Male-factor infertility contributes to roughly 40% of infertility cases. The MedsBase Fertility Supplements for Men catalogue carries the agents used in clinic-supervised male-fertility protocols and the better-evidenced supplement adjuncts. All products are supplied by WHO-GMP gecertificeerde fabrikanten.
hCG for male hypogonadism and fertility preservation. hCG mimics LH and stimulates Leydig-cell testosterone production and (where preserved) testicular spermatogenesis. Used in hypogonadotropic hypogonadism, post-anabolic-steroid recovery, and fertility-preserving alternative to testosterone replacement. Stocked as HUCOG 5000 IU, HUCOG 10000 IU, Puretrig 5000 IU, Eutrig HP 5000 IU, en ZyHCG HP 10000 IU. Typical regimen: 1500–3000 IU IM/SC twice or three times weekly. Sterile water for reconstitution stocked as Sterile Water for Injection 10 mL.
Clomiphene and enclomiphene for male hypogonadism — fertility-preserving alternative to TRT. Clomiphene citrate (off-label use in men) raises endogenous LH/FSH and testosterone via SERM-mediated hypothalamic disinhibition — useful in secondary hypogonadism and as fertility-preserving alternative to testosterone replacement therapy (TRT shuts down testicular function). Stocked as Clomiford en Clomisign. Enclomiphene (the trans isomer, cleaner side-effect profile and increasingly used for male hypogonadism with fertility preservation) as Enclomisign. Tamoxifen (alternative SERM with similar action) as Cytotam.
Ayurvedic adjuncts. Speman (Himalaya formulation containing kapikachhu, ashwagandha, kokilaksha, and other ingredients with traditional male-fertility use) as Speman. Confido (Himalaya formulation for premature ejaculation and sexual debility) as Confido. Evidence base is modest compared to pharmacological treatment; best viewed as adjunctive.
Belangrijk. Male-factor infertility evaluation should start with a semen analysis (concentration, motility, morphology by WHO 2010/2021 criteria) and basic hormone panel (testosterone, LH, FSH, prolactin). Causes range from lifestyle (smoking, obesity, heat exposure, anabolic steroids) through endocrine (hypogonadotropic hypogonadism, hyperprolactinaemia, primary testicular failure), to anatomic (varicocele, obstruction, retrograde ejaculation), to genetic (Klinefelter, Y-microdeletion, CFTR mutation in CBAVD). Empirical supplementation without diagnosis often delays appropriate intervention. Severe oligospermia (< 5 million/mL) or azoospermia warrants urology and reproductive-endocrinology evaluation. Antioxidant supplementation (CoQ10, L-carnitine, zinc, selenium, vitamin C/E) may modestly improve sperm parameters per meta-analysis but evidence quality is mixed — see our Vitaminen en mineralen category for relevant supplements.
All MedsBase Fertility Supplements for Men ship from WHO-GMP gecertificeerde fabrikanten with discreet packaging and cold-chain handling where required, and are covered by our Reshipment Assurance Policy.