Sperm result after 3 months of HCG. What would you do?

[rrodin]

Been on test since 2018.

My girl and I are planning to get pregnant.

First result showed very low sperm.

Added HCG at 1500 IU EOD.

After aprox 3 months these are the results.

Where would you go from here?

Is this good enough for IUI or is IVF prefered? Albeit IVF is very expensive and im sure - for her - an energy consuming process.

Should i add some hmg?

What is the best route of action here?

Thankyou

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[rrodin]

Anyone?

 

[Systemlord]

What is your vitamin D level?

 

[rrodin]

Not sure never looked mage. Is that relaterade to fertility?

 

[Vince]

Stop TRT for now.

If I was in your shoes I would definitely first try clomid. I believe it will be the best bet for you to become fertile again. It appears that most do better with low dose clomid, 12.5mg everyday or every other day or sometimes twice a week.

You can buy it in Mexico or reliable RX plus there's a number of other places. You can receive it from at low cost.

 

[madman]

Been on test since 2018.

My girl and I are planning to get pregnant.

First result showed very low sperm.

Added HCG at 1500 IU EOD.

After aprox 3 months these are the results.

Where would you go from here?

Is this good enough for IUI or is IVF prefered? Albeit IVF is very expensive and im sure - for her - an energy consuming process.

Should i add some hmg?

What is the best route of action here?

Thankyou

View attachment 52068
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View attachment 52069

Did you have a fertility evaluation/ SA done prior to starting T-therapy?

Look into throwing in rFSH/hMG!

When fertility markers are still subpar 3 months after starting hCG then your best bet would be adding in FSH.

Thread 'Restoring Spermatogenesis: The Efficacy of Gonadotropin Treatment in Male Gonadotropin Deficiency'

May 22, 2025

* Gonadotropin treatment has dual roles, including hCG effects on Leydig cell luteinizing hormone (LH) receptors to increase testosterone production and FSH causes proliferative effects on Sertoli cells to support spermatogenesis within the seminiferous tubules [5].


* Treatment‐related increases in testosterone and testicular volume (TV) were not different between hCG and combined hCG/FSH treated patients, although increases in TV were lower in men with CHH compared with those with hypopituitarism.


* Despite similar effects on serum...

• madman
• hypogonadism; fertility/sperm; lh/fsh; pregnancy
• Replies: 6
• Forum: hCG, Clomid & Others for Fertility, PCT or Low T

Post in thread 'HCG restart attempt.'

Dec 16, 2021

@Cataceous

You’ve posted that study demonstrating that 1000iu EOD of HCG is the most effective for T production (a great study despite its small sample size so a big thank you for that).

Do you know of any studies that analyze the most effective HCG dosing protocol for sperm production

The combination of hCG + hMG or FSH may be more effective for improving sperm quantity/quality, and testicular volume.

hCG 500 IU 2-3 times/week or EOD.

Some men may need higher doses of hCG.

hMG or rhFSH at a dose of 75–150 IU 3 times/week or EOD.


* HCG can...

• madman

• 

 

[Systemlord]

Not sure never looked mage. Is that relaterade to fertility?

Yes, vitamin D has a big impact on sperm parameters. Vitamin D deficient men have significantly lower total mobility, sperm quality, motility and progressive sperm motility.

Vitamin D deficiency is associated with male infertility.

 

[rrodin]

Did you have a fertility evaluation/ SA done prior to starting T-therapy?

Look into throwing in rFSH/hMG!

When fertility markers are still subpar 3 months after starting hCG then your best bet would be adding in FSH.

Thread 'Restoring Spermatogenesis: The Efficacy of Gonadotropin Treatment in Male Gonadotropin Deficiency'

May 22, 2025

* Gonadotropin treatment has dual roles, including hCG effects on Leydig cell luteinizing hormone (LH) receptors to increase testosterone production and FSH causes proliferative effects on Sertoli cells to support spermatogenesis within the seminiferous tubules [5].


