Support for HMG during TRT to restore count

Thread starter #1
First post. I recently learned Im shooting blanks after 4 years on TRT. This board has been very helpful in giving me some real hope and understanding of the problem.

I want to restore my count but I do not want to come off TRT. Its really changed my life in so many ways.

My current doc told me to come off, which i will if i have too but want to try to stay on first.

I have discussed with another TRT doc that HCG + HMG combo seems to be most effective. He said he wasn't aware of HMG use for this purpose. He did say he was open to trying it if there was some evidence of its efficacy, which i respect and understand even if it's a bit surprising that he wouldn't be aware.

So I've been through pubmed and found a couple one off studies and a good review such as below that seem to support the combo quite well.

I am wondering if anyone else is aware of other science or literature that i could pass along that would help the cause.

I am also wondering if this HCg/HMG combo is well-known enough that maybe i should just keep looking for a doc that knows and won't make me jump through hoops.

Appreciate any help.

Maintenance of spermatogenesis in hypogonadotropic hypogonadal men with human chorionic gonadotropin alone. - PubMed - NCBI
HMG with HCG and T works very well, and there is plenty of medical literature to support the use of HMG. Or you could just use FSH instead of HMG. HMG is mixed FSH and LH, so since HCG is already acting as an LH analog, all you really need from HMG is the FSH anyway.

My fertility doctor wouldn't prescribe me HMG, but would prescribe me FSH from Empower Pharmacy after I showed him studies and literature on it's use. Try to get your doctor to prescribe you FSH, and you will be fine.