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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Fertility: Sperm count up after adding HCG to TRT
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<blockquote data-quote="Dr Justin Saya MD" data-source="post: 75323" data-attributes="member: 12687"><p>To your first question - I wouldn't be able to validate the efficacy of stopping FSH once adequate spermatogenesis is established in favor of HCG only. I would presume the fertility parameters would trend back down to the HCG-only levels at that time, which wouldn't be ideal in those cases where the progression is made to add FSH as the presumption there is that the fertility parameters were not ideal with HCG only (or else the progression to add FSH wouldn't have been necessary to begin with). </p><p></p><p>To your second question - I've seen nothing to suggest (in clinical practice) a significant deviation in results between beginning HCG at the onset of TRT vs beginning at some point thereafter (when factoring relative age into consideration). However, as you state, I'm also not aware of any data directly comparing the two scenarios. The most important factor, IMO, for response to HCG is the degree of primary hypogonadism present (at any time HCG is incorporated).</p></blockquote><p></p>
[QUOTE="Dr Justin Saya MD, post: 75323, member: 12687"] To your first question - I wouldn't be able to validate the efficacy of stopping FSH once adequate spermatogenesis is established in favor of HCG only. I would presume the fertility parameters would trend back down to the HCG-only levels at that time, which wouldn't be ideal in those cases where the progression is made to add FSH as the presumption there is that the fertility parameters were not ideal with HCG only (or else the progression to add FSH wouldn't have been necessary to begin with). To your second question - I've seen nothing to suggest (in clinical practice) a significant deviation in results between beginning HCG at the onset of TRT vs beginning at some point thereafter (when factoring relative age into consideration). However, as you state, I'm also not aware of any data directly comparing the two scenarios. The most important factor, IMO, for response to HCG is the degree of primary hypogonadism present (at any time HCG is incorporated). [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Fertility: Sperm count up after adding HCG to TRT
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