* Treatment‐related increases in testosterone and testicular volume (TV) were not different between hCG and combined hCG/FSH treated patients, although increases in TV were lower in men with CHH compared with those with hypopituitarism.


* Despite similar effects on serum...

• madman
• hypogonadism; fertility/sperm; lh/fsh; pregnancy
• Replies: 6
• Forum: hCG, Clomid & Others for Fertility, PCT or Low T

Post in thread 'HCG restart attempt.'

Dec 16, 2021

@Cataceous

You’ve posted that study demonstrating that 1000iu EOD of HCG is the most effective for T production (a great study despite its small sample size so a big thank you for that).

Do you know of any studies that analyze the most effective HCG dosing protocol for sperm production

The combination of hCG + hMG or FSH may be more effective for improving sperm quantity/quality, and testicular volume.

hCG 500 IU 2-3 times/week or EOD.

Some men may need higher doses of hCG.

hMG or rhFSH at a dose of 75–150 IU 3 times/week or EOD.


* HCG can...

• madman

• 

Checked them before, was "very" fertile, that is 250+ millions or whatever it was.

Thankyou, im gonna look into that.


Also thankyou to systemlord, didnt know about the vitamin d

 

[rrodin]

systemlord how much vitamin d do u recommend as a supplement?

 

[Mastodont]

2000iu D per day is usually sufficient, +1 on the FSH, trying to revive sperm on HCG only is kind of outdated anyway, you only need a little bit of hcg to have some intratesticular testosterone with the FSH.

 

[rrodin]

so does "hmg" work for fsh or are they completely different?

 

[Systemlord]

2000iu D per day is usually sufficient

This was never meant to be a therapeutic dose, it was meant to prevent Ricketts. This is where the 2000 IU vitamin D per day comes from.

10,000 IU per day is a therapeutic dose. You can absorb 60,000 IU in just a couple of hours in the sunlight.

You may need some vitamin K.

 

[Mastodont]

This was never meant to be a therapeutic dose, it was meant to prevent Ricketts. This is where the 2000 IU vitamin D per day comes from.

10,000 IU per day is a therapeutic dose. You can absorb 60,000 IU in just a couple of hours in the sunlight.

You may need some vitamin K.

To each his own, after years of trial and error and bloodwork, i have come to the conclusion that 2000iu daily keeps me around 85nmol/l during winter months when no uvb radiation is available. Larger doses have always caused issues like anxiety and nausea. I despise people who never do or recommend bloodwork to track levels but give recommendations in 10-30k iu as a universal safe bet. I was doing 8000iu for a while, that jacked my levels to 185

 

[Mastodont]

so does "hmg" work for fsh or are they completely different?

HMG does work, it's human derived menotropin that in addition to FSH contain also LH, but the half life for the LH component is very short so hcg should also be kept on board.

 

[madman]

HMG does work, it's human derived menotropin that in addition to FSH contain also LH, but the half life for the LH component is very short so hcg should also be kept on board.

* Human menopausal gonadotropin contains both LH- and FSH-activity. However, a dose that provides adequate FSH activity does not maintain Leydig cell function because the LH-activity is low. Thus a combination with hCG is required to achieve fertility.

Post in thread 'Anabolic steroids and TRT decrease SHBG, DHEA, pregnenolone and progesterone in men.'

Jan 16, 2022

@Nelson Vergel
What about HMG instead of HCG?

My reply from another thread: HMG to HCG IU equivalency?

Most would never use hMG as a sole replacement to substitute LH.

hCG is used as it mimics LH which stimulates the Leydig cells in the testes to produce ITT (intra-testicular testosterone) and hMG or rhFSH would be added (@75-150 IU 3 X weekly) as the main reason would be to stimulate Sertoli/germ cells.

Could you imagine the dose/cost needed to use hMG as a sole replacement not to mention other issues it may cause!


*Human menopausal...

• madman

•