• Clomid: What Every Man Needs to Know

      Clomid (generic name: clomiphene citrate) is a medication commonly prescribed to treat infertility in women. It stimulates hormone production in the female body, promoting ovulation (the growth and release of a mature, viable egg to be fertilized). It's one of the most common female infertility drugs, but did you know that it can be used as a replacement for testosterone ? For men who are unable to continue with testosterone replacement therapy (TRT) or who want to attempt to jumpstart their testosterone production, it may be a viable alternative.

      When patients suffer negative side effects as a result of TRT, doctors will usually recommend that they stop taking the testosterone and other androgen hormones. However, this only deals with the immediate problem (the side effects) without considering the hypogonadal state the body returns to after you cease the testosterone therapy.

      One of the primary problems that affect people coming off of TRT includes Hypothalamic-Pituitary-Testicular Axis (HPTA) dysfunction. HPTA dysfunction basically means that the testosterone supplementation has prevented your body from releasing testosterone on its own. The treatment reduced Luteinizing Hormone (LH), suppressed follicle stimulating hormone (FSH) levels, and caused reduced spermatogenesis (reduction in the production of sperm).

      HPTA dysfunction is a problem that affects those on TRT, but for those coming off TRT, the HPTA dysfunction can become even more pronounced. The patients may once again suffer symptoms of hypogonadism (fatigue, low libido, ED, low mood, ectc) , and the symptoms can last for weeks or even for months at a time. Some men use anabolic steroidsto increase their muscle mass, but all that mass will be lost as a result of ceasing the these agents that, like TRT, also affect the HPTA. If a specific medical protocol isn't followed to normalize HPTA, it can lead to lomhg-term hypogonadism.

      But that's where Clomid comes in…

      Taking Clomid has proven to help increase testosterone levels in men--both normal men and those suffering from hypogonadism. In one study, Clomid helped to increase not only testosterone levels, but also the levels of upstream hormones LH and FSH. Sexual function didn't improve as a result of the medication, but it did combat some of the other negative side effects of hypogonadism.

      A Potential Solution

      A unique protocol by Dr. Michael Sally may help with HPTA normalization and reduce the negative side effects that set in after ceasing TRT. The protocol involves the use of:

      - Clomid (50 mg taken orally, 2 times per day)
      - HCG (2,500 IU taken subcutaneously, once every two days)
      - Tamoxifen (20 mg taken orally, once every day)

      This protocol is divided into two intervals, with each interval focusing on a different aspect of the post-TRT recovery.

      Interval 1 is designed to restore gonadal function to normal, healthy levels. Once the gonadal function is normalized, the body is ready to move on to the next phase.
      Interval 2 is designed to restore the hormone production pathways in the gonads, the hypothalamus, and the pituitary gland. Basically, it's designed to jump-start the normal production of hormones in lieu of the TRT.

      While this protocol has yet to be tested on a large number of patients, it has proven effective in those few cases. It helped to restore normal HPTA within 1 month, encouraging the body to produce its own hormones and getting gonadal function back on track.

      Proof that Clomid Could Work

      One study from 2013 examined the use of Clomid as a treatment to help restore normal hormone function among men who have had exogenous (outside) testosterone administered--via TRT.

      Note: This is an off-label use for Clomid. Your doctor may hesitate to consider it as a treatment option.

      The study compared the use of Clomid to the function of topical testosterone, positing?? that it could be a potential alternative to improving hormone production in the body. To analyze the effects of the Clomid, researchers measured:

      - Total testosterone levels
      - Estradiol levels
      - Levels of FSH and LH
      - Amount of sex hormone binding globulin in the blood
      - Thyroid stimulation hormone
      - IGF-1
      - Prolactin
      - Free testosterone

      At the same time, the researchers measured sperm parameters. This was to determine if the Clomid treatment had any effect on fertility, not just testosterone levels.

      Six months after the 12 patients in the study stopped taking the topical testosterone and began the treatment of Clomid, the men's total testosterone levels had risen from 100-220 pg/dL to 285-810 pg/dL--a 400% increase in some cases (I do not like exclamation points) Clomid failed to increase the levels of FSH and LH (really?), but it raised the sperm counts of the men undergoing the treatment, even after six months. However, this was only the case with Clomid, rather than the topical testosterone gel treatment.

      The results of this study speak for themselves: Clomid can be a viable alternative to hypogonadal men who are looking for a treatment other than topical testosterone.

      The men who underwent Clomid treatment experienced a sharp rise in their sperm count and total testosterone levels. While their FSH and LH levels didn't increase, the Clomid treatment helped to restore almost-normal testosterone in the blood. The treatment helped to normalize HPTA, reducing the side effects of coming off TRT.

      If you are noticing negative side effects of TRT and are looking for another safe option, it may be a good idea to consider Clomid. It provides a viable alternative to those who are trying to combat hypogonadism, but are unable to continue taking exogenous testosterone. However, it is still unclear if Clomid may improve low libido in men using it as a form of TRT.

      This article was originally published in forum thread: Clomid: What Every Man Needs to Know
      Comments 9 Comments
      1. DLK's Avatar
        DLK -
        the 50mg twice a day dosing of clomid is off the charts for a serious protocol. There have been leaps and bounds made in clomid therapy since that study. For the best info check out the interview with Dr. Crisler.
      1. FrankUnderwood's Avatar
        FrankUnderwood -
        Quote Originally Posted by DLK View Post
        the 50mg twice a day dosing of clomid is off the charts for a serious protocol. There have been leaps and bounds made in clomid therapy since that study. For the best info check out the interview with Dr. Crisler.
        at 25mg/daily my testes felt like they were going to explode. 50mg twice daily would turn them into the size of the goodyear blimp.
      1. Readion's Avatar
        Readion -
        Thanks for the great first post. Been on clomid for about two years. Dosage is 50mg 3-4x week. Took my levels from 200's to 700's. Currently holding in 500's after dabbling with some orals only.
      1. Disco41's Avatar
        Disco41 -
        Clomid can not work. LoL
      1. buggies100's Avatar
        buggies100 -
        How did it effect your libido? that seems to be one of the draw backs

        Quote Originally Posted by Readion View Post
        Thanks for the great first post. Been on clomid for about two years. Dosage is 50mg 3-4x week. Took my levels from 200's to 700's. Currently holding in 500's after dabbling with some orals only.
      1. PedroZuņiga's Avatar
        PedroZuņiga -
        have you tried it?
      1. Disco41's Avatar
        Disco41 -
        Quote Originally Posted by buggies100 View Post
        How did it effect your libido? that seems to be one of the draw backs
        It sent mine through the roof. I have like I was 18 again. Now that I am taking it only EOD at 25mg it has come back down some.
      1. milionis's Avatar
        milionis -
        Going off my weekly 250 T shot since dec 2012, and started Clomid daily at 12.5mg, Doing this due to shortage of T in Greece. If it works I will post an update later, until I re-start T shots in mid October!
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