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I felt great on Clomid for 5 years then it just stopped working. Why does that happen? I tried switching to enclomiphene but that didn't work and ultimately had to go on TRT. I heard Dr. Mohit Khera say this happens with Clomid on Dr. Attia's podcast but he didn't explain why.

I'm on TRT + hCG (Pregnyl) + FSH (urofollitropin). How bad is a lapse in hCG for fertility? About 2 weeks. My Pregnyl Rx got messed up so I ran out. Maybe the urofollitropin has some LH in it??

Clomid worked amazingly well for me for several years then it stopped working. I switched to enclomiphene for a few months and that didn't help so I went on TRT. I wish I had tried enclomiphene longer though.

Thanks for the share. Not much info out there on the combo of TRT+hCG+FSH.

Are you asking me or the person you replied to?

The insomnia improves over time. I actually try to take it as early in the evening as possible. Like as soon as I know I don't need to drive anymore that day. And that seems to help a lot. Also, it takes time to really kick in. Manufacturer says 5-8 weeks but I'd give it a good 3 months. I...

Why do you say that? Don't fertility docs use thousands of IU of hCG when combined with Clomid? I'm worried about dropping my TRT too much as I have post-finasteride sexual issues.

Did you have any side effects on urofollitropin? I've been having lots of itching and very mild swelling around one eye. Not injection site itching but general itching.

Revive and India when I travel there. Do you think staying at TRT dose but upping hCG and adding the urofollitropin will work?

I was on 70mg test cyp and 750 IU hCG twice a week when I took these. I'm planning on upping hCG to 1000 IU, probably decreasing testosterone, and adding 125 IU FSH twice a week. I will redo my semen analysis in 4 months. Anyone have any suggestions? Should I alter any of those doses or...

Did you stay on TRT while on hCG and Gonal-F?

Would you mind sharing the doses of testosterone, hCG, and FSH you were on?

It seems like in all of those studies, they used hCG + FSH but discontinued TRT. Are there any studies or case series of TRT + hCG + FSH? I'm going to add FSH soon. Will get semen analysis first (using only TRT + hCG) then another seman analysis 4 months after adding FSH. Will post results.

I just got mine from them too. Have you started yet? I plan on getting a semen analysis before starting to see where I'm at. Are you on TRT + hCG already?

I had good experience on Clomid until it stopped working. It worked very fast for me. Dr. Mohit Khera (in that podcast with Dr. Attia) talks about patients becoming non-responders if dosed daily. I dosed daily so that may be why my Clomid stopped working. I'd use enclomiphene + EOD dosing...

Loss of libido, loss of sensitivity, increased refractory period, erectile dysfunction

4 years. Yes my test levels dropped to hypogonadal levels (I have empty sella). I tried switching to enclomiphene for 3 months with no success. I wish I had kept trying though. I saw an interview with Dr. Mohit Khera where he said some men who dose Clomid daily will lose efficacy so it...

Where would TRT + hCG + urofollitropin be on this list? I'm guessing above 3(a) or 3(b)?

Mixed feelings. I started TRT after Clomid stopped working. I think I started with too high a dose because I had horrible acne and my hair started shedding, which led me to finasteride. Propecia caused severe damage that never fully healed. I wish I had tried adding hCG to Clomid rather than...

I guess I don't know for sure it will hurt me but I'm having a semen analysis this week. I know my 17-hydroxyprogesterone was low. That lab is highly correlated with intratesticular testosterone which I understand is an indicator of spermatogenesis. I just upped my hCG from 750IU 2x/week to...

Correct

Would you share pricing? I heard they still compound urofollitropin

What have you tried? I'd recommend Dr. Rachel Rubin (although my TRT doc at Defy recommended Stanozolol). I'm still debating whether to try it but I'll let you know how it goes if I do. I'm also juggling wanting to have a baby. My wife wants to avoid IVF if possible so I'm in a pickle...

Anyone?

I have post-finasteride sexual issues. I put them in 3 categories: 1. ED, 2. loss of libido, and 3. loss of sensitivity/increased refractory period/anorgasmia. The ED resolved on its own with time but the other 2 issues persisted. My doc suggested Stanozolol 2% Cream applied to the scrotum...

You have to take it at night because it causes drowsiness but that improves over time. For the first week, I felt "zonked" upon waking up. But, that went away. You have to be careful with alcohol (no more than 2 drinks and 2 hours separation b/w last drink and dose. If you drink more than 2...

No, because I'm male the prior auth was denied. But, with the manufacturer copay card from the Addyi website, it winds up being $298 for a 90-day supply. $3.32/day. Worth it for me.

I sought out a focal shockwave provider. and did 6 sessions. I believe it helped but my ED was improving on it's own anyway (after discontinuation of finasteride) so I can't be certain it worked.

I have post-finasteride sexual issues. I put them in 3 categories: ED, loss of libido, and loss of sensitivity/increased refractory period/anorgasmia. The ED resolved on its own with time but the other 2 issues persisted. I started Addyi and it's working very well for libido. I'd highly...

does that include time of day? I'm trying to dial in my estradiol and was planning to order only sensitive estradiol tests (without testosterone, etc.) but it's hard for me to do early morning tests.

So, the only way to stay on TRT is supplemental FSH? How do people afford that now that it can't be compounded?