Increase HCG dose while lowering TEST dose to restore testicular size

Matteo

New Member
Hi all,

I was diagnosed with hypoganism (secondary) due to low LH and FSH. I ran a trial of clomid for about 6 months and levels were up in the 725 range but never felt any better. I then moved to the UK and was started on Testogel for 9 months but never brought my TT levels above 300.

Finally I am seeing a private doctor and am currently on 125 mg Test Enanthate every week split into 2 injections every 3.5 days. I did this for one month (without HCG ) and my level of TT was at 975, 48 hours after my injection. Unfortunately I still don't feel any positive results fro the TRT.

I was able to get HCG and am now starting to incorporate that into my protocol. I have noticed that my testicles are definitely much smaller than before starting TRT. Keep in mind it was 9 months of Testogel and one month of Test Enanthate. My doctor is suggesting 450 iu HCG twice a week.

1 - Won't this bring my levels up too high? Also wouldn't this be better split 300 M, W, F?

2 - Is there any way to increase Test E for a short while (maybe 100 mg/week) and increase the HCG dosage in order to restore testicular size? Then maybe after a while I can increase the T again and then drop the HCG down to a lower level.

3 - If so what do you think would be a good protocol for increasing the HCG and lowering test, to restore testicular size, and how long should I run it for?

After, do you guys think 250iu M, W, F would be sufficient?

Thanks for the help!
 
This micromanaging won't work out for you, increasing T dose and increasing HCG for a short while will at best result in temporary result, you need to give your body time to adjust. My testicles didn't drop until after many months on TRT, I'm not on HCG. One month is nothing, you're still early in the TRT game and you can't expect much for months. If you posted your labs we might be able to spot issues, your SHBG levels and receptor sensitivity can determine how long it takes to balance out.

I don't think you realise it takes many months to reach the full benefit of TRT, it's not like injecting heroin, these are hormones we are talking about here. Testosterone affects every cell in the body and it's going to take time for tissue regeneration, then you will feel better. Changing this, increasing that because I feel like this today and you will never get to a place where you feel normal. We see this kind of shotgun approach all the time and these are the guys who give up on TRT because they lack patience.

High E2 will decrease testicle size, you mention nothing about an AI.

HCG dose is on the low side.
 
Last edited:
Hi all,

I was diagnosed with hypoganism (secondary) due to low LH and FSH. I ran a trial of clomid for about 6 months and levels were up in the 725 range but never felt any better. I then moved to the UK and was started on Testogel for 9 months but never brought my TT levels above 300.

Finally I am seeing a private doctor and am currently on 125 mg Test Enanthate every week split into 2 injections every 3.5 days. I did this for one month (without HCG ) and my level of TT was at 975, 48 hours after my injection. Unfortunately I still don't feel any positive results fro the TRT.

I was able to get HCG and am now starting to incorporate that into my protocol. I have noticed that my testicles are definitely much smaller than before starting TRT. Keep in mind it was 9 months of Testogel and one month of Test Enanthate. My doctor is suggesting 450 iu HCG twice a week.

You're all over the place. I'd stick to your current protocol of T and HCG and see how you feel and re test to see how your labs come back, and decide then if adjustments should be made. It can take 6 months or so to really dial things in. For some, it's years, depending on doc they are working with and other factors. A good doc can usually get that dialed in after a few labs come back and get things steady-ish. Make sure doctor does a full panel, which you will find easily on this forum/page.
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

Beyond Testosterone Podcast

Online statistics

Members online
6
Guests online
350
Total visitors
356

Latest posts

Back
Top