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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Fertility with HCG + SERM? HMG/rhFSH Impossible to get in Australia
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<blockquote data-quote="Adamsapple" data-source="post: 250811" data-attributes="member: 45090"><p>Thanks, I tell you what, it's been a ride that I won't soon forget. Appreciate your help which provided confidence to continue my plan and to address it with doctors. </p><p></p><p>I sought the HCG from an online doctor, who prescribed 1000 IU 3x a week for low testosterone. After reviewing two meta-analyses and several individual human studies on secondary HH, I chose to dose a bit higher. In many cases, doses of 2000 IU EOD were used with Clomid for upwards of 3 months. </p><p></p><p>I'm now seeing an Endocrinologist who has prescribed 1500 IU 3x a week for male infertility - I've switched and will continue with this reduced dose for the next 6 weeks, at which point doc requested another blood test and a semen analysis done. </p><p></p><p>I raised concerns about elevated SHBG with the Endo, he similarly stated that hormones might be balancing out over months and that SHBG may drop in response to the expected further increase in testosterone. </p><p></p><p>My wife and I need to get on with IVF quickly for other reasons, so the fertility doctor (doc #3) has asked that I get a semen analysis next week. I thought this was too early but the doc says since it's not natural conception, I don't need to wait for a full recovery and the highest sperm count possible, they need a smaller number of healthy sperm to can find a few ideal ones for IVF to work (1 per embryo frozen). </p><p></p><p>I hope desensitisation doesn't become an issue but don't think it's likely from the studies I've seen run over months and given the fertility protocol is FDA/TGA approved. If SHBG doesn't drop at the next blood test, I may suggest to the Endo to reduce the HCG; since things are up and running again, there's probably only a need for a lower maintenance dose to ensure sperm keep producing healthily (and possible harm that can harm come from overstimulation). </p><p></p><p>I finally feel normal <u><strong>now</strong>.</u> The only issues are that my sex drive is hardly there, I do get morning wood sometimes but my general sexual appetite and ability to get an erection are quite reduced (comparing to a normal, pre-TRT state). I've held onto muscle though lost a fair bit of strength and have gained fat in the 'estrogenic' areas. But I can tell the situation keeps improving as time goes on, and have accepted that my body is something that I fix later, less important to me now than health and family. I think switching to Enclo two weeks ago has helped a lot with my mental state. As expected at the start of protocol, the Clomid and zero test really hit me, for 2-3 weeks I had insomnia, was often sad/pessimistic, fatigued, zero sex drive, crazy mood swings.</p></blockquote><p></p>
[QUOTE="Adamsapple, post: 250811, member: 45090"] Thanks, I tell you what, it's been a ride that I won't soon forget. Appreciate your help which provided confidence to continue my plan and to address it with doctors. I sought the HCG from an online doctor, who prescribed 1000 IU 3x a week for low testosterone. After reviewing two meta-analyses and several individual human studies on secondary HH, I chose to dose a bit higher. In many cases, doses of 2000 IU EOD were used with Clomid for upwards of 3 months. I'm now seeing an Endocrinologist who has prescribed 1500 IU 3x a week for male infertility - I've switched and will continue with this reduced dose for the next 6 weeks, at which point doc requested another blood test and a semen analysis done. I raised concerns about elevated SHBG with the Endo, he similarly stated that hormones might be balancing out over months and that SHBG may drop in response to the expected further increase in testosterone. My wife and I need to get on with IVF quickly for other reasons, so the fertility doctor (doc #3) has asked that I get a semen analysis next week. I thought this was too early but the doc says since it's not natural conception, I don't need to wait for a full recovery and the highest sperm count possible, they need a smaller number of healthy sperm to can find a few ideal ones for IVF to work (1 per embryo frozen). I hope desensitisation doesn't become an issue but don't think it's likely from the studies I've seen run over months and given the fertility protocol is FDA/TGA approved. If SHBG doesn't drop at the next blood test, I may suggest to the Endo to reduce the HCG; since things are up and running again, there's probably only a need for a lower maintenance dose to ensure sperm keep producing healthily (and possible harm that can harm come from overstimulation). I finally feel normal [U][B]now[/B].[/U] The only issues are that my sex drive is hardly there, I do get morning wood sometimes but my general sexual appetite and ability to get an erection are quite reduced (comparing to a normal, pre-TRT state). I've held onto muscle though lost a fair bit of strength and have gained fat in the 'estrogenic' areas. But I can tell the situation keeps improving as time goes on, and have accepted that my body is something that I fix later, less important to me now than health and family. I think switching to Enclo two weeks ago has helped a lot with my mental state. As expected at the start of protocol, the Clomid and zero test really hit me, for 2-3 weeks I had insomnia, was often sad/pessimistic, fatigued, zero sex drive, crazy mood swings. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Fertility with HCG + SERM? HMG/rhFSH Impossible to get in Australia
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