Possibly. Without getting too technical, hCG mimics the effect of another reproductive hormone, luteinizing hormone (LH). LH is essential to the production of sperm, and LH levels drop significantly for men on TRT. Therefore, taking hCG can help maintain sperm production in those who are taking testosterone. One small study found that hCG helped maintain sperm production for at least a year of TRT.
However, it’s impossible to know how hormone therapy will impact you. Even if you’re taking hCG alongside testosterone, we highly recommend sperm freezing as a back-up plan, especially if you’re certain you want kids in the future.