SARMs and Testosterone: Suppression, Recovery & HPG Axis Impact

schedule9 min readcalendar_todayUpdated Nov 29, 2025
GUIDE

All SARMs suppress natural testosterone production. The degree varies by compound and dose. Understanding this helps plan effective recovery.

articleHow SARMs Suppress Testosterone

SARMs activate androgen receptors, triggering negative feedback:

  1. Hypothalamus: Detects elevated androgen signaling
  2. GnRH reduction: Hypothalamus reduces gonadotropin-releasing hormone
  3. LH/FSH drop: Pituitary releases less luteinizing hormone and FSH
  4. Testicular shutdown: Leydig cells produce less testosterone

This HPG axis suppression is dose-dependent and compound-specific.

articleClinical Suppression Data

LGD-4033 Phase I Trial (Basaria 2013)

DoseTotal TFree TLHSHBG
PlaceboUnchangedUnchangedNormalStable
0.1mg/dayMinimalMinimalMinimalMinimal
0.3mg/dayModerateSuppressedSuppressedSuppressed
1.0mg/daySignificantSignificantSignificantDose-dependent

Key finding: Hormones returned to baseline after discontinuation.

articleSuppression by Compound

  • Ostarine: Mild suppression. Some users skip PCT (not recommended).
  • Ligandrol: Moderate-high suppression. PCT essential.
  • RAD-140: Severe suppression, often equals or exceeds LGD-4033.
  • YK-11: Very high suppression (myostatin inhibitor properties).
  • S-23: Near-complete suppression (studied as male contraceptive).

articleRecovery Timeline

With Proper PCT

  • LH/FSH normalization: 2-4 weeks
  • Testosterone baseline: 4-12 weeks
  • Spermatogenesis recovery: 3-6 months (if affected)

Without PCT

  • Recovery can take 3-6+ months
  • Prolonged hypogonadal symptoms
  • Risk of muscle loss, mood disorders, sexual dysfunction

Male contraceptive literature: 67% recover by 6 months, 90% by 12 months, 100% by 24 months.

help_outlineFrequently Asked Questions

Yes. All SARMs that activate androgen receptors cause HPG axis suppression. The degree varies: Ostarine is mildest, RAD-140 and S-23 cause severe suppression.
No documented cases of permanent suppression exist. However, prolonged high-dose use or repeated cycles without recovery may extend recovery time significantly.

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