Background: Husband was DXed with low-T in January. Total T was sitting at 160; free T 12. He'd been suffering from a complete lack of libido and ED for about 18-20 months. His LH and FSH were both WNL sitting in the mid-range (6.3 and 6). We had a baby naturally 2.5 years ago.
We are trying to conceive, so the test clinic put him on 100mg test cyp/week (divided into 2 doses), 800iu HCH (also divided into 2 doses), .3mg anastrazole twice a week, and 50 mg of Clomid daily. He had no baseline SA at that point. After 4.5 months on the regimen, his total T was 929 and free T was 28. Hubby said he felt "absolutely no different" even with those elevated T levels. Libido still in the tank. However, he had a zero count SA last month so the clinic stopped his test cyp, anastrazole, and HCG and said to take the 50mg of Clomid every other day.
We ended up going to the Cleveland Clinic to see a fertility urologist to make sure we were on the right track. She basically told us two things: 1. his sexual issues weren't caused by the low T and were in his head since raising his T to 929 didn't have any effect on his libido. and 2. that oral Clomid was our best bet.
Something isn't sitting right with me. I don't know what the heck is going on, but my husband went from being virile and a sex maniac to us having sex literally almost never and when we do, it's a chore. He says he has lost penile sensation as well. He can do it, it's just not enjoyable to him anymore.
In terms of treatment, she said HCG wouldn't help him get his sperm count going. She said all we need is Clomid. We will have a repeat SA in 30-60 days. She referred us to a sex therapist.
I'm lost. He's lost. We are tired of doctors and shelling out tons of money to yield no results. If anyone has any insight here, it would help. He's confused how he could father a child just a couple years ago easily and now not have any sperm whatsoever. We never had a baseline SA, so I have no idea what his numbers were prior to treatment. We need to figure something out fast. He is starting to withdraw because he feels like less of a man and despite reading hundreds of studies, I cannot find anything like this. How could his T get so high and him feel no different? He also went off the T cold turkey and again, says he feels no different.
ETA: I should also add that his blood lipids went absolutely crazy on the TRT regimen. It was a little high to begin with, but his total cholesterol went up to nearly 300 and his ratios were awful. Not sure if that's worth mentioning or not.
We are trying to conceive, so the test clinic put him on 100mg test cyp/week (divided into 2 doses), 800iu HCH (also divided into 2 doses), .3mg anastrazole twice a week, and 50 mg of Clomid daily. He had no baseline SA at that point. After 4.5 months on the regimen, his total T was 929 and free T was 28. Hubby said he felt "absolutely no different" even with those elevated T levels. Libido still in the tank. However, he had a zero count SA last month so the clinic stopped his test cyp, anastrazole, and HCG and said to take the 50mg of Clomid every other day.
We ended up going to the Cleveland Clinic to see a fertility urologist to make sure we were on the right track. She basically told us two things: 1. his sexual issues weren't caused by the low T and were in his head since raising his T to 929 didn't have any effect on his libido. and 2. that oral Clomid was our best bet.
Something isn't sitting right with me. I don't know what the heck is going on, but my husband went from being virile and a sex maniac to us having sex literally almost never and when we do, it's a chore. He says he has lost penile sensation as well. He can do it, it's just not enjoyable to him anymore.
In terms of treatment, she said HCG wouldn't help him get his sperm count going. She said all we need is Clomid. We will have a repeat SA in 30-60 days. She referred us to a sex therapist.
I'm lost. He's lost. We are tired of doctors and shelling out tons of money to yield no results. If anyone has any insight here, it would help. He's confused how he could father a child just a couple years ago easily and now not have any sperm whatsoever. We never had a baseline SA, so I have no idea what his numbers were prior to treatment. We need to figure something out fast. He is starting to withdraw because he feels like less of a man and despite reading hundreds of studies, I cannot find anything like this. How could his T get so high and him feel no different? He also went off the T cold turkey and again, says he feels no different.
ETA: I should also add that his blood lipids went absolutely crazy on the TRT regimen. It was a little high to begin with, but his total cholesterol went up to nearly 300 and his ratios were awful. Not sure if that's worth mentioning or not.
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