So I have pretty small balls, I'm on "TRT" and I want to get my girlfriend pregnant!

[Dafox]

Hi guys,

First time posting here after having read, watched and listened to a lot of the content produced by this site. Thank you for that!

I am a 28 year old male, who have been using steroids for the past 4 years. While I am in no rush, I would like to get my girlfriend pregnant, and if possible remain on a low dosage testosterone (<150mg EW).

My testicles are severely atrophied (and have been for a long time) to the extent of whats equivalent of small grapes. I am not sure I am responding to the hCG anymore. It worked in the past, but now I am not so sure anymore.

During my 4 years of anabolic steroid use (only testosterone and primobolan in conservative dosages) I have intermittently used hCG in 250-300iu dosages while cycling, however since it seemed to stop working I quit it. That is 12 months ago.

2 days ago I started using hCG again. I did a shot of 700iu and my intention from here is to use 500iu 3 times a week. Except for a small increase in sensitivity (and drastic libido increase) I haven't noticed anything yet.

My primary goal right now is to restore size and volume for my testicles to see if they are actually working. If they respond to the treatment, increasing fertility is going to be my next goal.

How should I proceed from here? Is it possible for me at all to stay on a low trt dosage while using hCG to try and restore fertility (if it is gone that is) and if so, how much time should I expect it to take for my testicles to start increasing in volume again? I have seen people saying it can take months for testicular size to return to normal, is this correct? If so I probably shouldn't worry about not seeing immediate results from the hCG yet.

I am currently using 150mg testosterone weekly (self "prescribed") with no AI but together with 200mg DIM daily.

Where I live I don't have access to lab tests, nor is the doctors willing to prescribe them. I could go to a fertility clinic, but I would prefer waiting by doing so until I have actually tried fixing the problem myself.

I understand going completely off the testosterone and incorporating hCG + Clomid is another alternative, but I would rather if this could be avoided. That said I am open to suggestions.

 

[CoastWatcher]

While we're glad you joined Excelmale, you are flying in the dark and asking us to help you fly in the dark...only better. I'm not at all sure what it is we can offer you. In the absence of lab tests, we're all just guessing as to what is going on. This is clearly an important issue for you, so why don't you go to a fertility clinic? You stated you could do so; why not get a baseline set of labs to determine what your body is doing??

 

[Sean Mosher]

Agree with the above.
At this point, it's time to consider utilizing a specialist.
No need to fly in the dark.
You can use DiscountedLabs.com, fertility clinic or whatever you choose, but without numbers from labs it's going to be hard for you to get solid advice here.
PM me if you'd like to discuss the specialist route further (PrimeBody).

 

[Dafox]

While we're glad you joined Excelmale, you are flying in the dark and asking us to help you fly in the dark...only better. I'm not at all sure what it is we can offer you. In the absence of lab tests, we're all just guessing as to what is going on. This is clearly an important issue for you, so why don't you go ta a fertility clinic? You stated you could do so; why not get a baseline set of labs to determine what your body is doing??

Haha that's a great analogy! After I had posted this I thought "hmm, I am not giving them much to work with here", so I can understand what you are saying.

I will probably end up visiting a fertility clinic if I haven't gotten my girlfriend pregnant by the end of next year.

The studies I have read shows that fertility can be restored and maintained with hCG (for the most part), but they don't tell if the participants of the study had atrophied testicles. Knowing that there is a direct correlation between testicular size and fertility I am curious to hear your opinions on this.

Can you conceive with long term atrophied testicles, and if not - how do you go about fixing the atrophy, and how much time should one expect it to take to regain fertility? All while remaining on a steady conservative TRT dosage.

Sorry for all the questions. This is the best place to ask so I just want to soak it all in.

Thank you for your time.

 

[Dafox]

Agree with the above.
At this point, it's time to consider utilizing a specialist.
No need to fly in the dark.
You can use DiscountedLabs.com, fertility clinic or whatever you choose, but without numbers from labs it's going to be hard for you to get solid advice here.
PM me if you'd like to discuss the specialist route further (PrimeBody).

