MD For Men — An Honest Editorial Review

Important context first. MD For Men, on Carmel Avenue in northeast Albuquerque, is a men's-health and urology practice — testosterone therapy, erectile-dysfunction care, prostate health, no-needle no-scalpel vasectomy, and related men's-wellness services. It is not a fertility clinic in the reproductive-endocrinology sense (it does not run IVF cycles, it does not perform egg retrievals, it does not manage female-factor workups), but it appears in our directory for an important reason: conventional testosterone-replacement therapy suppresses the body's own sperm production, and men considering TRT — especially younger men who may want biological children later — deserve a careful, fertility-aware conversation before starting treatment.

Patients looking for reproductive-endocrinology care in New Mexico should begin with our directory of fertility clinics in New Mexico.

About the Practice

MD For Men is the solo practice of Wayne Kuang, MD, a board-certified urologist who completed his urology residency and fellowship at the Cleveland Clinic in 2006 and earned his medical degree from Stanford in 1997. He previously served on faculty at the University of New Mexico and as a partner in a large Albuquerque urology group before founding MD For Men in 2014. The clinic's stated focus is testosterone rebalancing, erectile dysfunction, prostate health, and no-needle no-scalpel vasectomy.

Unusually for a men's-health clinic, Dr. Kuang also operates a co-located sister practice, Southwest Fertility Center for Men, at the same Carmel Avenue address, offering microsurgical vasectomy reversal and male-fertility evaluation. Southwest Fertility Center for Men states a partnership with the Center of Reproductive Medicine of New Mexico for downstream IVF/ICSI when testicular or epididymal sperm retrieval is indicated. This dual structure is relevant: it means the same physician who may prescribe testosterone is also trained to think about fertility — which is the right pairing, and a meaningful difference from franchise-style cash-pay TRT clinics with no urology training on site.

What TRT Is — and What It Does to Fertility

This is the section every prospective TRT patient needs to read carefully.

Testosterone in the male body is produced downstream of a signaling loop called the hypothalamic-pituitary-gonadal (HPG) axis. The hypothalamus releases GnRH, which tells the pituitary to release LH and FSH, which in turn tell the testes to make testosterone (Leydig cells, driven by LH) and sperm (Sertoli cells and seminiferous tubules, driven by FSH plus the very high intratesticular testosterone concentrations that LH signaling maintains).

When a man injects, implants, or swallows exogenous testosterone, the brain sees "enough T" and suppresses GnRH, LH, and FSH. Without FSH and without the LH-driven intratesticular testosterone surge, spermatogenesis collapses. Most men on standard doses of testosterone cypionate, enanthate, or subcutaneous pellets become severely oligospermic or azoospermic within three to six months — this effect is so reliable that testosterone has been formally studied as a male contraceptive. Recovery after stopping TRT is usually possible but takes 6–24 months and is not guaranteed to return a man to baseline, particularly with longer duration of use or higher doses.

The American Urological Association's Testosterone Deficiency Guideline and Endocrine Society clinical practice guidelines are explicit on this point: men who desire current or future fertility should not be placed on conventional exogenous testosterone. Instead, fertility-aware options include:

• Clomiphene citrate (Clomid) — a selective estrogen-receptor modulator that blocks negative feedback at the hypothalamus, raising endogenous LH, FSH, and testosterone while preserving spermatogenesis.
• Enclomiphene — the trans isomer of clomiphene, with a similar mechanism and a generally cleaner side-effect profile. A 2024 systematic review documented a higher median testosterone rise and fewer mood/libido adverse effects compared with clomiphene.
• Human chorionic gonadotropin (hCG) — mimics LH, directly stimulating the testes to produce testosterone and maintain spermatogenesis. Often added to exogenous TRT specifically to preserve intratesticular testosterone and sperm output.
• Sperm banking before TRT initiation — a few hundred dollars at a cryobank is modest insurance for men who are uncertain about future fertility.

A legitimate men's-health practice should walk a prospective patient through these tradeoffs before the first cypionate injection or pellet implantation. Patients should ask directly what the fertility plan is.

What This Practice Is — and Isn't

MD For Men offers testosterone therapy, ED care, prostate evaluation, and vasectomy. Through the co-located Southwest Fertility Center for Men, Dr. Kuang also performs microsurgical vasectomy reversal and basic male-fertility evaluation — and that is the practice you would consult if you are a man on TRT who now wants biological children, or a man who has had a vasectomy and wants to reverse it.

What MD For Men / Southwest Fertility Center for Men is not:

• It is not a reproductive-endocrinology (REI) clinic. It does not run IVF cycles, manage female-factor workups, perform egg retrievals, or handle embryo transfer. For those, the practice refers to the Center of Reproductive Medicine of New Mexico.
• It is not an OB/GYN practice.
• It does not operate an on-site sperm cryobank for routine banking (though surgical sperm retrieval with cryopreservation for IVF/ICSI is coordinated through the IVF partner).

