth control. However, this is a misconception. The reduction in sperm count brought about by testosterone is substantial, but not absolute, meaning that the possibility of pregnancy still exists. This partial suppression of sperm production means that men undergoing such therapy can still be fertile and potentially impregnate their partners.

Teresa Powell emphasizes the importance of understanding that testosterone therapy alone is not a reliable method of contraception. Older men, particularly those relying solely on testosterone as a form of birth control, need to be aware of the risks. Despite the dramatic decrease in sperm production, the residual sperm can still be viable and capable of fertilization. Therefore, couples should consider additional contraceptive methods to ensure effective prevention of unintended pregnancies.

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