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At a younger, child bearing, age most women desire a male who can help them become pregnant. So that does present problems in a marriage. If one is diagnosed early enough then sperm can be harvested and used later in life. The lack of knowledge on how the condition manifests itself has led to many break ups. The mood swings related to TRT can be very difficult to a marriage. Looking 14 y o at 30 led to me not being in any good relationships. Look for a partner who can be flexible as with TRT there is going to be mood swings. Counseling by an individual who understands KS will help the marriage a lot. Having a good medical team who understands KS is good way through the ups and downs associated with this conditions. Knowing you are not alone with this condition helps.