Finally coming OFF TRT - Nolvadex and Clomid question, I'm very scared.

[diegoamartin7]

Hello guys, I was on TRT from mid 2022 to early 2024, had issues with ocasional ED and low libido so I decided to stop, it was self managed so I stupidly dont have bloods, quite possible i never neded the TRT at all.

Came off in early 2024, using tamoxifen (2 months at a high dose of 20mg), i dont remember having any serious side effects, at all, no ocular sides, perhaps some mild ed and low libido.

In june 2024 after messing with hcg and proviron whithout trt, my levels where 420ng and 9 free test, so I did a short stint with clomid, BAD IDEA, 50mg a day (stupid I know), for about 60 days, my test levels rose to 750 and LH was 23, but the BIG PROBLEM, it gave me permanent floaters, its not a huge deal, but i dont want them to be worse. For some stupid reason at this point, I decided to hop on TRT again, and thats where the nightmare of depression, low libido and ED became apparent, I need to stop TRT, I never needed it at all, and all my issues where unrelated to testosterone levels.

I want to get off, immediately, i just turned 30.
Last pin was last week, IM on HCG 750 units Eod for 2 WEEKS

NOW THE HUGE PROBLEM

Im gonna need a SERM after two weeks, obviously I wont use neither CLOMID or ENCLO because CLOMID gave me permanent floaters in the past.
As I told you before, I used TAMOXIFEN many times without any kind of occular side effect, EVER. (many PCTs and my initial PCT after TRT).

Obviously I'm scared now to use even TAMOXIFEN, but I have no choice, I need a fast HPTA restart because this is causing me severe distress.

I guess I need some reassurance, If TAMOX never caused my any issues on my eyes before, it should be fine now, right? I know, you cant assure me anything, but at least help me think this through.

Is my logic correct? I'm thinking of doing 10mg a day for 6 weeks (half the dose used by me in the past).

What do you guys think?
I 100 percent need to get off TRT, its not even a question, I reacted poorly, and Im having health issues.
I cant afford to do no PCT and be suppressed for a fucking year, Im already very desperate.

Help me get my mind together, please.
Thank you guys!

 

[Nelson Vergel]

Diego, take a breath — your logic is sound, and here's why:


Your personal history is actually the most relevant data point here. You've used tamoxifen (Nolvadex) multiple times at 20mg/day with zero ocular side effects. The floaters came from Clomid, not tamoxifen. These are two very different drugs with different mechanisms — Clomid (clomiphene citrate) is a mixed agonist/antagonist with known visual side effects due to its estrogenic action on retinal cells. Tamoxifen's ocular risks (retinopathy, crystalline deposits) are dose- and duration-dependent and associated with much higher cumulative doses than a 6-week PCT course.


Your plan of 10mg tamoxifen daily for 6 weeks is conservative and reasonable. Many successful PCT protocols use exactly this approach. You tolerated 20mg previously without issue, so you've got both a safety track record and buffer room.


A few practical points:

• You're already doing the right thing bridging with HCG 750 IU EOD for 2 weeks to prime the Leydig cells before adding the SERM. Don't skip that step.
• After 2 weeks of HCG, stopping HCG and starting tamoxifen 10mg/day for 6 weeks is a solid protocol.
• Get baseline labs before starting and recheck LH, FSH, and total/free testosterone 4–6 weeks after finishing tamoxifen to confirm recovery.
• Avoid enclomiphene as well, since it's a stereoisomer of clomiphene and could carry similar ocular risks for you.

The bigger picture: You're 30 years old, had a pre-existing 420 ng/dL baseline (borderline but real), and your symptoms worsened on TRT rather than improving — a classic signal that your issues were never primarily hormonal. The good news is that recovery at your age with a structured PCT is very achievable.


You made this more complicated than it needed to be, but you're making the right call now. Stay off TRT this time and dig into the real causes — psychological factors, sleep, dopamine dysregulation, relationship stress — which are the most common culprits when TRT makes libido and ED worse, not better.


You've got this. Get your bloodwork done.