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  1. L

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

    @DS3 (or anyone who is knowledgeable), i just now had time to go over the parts of this post that I’d missed during the month or two I was off and am left with a burning question: If LH receptors have been desensitized, is there a way to cycle them so that they turn back on? I just did a “DIY...
  2. L

    Your Access to More Economical hCG and FSH Ended in November 2021

    When the pharmacist at Empower called me back (couldn't help it; I'd already arranged a call back before I posted here) she pretty much said the same thing. She said she believes "upper management is trying to expedite the proper licensing for biologicals and that the FDA will arrange for it"...
  3. L

    Your Access to More Economical hCG and FSH Ended in November 2021

    Been doing my best sharing in groups on social. I'll keep doing just that. Trying to ease our own minds over here and failing. Thanks, Nelson... will keep sharing.
  4. L

    Your Access to More Economical hCG and FSH Ended in November 2021

    I just called Empower to ask how these changes will affect us as patients if they go into effect. The rep said, and I quote, "we will still be compounding both HCG and FSH regardless of the classification and there are no plans to discontinue either." She was aware of the reclassification issue...
  5. L

    Your Access to More Economical hCG and FSH Ended in November 2021

    This new law applies to ALL compound pharmacies-- 503A and 503B-- correct? I found this older thread and wasn't sure if it applied to this or not. Pharmacies like Empower would still be affected, correct? I submitted a comment to the FDA page, but my hopes are VERY low that we have any chance...
  6. L

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

    Holy crap. How did I not know about this? I am now officially stressed as hell. I wish I had heard about this sooner. I left a comment.
  7. L

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

    Thanks, both of you. I have been pushing for FSH for six months and his doctor won't prescribe. She said she'd "consider it" if he was still low once his test levels came back up. We are point blank asking for it this time. I want him to be able to get back on test so we can put an end to this...
  8. L

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

    Hi, everyone... I've been posting to this thread for probably six months now. I'd like some guidance as I have another update and would like an opinion before we have a follow up appointment next week. Hubby started on HCG monotherapy (1500IU/3Xweek) in July. He had a follow up SA and bloodwork...
  9. L

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

    Thank you SO much for you input, Dr. Saya. Husband is off T right now and was on it for less than a year, so this makes me have a good degree of confidence moving forward with the HCG+Clomid protocol. Sides and Juice aren't joking when they say there is better info available here than there is...
  10. L

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

    I wish you the best of luck in your parenting journey! We have an (almost) three year old together and I have an (almost) 16 year old from my prior marriage, and to say it is life changing doesn't even begin to hit the tip of the iceberg. They get more expensive as they get older too. Oh my oh...
  11. L

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

    Just want to say thanks Sides for your opinion and advice. We will give the HCG + Clomid a go for awhile. He went from 0 - 4 mil/ml in two months on HCG, so hopefully it'll continue rising. Even at .20/unit, FSH would probably be $400 a month or so for us... so we will give this a whirl for now.
  12. L

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

    Saw the fertility doctor yesterday and she refused FSH/HMG. She said he is doing fine on HCG monotherapy but increased him from 1500IU/3x/week to 2000IU/3x/week. She also wants to add 50mg of Clomid every other day to his regimen. Sigh. In the fertility world, they will absolutely not advise...
  13. L

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

    Excellent. THANK YOU! We are currently using Empower. Hoping she will add FSH (or even better, HMG since it mimics both LH and FSH, right?) on Monday. Bringing your screen shots above with us. Ty ty ty as always.
  14. L

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

    I hope it is OK to reply to this thread; I'm not a super frequent user of EM so I apologize if this is not acceptable. My husband was on combo therapy that included testosterone, clomid, anastrazole and HCG for six months. This got his test levels through the roof, but it still zeroed out his...
  15. L

    Need opinion on fertility uro visit yesterday.

    I do wonder if he should continue the Clomid, though. She said he should discontinue. Most the studies I'm reading for gonadotropin therapy either use HCG monotherapy or HCG + HMG or rFSH. I haven't seen much with a SERM combined with a gonadatropin.
  16. L

    Need opinion on fertility uro visit yesterday.

    TY Fifty. I was surprised she even offered 1500 3x a week. It seems the standard in urology is 1500 2x a week. Unfortunately, we are dealing with The Cleveland Clinic here- so the docs there aren't as pliable as I wish they were. I think we're going to have to stick out this regimen for 30-60...
  17. L

    Need opinion on fertility uro visit yesterday.

    I have collected no fewer than 12 studies showing that FSH added to HCG has great results in cases like hubby. I will give her 60 days for HCG only. If his next SA is still zero count, I will insist on FSH. She said they don't prescribe it there, but she also said they don't routinely use HCG...
  18. L

    Need opinion on fertility uro visit yesterday.

    Thank you. I would LOVE to get him on FSH, but the fertility uro said they don't even use it-- and said she doesn't even usually prescribe HCG because it's "so hard to get." However, she called today and due to his natural T numbers falling so low (they tested yesterday), she switched him to...
  19. L

    Need opinion on fertility uro visit yesterday.

    UPDATE: He had his test numbers drawn yesterday and they came back at 123. The uro said discontinue Clomid and started him on 1500iu of HCG 3x a week.
  20. L

    Need opinion on fertility uro visit yesterday.

    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...
  21. L

    TRT, Clomid, HCG, Anastrazole = zero sperm count?

    Thank you for all the replies, Fifty. We appreciate it immensely.
  22. L

    TRT, Clomid, HCG, Anastrazole = zero sperm count?

    Thanks so much. I do think it's unlikely that it's a progressive condition, but we will see what the fertility clinic says in that regard. It happened right around the time I got pregnant, so part of me genuinely thinks it's psychological in some way. We will absolutely look into Defy once we...
  23. L

    TRT, Clomid, HCG, Anastrazole = zero sperm count?

    This is a huge problem that we've had. We don't know what caused the zero count SA. We know based on history that it's unlikely he has complete testicular failure simply because there was absolutely nothing that could have caused it and he had no issues whatsoever until a couple of years ago...
  24. L

    TRT, Clomid, HCG, Anastrazole = zero sperm count?

    He is now on Clomid alone, so here's to hoping he starts producing sperm again. He's also started on 300mg CoQ10, 10,000 IU Vitamin D3, and 200mg zinc.
  25. L

    TRT, Clomid, HCG, Anastrazole = zero sperm count?

    TY so much... both these threads have been extremely helpful. :)
  26. L

    Fertility help!!

    I know this is an old post, but do you have an update? We are in a very similar situation. Had a baby naturally in Dec. 16 and hubby got diagnosed with low T in Jan. 2019. They put him on 100mg test cyp per week, 800IU HCG per week, 50 mg of Clomid daily, plus .3 mg of anastrazole daily. He had...
  27. L

    TRT, Clomid, HCG, Anastrazole = zero sperm count?

    I hope I'm posting this in the correct place, as I'm a new member and not a typical use as my husband is not into lifting. Still hoping i can find some help here because we've had a rough few months in regards to TRT and fertility. We are desperate for answers as my husband badly wants another...
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