1. Minimal product specific data exist examining effects of current testosterone preparations on spermatogenesis.
2. Warnings regarding the effects of today’s testosterone preparations on spermatogenesis are largely extrapolated from studies which are not product specific.
3. Testosterone products are similar, but not identical.
4. Existing data examining the effects of testosterone on fertility are limited by supra-therapeutic dosing, a homogenous population, and little fecundity data.
5. More product specific studies examining the effects on fertility are needed.
6. Men desiring future fertility should avoid exogenous testosterone preparations.
Table 3: Recommendations.