Fertility questions - how is my protocol?

[JDAndrew]

Hello all.

Long time lurker. First time poster. I never had any questions as Nelson's book covered all my questions in detail.

That being said I have a serious question for you. I am in asia and doctors here are hit or miss. I was on trt (150mg of testosterone per week) with 500iu HCG every 3 days for long time. All was good. When I mentioned to the doctor that we are thinking of having a kid he added to my trt 75iu hmG (same syringe with hcg) every 3 days and 50mg clomid every day on top of my trt.


He told me to try this protocol for 3 months and if my wife is not pregnant by then to drop the test and keep hMG, HCG and clomid and keep trying. However, he also mentioned that he would suggest me to drop testosterone and continue with hMG, HCG and clomid till we conceive.

He left it up to me to decide.

I am now 2 weeks in with hMG and 4 days with clomid (was waiting to get it delivered).

What do you guys think of my fertility protocol?

Shall I drop the testosterone now and continue with HCG, hMG and clomid only, or give it some time?


Thank you.

 

[CoastWatcher]

Welcome to EM. First of all, one never takes Clomid and exogenous testosterone simultaneously. The two drugs work in opposition to one another, one shuts down your axis, one tries to jump-start the axis. Pointless. Was a sperm count obtained?

 

[JDAndrew]

Welcome to EM. First of all, one. Ever takes Clomid and exogenous testosterone simultaneously. The two drugs work in opposition to one another, one shuts down your axis, one tries to jump-start the axis. Pointless. Was a sperm count obtained?

He explained this to me today actually. He called me and told me he messed up his notes. I should have posted it. He mentioned that if I want to stay on TRT to try hMG and HCG first (75iu and 500iu respectively every 3 days) and after a month or two to get a sperm check and if it is still low to stop TRT and do hMG, HCG and 50mg clomid every day.

What of the two is the best option in your opinion? I am thinking of trying trt+HCG+hMG first for a few months and then take it from there.

 

[CoastWatcher]

Perhaps I missed something, but how do you know your not fertile at this point? You've been on HCG, right? Is conception proving to be a challenge?

 

[Vince]

If you're on TRT and wish to remain fertile or become fertile, you must inject 500iu of HCG "every other day".

 

[Vince Carter]

Perhaps I missed something, but how do you know your not fertile at this point? You've been on HCG, right? Is conception proving to be a challenge?

That's exactly the question to be asked above all others.

 

[Vince Carter]

Hello all.

Long time lurker. First time poster. I never had any questions as Nelson's book covered all my questions in detail.

That being said I have a serious question for you. I am in asia and doctors here are hit or miss. I was on trt (150mg of testosterone per week) with 500iu HCG every 3 days for long time. All was good. When I mentioned to the doctor that we are thinking of having a kid he added to my trt 75iu hmG (same syringe with hcg) every 3 days and 50mg clomid every day on top of my trt.


He told me to try this protocol for 3 months and if my wife is not pregnant by then to drop the test and keep hMG, HCG and clomid and keep trying. However, he also mentioned that he would suggest me to drop testosterone and continue with hMG, HCG and clomid till we conceive.

He left it up to me to decide.

I am now 2 weeks in with hMG and 4 days with clomid (was waiting to get it delivered).

What do you guys think of my fertility protocol?

Shall I drop the testosterone now and continue with HCG, hMG and clomid only, or give it some time?


Thank you.

Why? No sperm analysis, or anything else, you don't state that you've been trying and unable, and you've been using an appropriate amount of HCG since you started, contrary to the baffling 500iu EOD required comment. I think that that's all suspect...throwing wrenches at something you've no idea about...your fertility. Or Infertility. What about "her"...are you the one with the problem?

Very substandard Dr you have there. As you noted.