fertility

Hello everyone, As someone who has been on TRT for about 1.5 years I’ve been off and on HCG and tried doses anywhere from 250-500ius per injection. When I started TRT I was immediately put on HCG as I was 24 and my doctor was concerned about fertility issues down the road if I was T only. More...

My wife and I conceived our first child through Clomid and just recently another via HCG Monotherapy. While children are truly a blessing, I think we’re done, lol. I’m considering a vasectomy for birth control, but we’re concerned about how that might affect my overall health/hormones. I’m...

Hello all, Currently, my wife and I are hoping to conceive. I have been on TRT therapy for 3 years now. I have also used HCG for the first two years, though, this past year I stopped taking it (I feel better on T only). I am 27 years old. I saw my doctor and his fertility/restart protocol is...

Hi all, not sure if this is the proper part of the forum to post so please move accordingly if needed. I am saying sorry in advance for the long post as well, please don't hold it against me. Over the last 3-4 years(I am 33 years old) I have noticed a steady decline in overall life quality. I...

Eur Urol. 2019 Jan 7. pii: S0302-2838(18)31027-3. doi: 10.1016/j.eururo.2018.12.022. [Epub ahead of print] Benefits of Empiric Nutritional and Medical Therapy for Semen Parameters and Pregnancy and Live Birth Rates in Couples with Idiopathic Infertility: A Systematic Review and Meta-analysis...

Hey everyone. I know a lot of this topic has been covered a few times, but since every case is different I figured I would start an original post and invite input from the entire community. Ill put as much detail as possible. A brief bio: 40yo retired military, Registered dietitian and...

2 years back I was prescribed a testosterone gel in UK for my low t levels of 6.2 at the age of 38 I am now 40 and kinda regretting the decision. It appears they think it's secondary hypogonadism but had no final say and now exloping the possibility of children..... I had sperm test done which...

Been on TRT for 28 months. Prior to starting therapy, my wife and I conceived our two year old son during the first month of trying. So no fertility issue before TRT. We have been trying for our second child for six months now without any luck. Dr started me two months ago on empower HCG...

Hi everybody! Stefan here - longtime reader and fan of this forum and web site. I've got some real puzzling libido/testosterone issues and have reached an impasse about what to do next. I'm 33 years old, married, have kids and would like more. Body fat somewhere between 15% and 20%. Main...

From Dr Paul Terek Two decades ago, the field of male infertility held two new truths: That men without sperm in the ejaculate can have sperm in the testicle, and that testicular sperm could be used to create babies with IVF-ICSI. We also learned that testicular sperm tends to be located in...

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Effect of scrotal heating on sperm quality, seminal biochemical substances, and reproductive hormones in human fertile men. At present, male contraceptive methods are only vasectomy and condoms, so it is necessary to research on male contraceptive techniques. The aim of this study is to observe...

Dr. Ramasamy presents his preliminary data on the use of Natesto and its effect on sperm count. Dr. Ranjith Ramasamy is the Director of Male Reproductive Medicine and Surgery as well as an Assistant professor in the Department of Urology at the University of Miami in Florida. As a Urologist and...

One of my largest reasons for stopping TRT was that I want to have a child. With LH and FSH consistently at 0.0, I know that will be a problem. For the life of me, I cannot find real proof that HCG whole on TRT, and what dosage is required, will maintain a man’s fertility. Is this info not out...

I have a testicle that descended late and was always smaller than the other. Now the larger testicle has shrunk to match the other. It started with leg and testicle pain and really nothing has been solved. I have bilateral vericocele and small cysts. I have possible epididymo orchitis on the...

The use of testosterone replacement therapy (TRT) increases blood levels of testosterone but, surprisingly, it decreases the level of testosterone inside the testicles (Intratesticular testosterone or ITT). ITT is key for proper sperm production. This ITT decrease is due to the LH and FSH shut...

