clomid after trt

[Posimrx3]

I am a 45 year old who recently is trying to concieve a child always have had a low sperm count even before trt.i have had a vericocele operation 3mos. Ago stopped trt and have been on clomid 50 mg three times a week for 4mo. Now have a awesome sperm count of 42mill per ml.just no motillity
New blood results are
Lh 6.7
Estradol 26
Total test 553
Free test 10 24th
So to me blood work looks awesome considering no trt at all my total test prior to all of this was 280
What im asking is how long before I should expect sperm motility or not expect it at all.

 

[Gene Devine]

What were your LH and FSH values?

 

[Posimrx3]

They were not tested earlier I've been thru three docs one primary and two urologists this one seems like he knows what he is doing

 

[Gene Devine]

They were not tested earlier I've been thru three docs one primary and two urologists this one seems like he knows what he is doing

The point in wanting to look at LH/FSH is to see if you restarted your own endogenous production.

 

[Posimrx3]

I'm sorry to say that I don't have those numbers but production of sperm is up 40 mill per ml.
Looking to see how I can now get motillity up

 

[Keith Willse]

Clomid does a good job of increasing sperm counts and testosterone but in most cases, it does not increase pregnancy rates. Studies have shown that Clomid tends to have low success rates for men. Talk to your doctor about HCG and HMG for the motility as this is a pretty typically protocol with fertility doctors. As a matter of fact, some of them will also try rhFSH.

 

[Nelson Vergel]

Good references:

THE OPTIMAL EVALUATION OF THE INFERTILE MALE: BEST PRACTICE STATEMENT REVIEWED AND VALIDITY CONFIRMED 2011

Medical and surgical treatment of male infertility