21M – High LH (~30), Total T ~480 (morning), one testicle, 10–11 months post-varicocelectomy – considering TRT + hCG (fertility concerns)

[tanshadi]

Hey everyone, looking for informed opinions/experiences because I’ve been dealing with this for a while now.

Background:

• 21 years old male
• Only one testicle (lost the other earlier, long story involving medical negligence which has honestly made me very skeptical of doctors)
• Remaining testicle had varicocele → underwent varicocelectomy ~10–11 months ago
• Surgery hasn’t meaningfully improved my condition

Labs (multiple tests, consistent):

• LH: ~30 (very high)
• Total Testosterone: ~480 ng/dL (tested at ~8:15 AM)
• Estradiol (E2): ~34 pg/mL

Symptoms:

• No morning wood
• Low-ish libido
• Feel physically weak / low energy
• Overall not how a 21 y/o should feel

My interpretation:
Seems like compensated/early primary hypogonadism LH is maxed out but testicle isn’t producing enough.

Current plan:

• Doing semen analysis soon (haven’t done yet)
• Considering TRT + hCG to improve symptoms while trying to preserve fertility

Questions:

1. Anyone with similar profile (high LH + borderline T + single testicle)?
2. Has Clomid/enclomiphene worked when LH is already this high?
3. Experiences with TRT + hCG in terms of:
   
   • Symptom relief
   • Fertility outcomes
4. Would you try Clomid first or go straight to TRT in this kind of case?

I’ve already spent a lot of time and gone through surgery with limited results, so I’m trying to make a more informed decision going forward.

Appreciate any serious input.