HCG + Test and azoospermia

RapperT · Jun 16, 2014

Hi all,

I am a 33 year old male with azoospermia not attributed to trt. It was most likely caused by years of alcohol abuse (6 + years sober now).

My test levels were under 100 and LH, FSH both under 1. My urologist tried me on clomid for awhile and it actually bought my T down to 10 with no effect on LH and FSH. I had an MRI of pituitary which came back negative.

My question is, do you think I have any hope of producing sperm by implementing some sort of hcg/hmg protocol either with or without my trt? I see a lot of info about hcg PRESERVING fertility when run concurrently to TRT, but not much about its effects if men who were azoo prior to starting trt.

I am using the bare minimum of test right now to have some sort of quality of life (last bloods came back at 495..one pump of fortesta to each thigh daily). I would like to continue if possible but am willing to stop if necessary.

all other blood levels were in range...had full hormone panel (except estradiol which is weird...will ask doc tomorrow).

Any help is appreciated.

Rich

Nelson Vergel · Jun 16, 2014

Rich:

Have you tried testosterone replacement with 2-3 shots a week of HCG (500 IU)? It would be interested if you would respond like the men in Dr Lipshultz' study.

https://www.excelmale.com/forum/sho...e-Testicular-Shrinkage-and-Preserve-Fertility

If that does not work, then HCG/HMG may be the way to go. HMB is very expensive, though.

Here is a good paper on the use of HMG

Pulsatile GnRH or human chorionic gonadotropin/human
menopausal gonadotropin as effective treatment for men with
hypogonadotropic hypogonadism: a review of 42 cases

RapperT · Jun 16, 2014

Thanks for the reply and the links Nelson....I will read them right now. I am going to ask my doc about that protocol tomorrow. I think he will be willing to give it a try. How long do you suggest i wait before my next semen analysis? I read somewhere that it can take up to 6 months for sperm to produce.