Decided to do a SA, fertility options?

Vitamin_C

Member
I am a 40M who has been on TRT for about five years. My fiance is 29 and wants to have children. I decided to get a SA done to check on my swimmers. My current protocol is 120mg of Test Cypionate/week and 1000IU of HCG/week.

Motility: 16 (>=32%)
pH Semen: 8.5 (7.2-8)
Sperm count: 3.4 (>=15.0 mil/mL)

As you can see, my motility and sperm count are both low, as expected. My fiance and I currently live long distances, so we haven't consistently tried to conceive. However, she is moving in soon, and we will begin. Should we try first before I make any alterations to my modality such as upping my HCG dose or adding HMG? I have Clomid at home here, which can be an option if we cannot conceive down the road at some point. I'm not at zero, but it may be an uphill battle.
 
As you can see, my motility and sperm count are both low, as expected. My fiance and I currently live long distances, so we haven't consistently tried to conceive. However, she is moving in soon, and we will begin. Should we try first before I make any alterations to my modality such as upping my HCG dose or adding HMG?
If you want to improve your chances of getting your future wife pregnant, the best thing you can do is add hCG and FSH injections to your TRT protocol.

The hCG will wake up the testes and the FSH will stimulate sperm production.
 
I am a 40M who has been on TRT for about five years. My fiance is 29 and wants to have children. I decided to get a SA done to check on my swimmers. My current protocol is 120mg of Test Cypionate/week and 1000IU of HCG/week.

Motility: 16 (>=32%)
pH Semen: 8.5 (7.2-8)
Sperm count: 3.4 (>=15.0 mil/mL)

As you can see, my motility and sperm count are both low, as expected. My fiance and I currently live long distances, so we haven't consistently tried to conceive. However, she is moving in soon, and we will begin. Should we try first before I make any alterations to my modality such as upping my HCG dose or adding HMG? I have Clomid at home here, which can be an option if we cannot conceive down the road at some point. I'm not at zero, but it may be an uphill battle.
Hi, did the introduction of FSH improve your results? Currently have the same numbers as you, now off TRT and on Clomid. Would FSH be needed for full sperm motility to be achieved?
 
I am a 40M who has been on TRT for about five years. My fiance is 29 and wants to have children. I decided to get a SA done to check on my swimmers. My current protocol is 120mg of Test Cypionate/week and 1000IU of HCG/week.

Motility: 16 (>=32%)
pH Semen: 8.5 (7.2-8)
Sperm count: 3.4 (>=15.0 mil/mL)

As you can see, my motility and sperm count are both low, as expected. My fiance and I currently live long distances, so we haven't consistently tried to conceive. However, she is moving in soon, and we will begin. Should we try first before I make any alterations to my modality such as upping my HCG dose or adding HMG? I have Clomid at home here, which can be an option if we cannot conceive down the road at some point. I'm not at zero, but it may be an uphill battle.
Any success?
 

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TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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