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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone and Men's Health Articles
ASIH & Regaining Fertility
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<blockquote data-quote="madman" data-source="post: 272306" data-attributes="member: 13851"><p>Welcome to Nelson's domain!</p><p></p><p>Yes, one can remain fertile when using exogenous T but your chances may be better coming off temporarily.</p><p></p><p>Your starting protocol is overkill (hCG + EC + FSH + hMG)</p><p></p><p>The dose /injection frequency of hCG may be too low.</p><p></p><p>No need to throw in the FSH or hMG off the hop and you could leave out the hMG if you are already using hCG + FSH.</p><p></p><p>If one is going to stop TRT/AAS then the basic starting protocol would be hCG and clomid.</p><p></p><p>I would give it 3 months before getting another SA done let alone labs for FSH, LH, T/FT, and estradiol.</p><p></p><p>If you are still struggling at the 3-month mark on the current protocol you can drop the clomid and add in FSH at a minimum starting dose of 75 IU EOD.</p><p></p><p>If you are going to stay on TRT/AAS then hCG or hCG + clomid would be used or you can go with hCG + FSH off the hop.</p><p></p><p></p><p></p><p></p><p><strong>*</strong><em><strong>If the patient desires to maintain fertility at the outset, then a baseline semen analysis should be obtained and a decision made as to the timing of the desired pregnancy. <u>For patients who desire a pregnancy within 6 months, TST should be discontinued immediately and therapy initiated with 3000 IU hCG every other day, with or without 25 mg daily clomiphene citrate, and a semen analysis obtained every 2 months</u>. <u>If semen parameters do not improve sufficiently and FSH remains suppressed, rhFSH at 75 IU every other day may be added with discontinuation of clomiphene citrate</u>. <u>If the patient and his partner anticipate the desired pregnancy in 6–12 months, TST may be started or continued with <a href="https://www.excelmale.com/forum/threads/best-hcg-dose-for-men-on-trt-two-studies-that-used-hcg-with-testosterone.425/" target="_blank">500 IU hCG</a> given every other day with or without clomiphene citrate at the aforementioned dose</u>. For those patients desiring <strong>pregnancy in greater than 1 year, we recommend the patient cycles off TST every 6 months with a 4-week treatment cycle of 3000 IU hCG every other day</strong>. </strong></em></p><p></p><p></p><p></p><p></p><p>Look over<strong><em> post #5 (link below)</em></strong> numerous threads to chew on!</p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/fertility-maintenance-or-restoration-in-men-before-during-and-after-trt-or-aas.26114/[/URL]</p><p></p><p>[ATTACH=full]40426[/ATTACH]</p><p>[ATTACH=full]40427[/ATTACH]</p></blockquote><p></p>
[QUOTE="madman, post: 272306, member: 13851"] Welcome to Nelson's domain! Yes, one can remain fertile when using exogenous T but your chances may be better coming off temporarily. Your starting protocol is overkill (hCG + EC + FSH + hMG) The dose /injection frequency of hCG may be too low. No need to throw in the FSH or hMG off the hop and you could leave out the hMG if you are already using hCG + FSH. If one is going to stop TRT/AAS then the basic starting protocol would be hCG and clomid. I would give it 3 months before getting another SA done let alone labs for FSH, LH, T/FT, and estradiol. If you are still struggling at the 3-month mark on the current protocol you can drop the clomid and add in FSH at a minimum starting dose of 75 IU EOD. If you are going to stay on TRT/AAS then hCG or hCG + clomid would be used or you can go with hCG + FSH off the hop. [B]*[/B][I][B]If the patient desires to maintain fertility at the outset, then a baseline semen analysis should be obtained and a decision made as to the timing of the desired pregnancy. [U]For patients who desire a pregnancy within 6 months, TST should be discontinued immediately and therapy initiated with 3000 IU hCG every other day, with or without 25 mg daily clomiphene citrate, and a semen analysis obtained every 2 months[/U]. [U]If semen parameters do not improve sufficiently and FSH remains suppressed, rhFSH at 75 IU every other day may be added with discontinuation of clomiphene citrate[/U]. [U]If the patient and his partner anticipate the desired pregnancy in 6–12 months, TST may be started or continued with [URL='https://www.excelmale.com/forum/threads/best-hcg-dose-for-men-on-trt-two-studies-that-used-hcg-with-testosterone.425/']500 IU hCG[/URL] given every other day with or without clomiphene citrate at the aforementioned dose[/U]. For those patients desiring [B]pregnancy in greater than 1 year, we recommend the patient cycles off TST every 6 months with a 4-week treatment cycle of 3000 IU hCG every other day[/B]. [/B][/I] Look over[B][I] post #5 (link below)[/I][/B] numerous threads to chew on! [URL unfurl="true"]https://www.excelmale.com/forum/threads/fertility-maintenance-or-restoration-in-men-before-during-and-after-trt-or-aas.26114/[/URL] [ATTACH type="full" alt="Screenshot (31824).png"]40426[/ATTACH] [ATTACH type="full" alt="Screenshot (31825).png"]40427[/ATTACH] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone and Men's Health Articles
ASIH & Regaining Fertility
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