Urologist and/or fertility dr questions.

BDunc

New Member
Hello. New here. This post I’m hoping will reach a doctor who’s well versed in TRT replacement and/or keeping fertility for men etc

I’ve been on TRT for 12 months or so. Started receiving 60ml cypionate shots every 2 weeks. Each two week interval, we would bump the dosage 60, to where I finally ended up at 200ml every two weeks.

I met someone, so I started caring about possibly having a child again. I had my PA at the men’s clinic I got my shots at, prescribe clomid. He seemed to think it would help but I had read it wasn’t always effective in men.

Either way, I’m still taking the clomid.

Now, in this last year of meeting my wife, I’ve since tapered the shots off to 80ml, every Friday. Vs every 2 weeks. Somewhere around month 6 the 2 week die off was getting to me too much so we switched to weekly.

My PA tells me once we get to 60ml there’s no need coming in because 60ml won’t do anything. Is this true?

Last piece to know: I got basically a second opinion from a fertility specialist (mainly in womens health but he saw us as a couple)…he wanted me off testosterone IMMEDIATELY.

I did 1, 10 week HCG cycle, 10,000mu’s total (5 boxes of pregynl). The shots are done every Monday/Wednesday/Friday at home by me.

When I would have my labs drawn, it was very apparent, the HCG was doing something.

My free testosterone numbers kept going up and up. Highest reading was 1194. 1200 being high normal range. Free T was 40.00!!! Normal being like 12-20. Estrogen highest reading once was 91. Rough couple weeks.

Ok. So, HCG seems to be working, I’m lowering my TRT shots every week. Taking clomid with HCG. Etc etc.

I have a semen analysis done. Now I know I wasn’t suppose to ejactulate 24-48 hours beforehand, but I did. and my E that week had been jacking with me pretty hardcore, so it was a pretty small sample.


I got the results and it said 7million. Low end but doing high TRT doses for a year probably had me at zero before the HCG.

That’s my baseline, so I asked to go another 10 week cycle. Same 10,000imu’s etc etc. theory being, it’s absolutely working because my lab results show so.

For the doctors on this forum…do you think my second round will have my sperm #’s much higher? Does the brain see HCG and start to ignore it?


I’m almost completely off outside testosterone…that’s good right?

Etc etc etc

I just want some input please. I have a child now so I don’t believe I have a varrecole (or however it’s soelled) no testicular damage etc. plus taking clomid.

My thought is I’ll see a huge improvement after this 10 weeks is done.

Thank you SO MUCH for your input. My PA is a place they give you a shot and send you on. He forgets half the time why I’m doing clomid and 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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