How to Improve Sperm Quality, LH, FSH and Testosterone in Infertile Men

Rodger1

New Member
Hi thanks for you input mate.
Well finally got semen analysis results back and despite my LH and fsh levels looking good, afraid not the same can be said for this.

28-Oct-2020

! Infertility studies - (SGB) - Abnormal - see patient task

Semen sample volume

2.5

ml

>1.50ml

Semen pH

8

>7.20

! Total sperm count

<2.0

x10*6/ml

>15.00x10*6/ml

! Progressively Motile

<4

%

>32.00%

Non progressive

0

%

Immotile

0

%

! Sperm morphology

0

%

>4.00%

Semen viscosity

Liquefaction incomplete.

   

White Cells

>1x106/ml (Normal range <1*10*6/ml)

   

This is an automated test, we cannot give accurate sperm

   

concentration, motility or morphology results on low sperm

   

concentrations. >2x10\S\6/ml

   

Sample received more than two hours after production, please treat

   

results with caution and consider repeat. Please ensure subsequent

   

andrology specimens are delivered to the Histopathology Department,

   

New Path Lab RLI within two hours of production Monday to Friday

   

8.30-4.00

   
 

Sides

Member
Hi thanks for you input mate.
Well finally got semen analysis results back and despite my LH and fsh levels looking good, afraid not the same can be said for this.

28-Oct-2020

! Infertility studies - (SGB) - Abnormal - see patient task

   
 

Semen sample volume

2.5

ml

>1.50ml

 

Semen pH

8

 

>7.20

 

! Total sperm count

<2.0

x10*6/ml

>15.00x10*6/ml

 

! Progressively Motile

<4

%

>32.00%

 

Non progressive

0

%

 
 

Immotile

0

%

 
 

! Sperm morphology

0

%

>4.00%

 

Semen viscosity

   
 

Liquefaction incomplete.

   
 

White Cells

   
 

>1x106/ml (Normal range <1*10*6/ml)

   
 

This is an automated test, we cannot give accurate sperm

   
 

concentration, motility or morphology results on low sperm

   
 

concentrations. >2x10\S\6/ml

   
 

Sample received more than two hours after production, please treat

   
 

results with caution and consider repeat. Please ensure subsequent

   
 

andrology specimens are delivered to the Histopathology Department,

   
 

New Path Lab RLI within two hours of production Monday to Friday

   
 

8.30-4.00

   
What are you currently running? In your last post you said you had started back up with TRT along with 1000 HCG. Are you still taking the HMG or FSH? You can only do so much with TRT and HCG, although that would typically work well to maintain fertility and stimulate the Leydig cells of the testicles, which do 20% of the work in making sperm.

But you also need to stimulate the Sertoli cells, which do 80% of the job. If you are on TRT, the best way to do that is with HMG or FSH.

Also remember that a sperm cycle is approximately 2.5 months in the body, and it takes that long for the sperm to reach maturation. Whatever you were doing in October, you will only start seeing the results in late December or early January. I know it's hard (and expensive) to be patient and just keep working the protocol, but it will take time to make the testicles recover and see the results you are looking for.

After 28 years of using testosterone, test + HCG + HMG was what worked for me. My baby daughter has her first birthday coming up next week, and she is big (98th percentile in height and weight), happy and healthy, and driving me crazy toddling around the house getting into trouble. It took me eleven months of running my fertility protocol to get her, but it was all worth it every time she looks up into my eyes, or holds my hand when I take her to the playground. I hope you have the same joy in your life, but it will take time and effort and money to get there. Fertility is an expensive business, and insurance only covers so much.
 

Rodger1

New Member
What are you currently running? In your last post you said you had started back up with TRT along with 1000 HCG. Are you still taking the HMG or FSH? You can only do so much with TRT and HCG, although that would typically work well to maintain fertility and stimulate the Leydig cells of the testicles, which do 20% of the work in making sperm.

