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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone and Men's Health Articles
Testosterone Is a Contraceptive. Should It Not Be Used in Men Who Desire Fertility?
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<blockquote data-quote="madman" data-source="post: 133623" data-attributes="member: 13851"><p>They do mention the use of testosterone + HCG briefly but unfortunately it takes a back seat and they do not go in to detail about the benefits of testosterone + HCG use and come across in the paper as if trt is a no no in men who want to remain fertile as they state <strong><span style="color: rgb(184, 49, 47)">"If a patient currently desires fertility, TRT should be avoided or discontinued immediately"</span></strong></p><p></p><p></p><p><strong>USING TESTOSTERONE IN THE TREATMENT OF HYPOGONADISM IN MEN WHO DESIRE FERTILITY</strong></p><p></p><p>last paragraph:</p><p></p><p>Regardless, the recovery of spermatogenesis is unclear for patients on chronic TRT. Physicians should take caution when treating hypogonadism in men who desire future fertility, but also acknowledge the reversible azoospermia seen in controlled studies [51]. <strong><span style="color: rgb(184, 49, 47)">Adjunctive hCG and clomiphene can be used with TRT to maintain testicular size and intra-testicular testosterone concentrations </span></strong>[52]. Referral to a reproductive urologist should be considered in a male with low testosterone interested in fertility.</p><p></p><p></p><p></p><p><strong>ALTERNATIVES TO TESTOSTERONE THERAPY IN PATIENTS WHO WISH TO PRESERVE FERTILITY</strong></p><p></p><p>hCG has also been used (often with clomiphene citrate, tamoxifen or anastrozole) because it stimulates the production of endogenous testosterone without compromising spermatogenesis. Although the exact mechanism of action and production site in males are not fully understood, it is known that hCG mimics the effects of LH and stimulates the Leydig cells in the testicles to produce endogenous testosterone [3,58-60]. <strong><span style="color: rgb(184, 49, 47)">Additionally, studies have shown that low-dose hCG can be used with TRT to maintain high levels of intra-testicular testosterone while men are being treated for hypogonadism.</span></strong></p></blockquote><p></p>
[QUOTE="madman, post: 133623, member: 13851"] They do mention the use of testosterone + HCG briefly but unfortunately it takes a back seat and they do not go in to detail about the benefits of testosterone + HCG use and come across in the paper as if trt is a no no in men who want to remain fertile as they state [B][COLOR=rgb(184, 49, 47)]"If a patient currently desires fertility, TRT should be avoided or discontinued immediately"[/COLOR][/B] [B]USING TESTOSTERONE IN THE TREATMENT OF HYPOGONADISM IN MEN WHO DESIRE FERTILITY[/B] last paragraph: Regardless, the recovery of spermatogenesis is unclear for patients on chronic TRT. Physicians should take caution when treating hypogonadism in men who desire future fertility, but also acknowledge the reversible azoospermia seen in controlled studies [51]. [B][COLOR=rgb(184, 49, 47)]Adjunctive hCG and clomiphene can be used with TRT to maintain testicular size and intra-testicular testosterone concentrations [/COLOR][/B][52]. Referral to a reproductive urologist should be considered in a male with low testosterone interested in fertility. [B]ALTERNATIVES TO TESTOSTERONE THERAPY IN PATIENTS WHO WISH TO PRESERVE FERTILITY[/B] hCG has also been used (often with clomiphene citrate, tamoxifen or anastrozole) because it stimulates the production of endogenous testosterone without compromising spermatogenesis. Although the exact mechanism of action and production site in males are not fully understood, it is known that hCG mimics the effects of LH and stimulates the Leydig cells in the testicles to produce endogenous testosterone [3,58-60]. [B][COLOR=rgb(184, 49, 47)]Additionally, studies have shown that low-dose hCG can be used with TRT to maintain high levels of intra-testicular testosterone while men are being treated for hypogonadism.[/COLOR][/B] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone and Men's Health Articles
Testosterone Is a Contraceptive. Should It Not Be Used in Men Who Desire Fertility?
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