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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Now on TRT plus HCG to preserve fertility
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<blockquote data-quote="paco" data-source="post: 5177" data-attributes="member: 37"><p>Hello, all. I am very excited to report that I started testosterone replacement therapy (TRT) on Saturday. After years of being tired and depressed with poor concentration and low libido, I was diagnosed as secondary hypogonadal about 15 months ago. Under the guidance of doctors, I have had intermittent success treating my symptoms with clomid or HCG or a combination of both over the past year. My wife and I are very eager to have more children, so I have been avoiding TRT as it may impact my fertility. </p><p></p><p>About six weeks ago my wife and I made the short drive to Houston to see Dr. Lipshultz. Dr. Lipshultz is a urologist and fertility specialist and was one of the researchers who published the often-cited study (the first study mentioned <a href="https://www.excelmale.com/forum/threads/425-Two-Studies-That-Used-HCG-with-Testosterone" target="_blank">here</a>) that showed that a group of patients undergoing TRT were able to maintain normal sperm production by using 500 IU HCG every other day. He really put us at ease that we are not putting our family at risk by my starting TRT, particularly since I have now "deposited" at the sperm bank three times, just in case my fertility is impacted. Dr. Lipshultz seems like a good and knowledgable doc.</p><p></p><p>He has started me on 5 g Testim (50 mg testosterone gel) every day plus 1,500 IU HCG once per week. I will follow his lead, of course, but I do want to ask him why we aren't dosing smaller amounts of HCG twice or three times a week, or 500 IU every other day as in his study. I want to ask because I am somewhat concerned that this may impact subjective benefit and even sperm production if the HCG is not "effective" during a portion of each week.</p><p> </p><p>More than anything, I'm happy to be on a path to truly feeling better. However, I do want to ensure we are on the best HCG protocol possible for my goals. Does anyone have any thoughts on why HCG might be best (or might not be best) to administer once a week instead of more frequently when aiming to preserve sperm production?</p></blockquote><p></p>
[QUOTE="paco, post: 5177, member: 37"] Hello, all. I am very excited to report that I started testosterone replacement therapy (TRT) on Saturday. After years of being tired and depressed with poor concentration and low libido, I was diagnosed as secondary hypogonadal about 15 months ago. Under the guidance of doctors, I have had intermittent success treating my symptoms with clomid or HCG or a combination of both over the past year. My wife and I are very eager to have more children, so I have been avoiding TRT as it may impact my fertility. About six weeks ago my wife and I made the short drive to Houston to see Dr. Lipshultz. Dr. Lipshultz is a urologist and fertility specialist and was one of the researchers who published the often-cited study (the first study mentioned [URL="https://www.excelmale.com/forum/threads/425-Two-Studies-That-Used-HCG-with-Testosterone"]here[/URL]) that showed that a group of patients undergoing TRT were able to maintain normal sperm production by using 500 IU HCG every other day. He really put us at ease that we are not putting our family at risk by my starting TRT, particularly since I have now "deposited" at the sperm bank three times, just in case my fertility is impacted. Dr. Lipshultz seems like a good and knowledgable doc. He has started me on 5 g Testim (50 mg testosterone gel) every day plus 1,500 IU HCG once per week. I will follow his lead, of course, but I do want to ask him why we aren't dosing smaller amounts of HCG twice or three times a week, or 500 IU every other day as in his study. I want to ask because I am somewhat concerned that this may impact subjective benefit and even sperm production if the HCG is not "effective" during a portion of each week. More than anything, I'm happy to be on a path to truly feeling better. However, I do want to ensure we are on the best HCG protocol possible for my goals. Does anyone have any thoughts on why HCG might be best (or might not be best) to administer once a week instead of more frequently when aiming to preserve sperm production? [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Now on TRT plus HCG to preserve fertility
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