Best protocol? - young(ish), low T, high SHBG, maintain fertility?

[BackToRegular]

What is the best starting protocol for a 34 y/o with total T between 300-500, high SHBG, and wanting to have kids within the next 1-3yrs?

Background: 34 y/o, 6'3", 203lbs, <10%bf, workout a lot

One doc recommend 50mg Clomid and HCG. After reading here it seems clomid isn't a great choice for someone with high SHBG, and it seems this is a high level to start with.

Is a better starting approach to try 12.5mg Clomid along with an AI or hcg for the next few years until after kids are done and I can start using test?

 

[cigpk]

What is the best starting protocol for a 34 y/o with total T between 300-500, high SHBG, and wanting to have kids within the next 1-3yrs?

Background: 34 y/o, 6'3", 203lbs, <10%bf, workout a lot

One doc recommend 50mg Clomid and HCG. After reading here it seems clomid isn't a great choice for someone with high SHBG, and it seems this is a high level to start with.

Is a better starting approach to try 12.5mg Clomid along with an AI or hcg for the next few years until after kids are done and I can start using test?

I’m also high SHBG. Tried a clomid restart with 12.5 mg every other day at one point and it drove my shbg to 90 (15-55) and it was pretty terrible.

After two and a half years of Testosterone cypionate + HCG, my sperm analysis showed top range numbers.

Hcg can be pretty effective for fertility

 

[BackToRegular]

I’m also high SHBG. Tried a clomid restart with 12.5 mg every other day at one point and it drove my shbg to 90 (15-55) and it was pretty terrible.

After two and a half years of Testosterone cypionate + HCG, my sperm analysis showed top range numbers.

Hcg can be pretty effective for fertility

Really appreciate this cigpk. Can you tell more about the dose and frequency of the Test C+ HCG? Did you start with Test C and then add HCG? Do you do any periodic cycling, or adjust when it's time to have kids?

 

[cigpk]

Really appreciate this cigpk. Can you tell more about the dose and frequency of the Test C+ HCG? Did you start with Test C and then add HCG? Do you do any periodic cycling, or adjust when it's time to have kids?

I was 24 when I began on testosterone + hcg, sticking with the following twice per week for about two years:

40 mg test-c
600 iu hcg

I then went to (still 2x a week) 40 mg test c and 500 iu Hcg. 6 months later I got a semen analysis done and had very good numbers.

My doc at the time wanted me to try clomid instead so I quit testosterone/hcg and gave it a try and it kinda sucked all in all. My shbg went up crazy high driving down free T/e2. Felt similar to pre trt but a little better I guess.

I eventually got back on testosterone and now I’m on an Every other day schedule.

I currently take the following, rotating every other day.
-20 mg test-c one day, 310 iu hcg the next day.

 

[Systemlord]

When TRT and HCG isn't enough, add FSH injections, after all FSH is suppressed on TRT.

 

[BackToRegular]

I was 24 when I began on testosterone + hcg, sticking with the following twice per week for about two years:

40 mg test-c
600 iu hcg

I then went to (still 2x a week) 40 mg test c and 500 iu Hcg. 6 months later I got a semen analysis done and had very good numbers.

My doc at the time wanted me to try clomid instead so I quit testosterone/hcg and gave it a try and it kinda sucked all in all. My shbg went up crazy high driving down free T/e2. Felt similar to pre trt but a little better I guess.

I eventually got back on testosterone and now I’m on an Every other day schedule.

I currently take the following, rotating every other day.
-20 mg test-c one day, 310 iu hcg the next day.

Again thanks a lot cigpk. Is it a pain (both literally and figuratively) to inject everyday (seems hcg is only an injectable). Last question: can I ask what this brought your T up to?

 

[BackToRegular]

When TRT and HCG isn't enough, add FSH injections, after all FSH is suppressed on TRT.

Thank you Systemlord, didn't know FSH injections are available

 

[cigpk]

Again thanks a lot cigpk. Is it a pain (both literally and figuratively) to inject everyday (seems hcg is only an injectable). Last question: can I ask what this brought your T up to?

Not a pain at all. Well worth the ability to feel normal and not like I’m running on fumes every day.

Currently my total T is about 1000, but that was on 80 mg a week dose. I just lowered to 70 mg a week and hoping this drops my total t to about 850-900

 

[Systemlord]

Thank you Systemlord, didn't know FSH injections are available

Glad I could help out.

Empower Pharmacy is the best cheapest place to find FSH, otherwise a regular pharmacy can cost a small fortune with a significant price hike.

 

[gaz7718]

Are there any suppliers recommended that ship to the UK?