Enclomiphene vs TRT: Where Does It Really Fit in Today’s HRT Landscape?

madman

Super Moderator
Mohit Khera's personal experience with enclomiphene

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HPTA
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Conclusion
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Mohit Khera

* what we found is that you don't see a significant suppression in LH and FSH and more importantly you don't see a significant suppression in spermatogenesis so yet your giving exogenous testosterone but not suppressing spermatogenesis

* In all fairness 20% of the patients in this trial so far have become azoospermic but we are starting to see signs of a medication, one of the exogenous testosterones that may not significantly suppress spermatogenesis as bad as other exogenous testosterone products





Oral TU Efficacy at Final PK Visit

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2025 Abstract
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Preventing Infertility
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hCG and Intratesticular T
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TTh and HCG Preserves Fertility

Mohit Khera

* but don't be fooled if you read are manuscript there were patents that became azoospermic, this is an average right, so don't tell patients if you take hCG with your testosterone everything is going to be fine but the MAJORITY of men did see preservation or spermatogenesis by taking the hCG


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Follow-up study presented last year at AUA 2025

* the take-home is look at the azoospermic rate

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