But you also need to stimulate the Sertoli cells, which do 80% of the job. If you are on TRT, the best way to do that is with HMG or FSH.

Also remember that a sperm cycle is approximately 2.5 months in the body, and it takes that long for the sperm to reach maturation. Whatever you were doing in October, you will only start seeing the results in late December or early January. I know it's hard (and expensive) to be patient and just keep working the protocol, but it will take time to make the testicles recover and see the results you are looking for.

After 28 years of using testosterone, test + HCG + HMG was what worked for me. My baby daughter has her first birthday coming up next week, and she is big (98th percentile in height and weight), happy and healthy, and driving me crazy toddling around the house getting into trouble. It took me eleven months of running my fertility protocol to get her, but it was all worth it every time she looks up into my eyes, or holds my hand when I take her to the playground. I hope you have the same joy in your life, but it will take time and effort and money to get there. Fertility is an expensive business, and insurance only covers so much.
Hi mate,

Aww that's awesome takes me back 7 years to when our little girl was 1. Certainly a handful... I guess getting older has affected my fertility. Trt helped me and libido but maybe not run things long enough.

My wife thinks we are just not ever going to have a little brother or sister for her.

With being in the UK, all this I'm buying out of my own pocket. Hmg would never be prescribed by a Doctor, here.

21st Oct I stopped the clomid after being on it 8 weeks. Prior to that the last hcg+hmg was 7th August, then clomid started.

Currently on 125mg trt pw and 750iu hcg eod. Hoping this would be enough to maintain the LH and fsh number from the bloods done 3 weeks ago

I've currently only got enough hmg for 5 weeks, so I'm in a quandary whether to start it now or wait until I can get some more.

So what your saying is I may actually not need to worry as come early-mid Dec there could be a higher sperm reading?

Is it best to use all the hmg now?

God I'm so confused!
 

gaz7718

Active Member
Personally I went straight to hcg and hmg for 3 months because the evidence I found on this site was the strongest for these two substances, albeit fsh seems equally suitable to hmg

I bought hmg from China. I did as much research as I could and just went with what appeared to be a reputable supplier through Alibaba.com. The prices were much more affordable. From memory 3 months of hmg was under £400 delivered.

it worked and our daughter is 3 weeks old and I’m a proud dad.
 

Jay Ara

New Member
Im in the a similar journey, I hope I will recover fertiliy after years of Nebido, I started to see some results of FSH injections.

I will start with the combination of HCG + FSH + Clomid to try to speed up the process and get quality life as well.

I hope I can report the good news sometime next year.

Fingers crossed!

Cheers
Jay
 

gaz7718

Active Member
Good luck.

make sure your dosages are correct and in line with the successful research published on the matter.

For example, there’s no point taking a maintenance dose of hcg such as 500iu if you are trying to kick start your body to become fertile.

it can look like quite an expensive programme on paper but if your serious having having more children it’s a drop in the ocean compared to the costs you will incur once they are born
 

DS3

Active Member
Good luck.

make sure your dosages are correct and in line with the successful research published on the matter.

For example, there’s no point taking a maintenance dose of hcg such as 500iu if you are trying to kick start your body to become fertile.

it can look like quite an expensive programme on paper but if your serious having having more children it’s a drop in the ocean compared to the costs you will incur once they are born
DR. Lipshultz has seen patients stay on exogenous T and maintain fertility by using 500 units EOD. There is very little research pertaining to HCG use in men. Additionally, there is no clinical evidence that demonstrates a minimal effective dosages for restoring fertility in men. 500 units EOD or ED may very well be enough to not only maintain but to restore fertility. Higher dosages such as 3000 units EOD have been used to restore fertility, but create a supraphyiological level of ITT and can lead to a desensitization of the Leydig cells (speculative).

You would do well to avoid using definitive language such as “there’s no point in...”. Scientific research scarcely demonstrates such definitive causation. In the case of HCG, much is left to be discovered.
 

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