Thank you Sean.

Unfortunately I live in Europe and I do have access to such tests at the present time.

 

[Vince Carter]

I'd keep on the with HCG @ 500iu 3XW, I think that's what you said you were using. I don't get the connection to stopping Test and going on HCG/Clomid for a restart or other PCT variance. Eventually I think you'll have to get a sperm test presuming there's not a pregnancy occurring. It could be some time before you see any (possible) reversal of the atrophy.

 

[Dafox]

I'd keep on the with HCG @ 500iu 3XW, I think that's what you said you were using. I don't get the connection to stopping Test and going on HCG/Clomid for a restart or other PCT variance. Eventually I think you'll have to get a sperm test presuming there's not a pregnancy occurring. It could be some time before you see any (possible) reversal of the atrophy.

Thanks Vince, even though this was my plan to begin with it is nice to get the plan confirmed by you guys who are more knowledgeable on the subject. Here is to hoping that my AAS usage haven't made me primary!

 

[Billwatts]

I'd keep on the with HCG @ 500iu 3XW, I think that's what you said you were using. I don't get the connection to stopping Test and going on HCG/Clomid for a restart or other PCT variance. Eventually I think you'll have to get a sperm test presuming there's not a pregnancy occurring. It could be some time before you see any (possible) reversal of the atrophy.

Sorry in advance, I don't mean to hijack this thread. Vince is it possible for OP to increase sperm count or restart sperm
Production by adding hcg to trt even though he may have been shutdown for quite a while?

 

[CoastWatcher]

Sorry in advance, I don't mean to hijack this thread. Vince is it possible for OP to increase sperm count or restart sperm
Production by adding hcg to trt even though he may have been shutdown for quite a while?

Yes, it is theoretically possible. However, many factors will determine individual response/success.

 

[Dafox]

Yes, it is theoretically possible. However, many factors will determine individual response/success .

Adding hCG to TRT or even AAS cycles seems to be the current standard of restoring fertility even for men who have been shutdown for a while, at least when you look at various forums.

I have only seen studies showing that it is possible to retain fertility with TRT, but not restoring - so I am not sure why this seems to be such a common practice (I am doing the same right now). Based on anecdotal evidence there seems to be a lot of people who have success with it though. There is even a few people who add in a low dosage Clomid (25/50mg daily) to their regimen.

I read about this guy who was completely sterile (according to sperm test) who remained on 200mg testosterone weekly, but started to use 500iu hCG 3 times a week together with 25mg clomid. 12 weeks later his sperm count and quality was completely normal and within normal ranges. Then again, this is just one case and I don't remember any documentation provided.

I assume the goal of adding Clomid is to mainly stimulate FSH since you already have hCG taking care of LH?

 

[CoastWatcher]

Adding hCG to TRT or even AAS cycles seems to be the current standard of restoring fertility even for men who have been shutdown for a while, at least when you look at various forums.

I have only seen studies showing that it is possible to retain fertility with TRT, but not restoring - so I am not sure why this seems to be such a common practice (I am doing the same right now). Based on anecdotal evidence there seems to be a lot of people who have success with it though. There is even a few people who add in a low dosage Clomid (25/50mg daily) to their regimen.

I read about this guy who was completely sterile (according to sperm test) who remained on 200mg testosterone weekly, but started to use 500iu hCG 3 times a week together with 25mg clomid. 12 weeks later his sperm count and quality was completely normal and within normal ranges. Then again, this is just one case and I don't remember any documentation provided.

I assume the goal of adding Clomid is to mainly stimulate FSH since you already have hCG taking care of LH?

As was posted elsewhere, see posts eight, nine, and ten. Dr. Justin Saya and Nelson cover the critical elements of a restart protocol. https://www.excelmale.com/forum/sho...-HPTA-Reset-Protocol&highlight=tamoxifen+saya