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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Do I Have Primary or Secondary Hypogonadism or is it Thyroid?
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<blockquote data-quote="MarkM" data-source="post: 112632"><p>I probably can't answer all your questions properly but I will give you a layman's thoughts. I believe if you were secondary that you would not have the LH and FSH levels your labs show you have. As far as the exact reason you are primary might be something for someone smarter than me to determine. I believe the facial hair and micro-penis matters would deal more with DHT levels much more than testosterone. We get our facial hair and other body hair from DHT (not the scalp) and a severe lack of DHT could have a micropenis affect. HCG works within the testes because of the mimicking of LH. That is probably why you did not see much of in increase in testosterone when you were on HCG monotherapy. You would likely have seen a higher improvement in testosterone levels if you were secondary with the HCG monotherapy. As far as having a child while being primary, I would think that is still possible. Although primary, it does not mean you are completely shut down prior to TRT, but it would mean that the functioning is not at full capacity. You did have good FSH levels which is needed for sperm production. While I think you would be primary, that is just a simple man's opinion. I could be wrong. As far as taking HCG, when on TRT your HPTA axis is shut down. Taking HCG will help with testicular atrophy and many believe it helps backfill your other hormonal pathways. I believe that HCG does backfill but others would disagree. I hope others will step in and correct any misinformation I have provided.</p></blockquote><p></p>
[QUOTE="MarkM, post: 112632"] I probably can't answer all your questions properly but I will give you a layman's thoughts. I believe if you were secondary that you would not have the LH and FSH levels your labs show you have. As far as the exact reason you are primary might be something for someone smarter than me to determine. I believe the facial hair and micro-penis matters would deal more with DHT levels much more than testosterone. We get our facial hair and other body hair from DHT (not the scalp) and a severe lack of DHT could have a micropenis affect. HCG works within the testes because of the mimicking of LH. That is probably why you did not see much of in increase in testosterone when you were on HCG monotherapy. You would likely have seen a higher improvement in testosterone levels if you were secondary with the HCG monotherapy. As far as having a child while being primary, I would think that is still possible. Although primary, it does not mean you are completely shut down prior to TRT, but it would mean that the functioning is not at full capacity. You did have good FSH levels which is needed for sperm production. While I think you would be primary, that is just a simple man's opinion. I could be wrong. As far as taking HCG, when on TRT your HPTA axis is shut down. Taking HCG will help with testicular atrophy and many believe it helps backfill your other hormonal pathways. I believe that HCG does backfill but others would disagree. I hope others will step in and correct any misinformation I have provided. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Do I Have Primary or Secondary Hypogonadism or is it Thyroid?
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