So after 6 months of adding FSH to my TRT protocol I got a sperm analysis done. A quick background. My fertility was normal before TRT and went to zero when I started TRT without HCG. Adding HCG 500 IU 2x a week my sperm analysis results were: sperm count 2.1mm (normal >=20mm) total sperm 7.2mm...

Almost 15% of all couples trying to conceive are affected by infertility, and in almost half of these cases male infertility is the sole or a contributing factor.1 Male infertility can have several causes. The most common is idiopathic oligoasthenoteratozoospermia (OAT),2 which is a condition in...

Nelson Vergel, co-founder of ClinicOptimizers.com, founder of ExcelMale.com and DiscountedLabs.com, and author of the book "Testosterone: A Man's Guide", reviews current data on the use of human chorionic gonadotropin (hCG) in men to preserve/regain fertility, testicular size, libido and higher...

Not sure where to start here... My husband and I have been married over 4 years during which his lack of libido became glaringly obvious from the start. We've suspected low T for a long time and did get a blood test done a few months ago, altho not conclusive enough. Only measurement is total T...

Effect of Paracetamol on Semen Quality Several published studies, both direct and indirect, have connected paracetamol, also named acetaminophen, a commonly used over-the-counter analgesic and antipyretic medication, with semen quality and male infertility, although as yet this connection is...

I will add rFSH to my TRT protocol in an effort to regain fertility. I usually travel for business and take my HCG using a FRIO bag that keeps it cool (but not cold) and it works just fine. It seems HCG doesn't lose its potency (based on how i feel and sperm analysis). My question is: is FSH...

Hey guys quick story. (Not listing all labs from past because 5 years worth) Overweight whole life. 6ft tall, Got up to 300lbs in college first year, by 3rd year dropped to 185lbs with diet and lots of exercise (RAN 18mi/week+ weights) lots of greens and protein. Life was GREAT! Met a girl! Fell...

Hi All, Just registered. Looking for advice. I have been using test on and off for over 10 years. Came off it 6 weeks ago after a sperm analysis showed no sperm was present. My wife and I are trying for a baby and the specialist we attended has me on 50mg of clomid every other day. One week on...

TY - JOUR AU - Fronczak, Carolyn M. AU - Kim, Edward D. AU - Barqawi, Al B. TI - The Insults of Illicit Drug Use on Male Fertility JO - Journal of Andrology VL - 33 Anabolic-Androgenic Steroids— AAS are cholesterol derivatives of testosterone with effects that are both anabolic and androgenic...

Hey guys! If I go off TRT for a couple of months (hopefully not more than 4) to induce spermatogenesis, should I then remain on hCG (using 500iu 3x/week now) and add in a serm (Clomid/torem) for the duration while off testosterone? Obviously people are treated with both types of medications...

Hello all. Long time lurker. First time poster. I never had any questions as Nelson's book covered all my questions in detail. That being said I have a serious question for you. I am in asia and doctors here are hit or miss. I was on trt (150mg of testosterone per week) with 500iu HCG every 3...

It seems to be a debatable topic whether or not there are any benefits to using Clomid or other serms on TRT. We typically use hCG to retain fertility (or restore). The problem is that hCG does nothing for FSH. Can we use Clomid, Nolvadex or Toremifene to solve this issue? I know hMG can take...

Dear Excel Male community, First off, thank you to Nelson and the whole ExcelMale community. This is a great forum with a lot of strong information and I thank you all for that. My question today is about HCG's ability while on testosterone to preserve fertility and a strong sperm count. I am...

Hey all, after doing lots and lots of research on the subject i thought I'd join this forum and seek help and advice as there seems to be lots of knowledgeable people around. I'm 26 and have been on TRT for 3 1/2 years. I already have a child with a previous partner and I'm now in a serious...

Long story short i was on TRT for a few months without HCG and after doing a sperm analysis results came up as ZERO count (before TRT my sperm count was normal and i had a child). Since then i changed doctors and I am using 400ui HCG 2x a week. After 9 weeks i did the sperm analysis again and...