TrT and HCG for infertility

Roadman

New Member
I am a 32 year old Male and my wife and I have been trying to get pregnant for about a couple years now. I got my sperm count tested and had extremely low numbers and not good quality. Then found out I had low T. I started a TRT for 10 weeks. .50 intermuscular injection 1x a week of T and at the same time was using HCG at 300iu every 3 days to help keep my testes producing on their own. That finished and my dr suggested I do a HCG boost. 500iu HCG every day for 21 days. That just finished. My question for you guys is do you think this is enough? Should I get my sperm tested again or is it too early to tell? And should I talk to my dr about using a SERM (clomid) while using HCG ar the same time? Thanks!
 
If primary hypogonadism HCG will not work, gotta have those labs and then we can have an intelligent conversion.

We have no idea how much testosterone you are injecting, you need to describe in mgs. .5 from a 100mg vial is 50mg, or 5. from a 200mg vial is 100mg. There aren't many who would benefit from only one weekly injection.
 
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I would get my sperm tested now. If low, I would follow the only proven protocol we have (Lipshultz) using 500 IU HCG every other day plus TRT. If that does not work (give it 8 weeks and retest), then you could use HCG + FSH in combo (no TRT). The cheapest FSH in the US is at Empower Pharmacy.
Read the post that Vince posted for more info about FSH+HCG
 

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

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