Roughly 1 in 6 couples face fertility problems, and a male factor is one of the most common contributors. Most men are handed one pill and a long wait. This service was built on a different conviction: measure everything, then treat the causes together, coherently, under one specialist.

Dr de Windt, MD
Dr de Windt, MD Double board certified in Spain • Internal Medicine and Endocrinology • Full authority to diagnose and prescribe • Número de colegiado 292911860 The protocol is designed, dosed and monitored by me personally. Trained in andrology, fertility and sexual medicine with ASESA, the Spanish andrology association, across the 2025 and 2026 editions of its national course.

The evidence behind this service, in full: How to Improve Male Fertility, What the Research Actually Shows

Measured first, exhaustively

Every protocol here begins with data: a complete hormonal panel that maps the signals between your brain and your testes, a semen analysis, and your medical and personal history. And the measuring does not stop at the start. The same tests are repeated as the protocol runs, so the response is documented in your own numbers rather than taken on anyone's word.

Several mechanisms, treated together

Male fertility is rarely one broken switch. It is usually several things at once: hormonal signals slightly off, oxidative stress (cellular wear and tear) wearing on the sperm, sometimes a structural issue such as a varicocele, and the everyday drivers of weight, metabolism and sleep. Because the causes stack, the intelligent response treats several of them together, in a way that is physiologically coherent.

This is where conventional care falls short. The typical path is one medication, then a long wait, then perhaps the next option. Months disappear that way, and in fertility, time is not neutral. Here the protocol pulls several evidence-based levers in concert, chosen so their effects complement rather than collide, and sequenced so each is given the conditions to work. Building combinations like that takes training in both internal medicine and endocrinology, and it is not a protocol you will commonly find elsewhere.

What a protocol can include

All of these are prescription medicines or medically guided measures requiring proper assessment, dosing and monitoring. Nothing here is something to source or self-manage, and the combination is never a template: it is built from your blood work, your semen analysis and your history.

Fertility and testosterone, moving together

The aim is to help your body make more of its own testosterone rather than replace it, which is why a well-built fertility protocol is often associated with better hormone levels at the same time. If you are already on testosterone therapy, the picture changes completely: clomiphene is no longer the tool, and the protocol is built on hCG, with hMG where needed. We cover that in does TRT cause infertility, and how to protect it.

How it works

  1. A private consultation, by video or at your residence: your history, your goals, and the full measurement plan.
  2. The protocol is designed from your results and started under specialist supervision.
  3. Blood work and semen analysis are repeated, and the protocol is adjusted as your numbers respond.

The honest part

No protocol can promise a pregnancy, and you should distrust anyone who implies otherwise. The evidence behind several of these treatments is promising rather than rock-solid, and the right plan depends on your specific cause. What this service promises is the serious version of trying: everything measured, every choice justified by your own numbers, and a faster, more thoughtful path than one pill and a long wait.

One client's account

"Years before trying to start a family, I had used anabolic steroids recreationally, briefly, and a long time ago. When my girlfriend and I began trying for a baby, I never imagined it would become a six-month ordeal. Testing confirmed low sperm count and poor motility. I went to my GP, then to a specialist. Both told me to wait. No treatment, no pathway, and, worse, a tone that made me feel judged rather than helped. I found this clinic at a point of real desperation. From the first consultation, the approach was entirely different. There was no lecture, no moral commentary, just a thorough clinical assessment and a structured Axis Recovery & Fertility Protocol designed to restart my body's natural production from the ground up. In my case, my results improved over the following months, and we were later able to conceive. Every recovery is individual and outcomes vary. I am still struck by the fact that proper medical treatment existed all along, we simply weren't offered it elsewhere. What this clinic gave us wasn't only a result. It was dignity, expertise, and the understanding that a past decision should never stand in the way of your future."

Kevin B., 27, private client, Axis Recovery & Fertility Program

A client account, shared with permission. Every recovery is individual and outcomes vary.

The questions worth asking any fertility service

Does one abnormal semen analysis make the diagnosis?

No. The guideline standard is two analyses, because a single result swings with illness, abstinence time and chance, and that is how it is done here before any conclusion is drawn.

What if the count is zero?

Azoospermia is its own pathway, not a worse version of a low count. The work-up separates production from blockage, hormone treatment can genuinely restart production in the right cases, and where surgery belongs in the conversation, it is had honestly, with urology involved. We have written about it in When the sperm count is zero.

How soon can results show?

Over months rather than weeks, measured against repeat analyses so the trajectory is real. Every recovery is individual and outcomes vary, which is exactly why measurement carries the program.

When would you look further before treating?

See the next section; it is a question every good fertility service should be able to answer in writing.

When we look further first

Further first is not slower: it is the difference between treating a number and treating a couple trying for a child.

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Handled in confidence and never shared. Consultations in English or Dutch, by video or at your residence on the Costa del Sol.

Frequently Asked Questions

Can male fertility actually be improved?

Often, yes. An umbrella review covering 28 treatments found several associated with improved sperm quality. The evidence is mostly of moderate quality, which is exactly why measurement and specialist guidance matter more than any single medicine.

Which medicines would I be given?

Your own results decide that. Protocols are commonly built on clomiphene, hCG and hMG, with ancillary medicines added to keep estrogen in the right range where your numbers justify it. All are prescription medicines, dosed and monitored by the specialist.

I am on TRT. Is fertility off the table?

No. Outside testosterone suppresses the signal clomiphene works through, so the protocol changes: hCG, with hMG where needed, is used instead. This is a well-established clinical path.

How is this different from a conventional clinic?

Conventional care usually tries one variable at a time with long waits in between. Here several mechanisms are treated together in one coherent, monitored protocol, built by a doctor trained in both Internal Medicine and Endocrinology.

What does it cost?

It depends on your individual plan, built around your assessment. Everything is discussed transparently after your consultation, with no obligation.

This page is for general information only and is not medical advice. All treatments require individual assessment by a qualified doctor.

Start with the measurement

A private consultation with the specialist, by video or at your residence on the Costa del Sol. Your numbers first, then the plan.

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