02/19/2026
For years, oral testosterone was considered a “no-no” due to liver damage and suppression of s***m production. Today, 3 FDA-approved oral testosterone pills are available that are not associated with liver toxicity and may preserve s***m production in some men.
Dr. Parviz Kavoussi recently co-authored guidance on oral testosterone therapy and spoke at the UC Irvine Men’s Health Course on this topic. He emphasizes that men who wish to maintain fertility should approach oral testosterone with caution until stronger evidence is available. https://www.austinfertility.com/oral-testosterone-therapy-implications-for-s***m-production/
Oral testosterone pills have traditionally been a big “no-no”, as the previous formulation, methyltestosterone, used in the 1970s, was ultimately found to