The editorially honest framing is: Dr. Kuang's urology background and the Southwest Fertility Center for Men sister practice make MD For Men one of the more fertility-literate men's-health practices in New Mexico. That is a genuine differentiator from franchise-style TRT clinics. The usual caution about conventional exogenous testosterone and sperm production still applies — but if any men's-health clinic in the state is positioned to handle that conversation well, this is a reasonable candidate.

The New Mexico Male-Fertility Landscape

New Mexico has a small reproductive-medicine market relative to its size. The primary REI (reproductive-endocrinology) options in Albuquerque are the Center of Reproductive Medicine of New Mexico and the UNM Center for Reproductive Medicine, both of which handle IVF, IUI, and female-factor workups. For male-factor fertility evaluation, the in-state short list is short: Dr. Kuang via Southwest Fertility Center for Men is the only fellowship-trained male-fertility / reproductive-urology specialist in New Mexico, according to the practice's own materials and third-party directory listings. Patients with complex male-factor issues beyond his scope are sometimes referred to larger academic male-fertility centers in Denver, Phoenix, or Houston.

See our male fertility testing guide for what a proper male-factor workup should include (semen analysis with strict morphology, HPG-axis labs including total and free testosterone, LH, FSH, prolactin, estradiol, and a scrotal ultrasound if varicocele is suspected).

Questions to Ask Before Starting TRT

If you are considering testosterone therapy at MD For Men or any clinic, these are the questions that separate a fertility-aware workup from a reflexive prescription:

• Do I actually have clinical hypogonadism? Two separate morning total-testosterone draws below the reference range, with symptoms — not a single borderline reading.
• Is it primary or secondary hypogonadism? LH and FSH levels distinguish the two, and the distinction changes treatment.
• Have I considered Clomid, Enclomiphene, or hCG instead of exogenous T? Especially important if I want future biological children.
• Do I want biological children in the future? If yes, have I banked sperm at a cryobank?
• What is the monitoring plan? Total and free testosterone, estradiol, PSA, hematocrit, and — if fertility is on the table — periodic semen analysis.
• If I start TRT and later want children, what is the protocol for coming off or switching to hCG-inclusive therapy?

Considering At-Home Insemination?

At-home insemination is a tool for couples or individuals who have viable sperm available — either from a male partner with adequate semen parameters or from a screened donor — and a female partner (or recipient) without severe tubal or implantation factors. It is not a workaround for azoospermia induced by TRT. If you are a man on TRT whose sperm count has dropped, the relevant next step is a reproductive-urology consult, not an at-home kit.

For couples where the male partner has normal semen parameters and the obstacle is logistics, timing, or a solo or same-sex family-building path, MakeAMom's reusable at-home insemination kits pair reasonably with basic preconception health workup and ovulation tracking.

Location and Contact

Address: 8300 Carmel Ave NE, Suite 303, Albuquerque, NM 87122 Phone (MD For Men): (505) 433-4665 Website: mdformen.com Sister practice: Southwest Fertility Center for Men (co-located, Suite 303b) Rating: 4.8 / 520 reviews

Frequently Asked Questions

Is MD For Men a fertility clinic? No, not in the reproductive-endocrinology sense. It is a men's-health and urology practice focused on TRT, ED, prostate health, and vasectomy. However, Dr. Kuang also operates a co-located sister practice, Southwest Fertility Center for Men, offering microsurgical vasectomy reversal and male-fertility evaluation, with IVF/ICSI handled through a partnership with the Center of Reproductive Medicine of New Mexico.

Does testosterone-replacement therapy affect fertility? Yes, significantly. Conventional exogenous testosterone suppresses the HPG axis, driving sperm counts to severely low or zero levels in most men within 3–6 months. Recovery after stopping is usually possible but can take 6–24 months and is not guaranteed. Men who want current or future fertility should discuss fertility-sparing alternatives (Clomid, Enclomiphene, hCG) or sperm banking before starting TRT.

Where should I go in Albuquerque if I have male-factor infertility? For male-factor evaluation, Southwest Fertility Center for Men (Dr. Kuang's sister practice) is the primary in-state reproductive-urology option. For female-factor or combined workup and IVF/IUI cycles, the Center of Reproductive Medicine of New Mexico and the UNM Center for Reproductive Medicine are the main REI practices in the metro.

Can I bank sperm before starting TRT? Yes. Sperm cryopreservation is widely available, typically $250–$500 per banking cycle plus modest annual storage fees. For men who may want biological children in the future, this is inexpensive insurance against the variable recovery of spermatogenesis after TRT. Banking two to three samples before the first dose of exogenous testosterone is a reasonable plan.

Is Dr. Kuang board-certified? Yes. He is board-certified in urology, a graduate of Stanford University School of Medicine, and completed residency and fellowship at the Cleveland Clinic.

Editorial note: Transparency-first editorial distinguishing this practice's men's-health / TRT services from its co-located male-fertility sister practice, with explicit attention to the TRT-fertility intersection as a YMYL issue. Independently written by the Fertlo editorial team; not sponsored; no affiliation with MD For Men or Southwest Fertility Center for Men. See our editorial policy.