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Weight-Loss Drugs Boost Testosterone and Improve Sperm Quality, Study Finds

Дослідження виявило, що препарати для схуднення позитивно впливають на рівень тестостерону та покращують якість сперми. Photo: НВ — Техно

How GLP-1 Medications May Influence Male Fertility

New findings presented at the Endocrine Society’s annual conference in Chicago suggest that GLP-1 drugs could play a role in enhancing male fertility. A systematic review revealed that these medications raise testosterone levels and improve sperm quality in overweight men. Analysis of medical records from more than 1,600 patients in the United States confirmed that after obesity treatment, testosterone levels rose by an average of 20–30%.

In one study, obese men with low testosterone took GLP-1 drugs for 16 weeks. Results from a 24-week trial involving men with type 2 diabetes showed that GLP-1 treatment doubled the number of sperm with normal morphology—increasing the rate from 2% to 4%. In contrast, standard hormone replacement therapy proved ineffective and actually worsened sperm quality.

Promising Avenues for Future Research

Dr. Pratibha Natesh, an endocrinologist at the University of Warwick Medical School in the United Kingdom, commented:

“the data is still preliminary but extremely promising.”

This points to the potential benefits of GLP-1 medications for male fertility, particularly in addressing issues linked to being overweight or obese. Fat cells contain an enzyme that converts testosterone into estradiol, which may be a key factor—excess weight can disrupt hormonal balance.

These findings open up new treatment possibilities for men struggling with fertility problems tied to obesity, highlighting the importance of weight management for reproductive health.

The results could significantly influence medical practice, especially for treating obese men with fertility challenges. Since GLP-1 drugs show positive effects on hormone levels and sperm quality, doctors may consider them as a therapeutic option. Further studies are needed to understand the underlying mechanisms and long-term impacts on male reproductive health.

While the recent study highlights the positive impact of GLP-1 medications on male fertility, it's worth noting that weight loss surgery has proven to be significantly more effective than conventional medications. This suggests that for individuals facing challenges related to obesity, surgical options could offer even greater benefits for both weight management and reproductive health.