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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Yet another fertility, ancillary case following long term TRT
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<blockquote data-quote="Sides" data-source="post: 130561" data-attributes="member: 31749"><p>Absolutely have your semen analysis and see where you are at right now, and follow Dr Saya's advice as he is the expert. You are in good hands.</p><p></p><p>But my own experience (as I have posted elsewhere on this site) shows that you didn't need to come off of test in the first place, and you could have achieved your goals while staying on test and adding HCG and HMG or FSH.</p><p></p><p>I am a 50-year-old bodybuilder who has been taking testosterone and other anabolic steroids for over 26 years now, with very little time off. I got married in October of 2017, and my new wife and I decided that we wanted to try for one more child. At that time I had been on test and other steroids without any break for almost 7 years, and my sperm count was at zero.</p><p></p><p>In November of 2017 I lowered my test to 200mg per week, and started taking Clomid at 50mg per day and HCG at low doses of about 100iu per day (as Dr Crisler recommends), slowly increasing the HCG over the next few months to 500iu every day.</p><p></p><p>In April of 2018 I added a Chinese generic HMG (mixed FSH and LH) at low doses. I would have used real pharmaceutical HMG or FSH, but my fertility doctor wouldn't prescribe it for me and I couldn't find it on the black market yet.</p><p></p><p>In May of 2018 my semen analysis came back at 4 million per ml. In June my next semen analysis came back at 7 million per ml.</p><p></p><p>In July my fertility doctor refused to prescribe me HMG or FSH, but did want me to increase the HCG to 3000iu every other day. All that did for me was give me erectile dysfunction and make me absolutely miserable.</p><p></p><p>In July I was able to get Ferring Menopur HMG, and in August I switched to Merional HMG at 30-60iu per day.</p><p></p><p>In August of 2018, my semen analysis back at 12 million per ml. But the HMG hadn't really kicked in yet, as a sperm cycle is about 2.5 months (between 42-76 days depending on the individual.)</p><p></p><p>My wife and I were approved for IVF, and did that in October. At the time of our IVF procedure, my final sperm count was 35 million per ml. My wife produced 20 mature eggs, of which my sperm fertilized 14, of which 3 survived to become 5-day blastocysts. So we have 3 good embryos, and are ready to do the implantation this month.</p><p></p><p>My biggest problem was lack of access to good quality HMG or FSH during that time, as my fertility doctor wouldn't prescribe it for me. So I had to access that myself through the black market. But nevertheless, adding in HCG and (eventually) HMG did bring back my sperm count all the way from zero to 35 million, in 11 months, without ever going off of testosterone.</p><p></p><p>Now my fertility doctor has finally "seen the light", and has prescribed me FSH from Empower Pharmacy after I brought that to his attention after seeing it mentioned on this site. If he had done that from the beginning, I have no doubt my final sperm count would have been much higher.</p><p></p><p>If I had to do it all over again, I would have done:</p><p></p><p>200mg test per week</p><p>500iu HCG every other day</p><p>60iu FSH or HMG every day</p><p></p><p>Although the "old school" way of doing things was to get off test for fertility, my experience and the experience of many others shows that you can stay on testosterone the whole time, add in HCG and HMG or FSH, and you can still bring back your sperm count and achieve pregnancy with your wife. Plus of course you will feel much better and your sex drive will be higher if you stay on testosterone as opposed to going off.</p><p></p><p>Best wishes to you whatever course you take, and please let me know if you have any questions or if there is anything I can do to help you out.</p></blockquote><p></p>
[QUOTE="Sides, post: 130561, member: 31749"] Absolutely have your semen analysis and see where you are at right now, and follow Dr Saya's advice as he is the expert. You are in good hands. But my own experience (as I have posted elsewhere on this site) shows that you didn't need to come off of test in the first place, and you could have achieved your goals while staying on test and adding HCG and HMG or FSH. I am a 50-year-old bodybuilder who has been taking testosterone and other anabolic steroids for over 26 years now, with very little time off. I got married in October of 2017, and my new wife and I decided that we wanted to try for one more child. At that time I had been on test and other steroids without any break for almost 7 years, and my sperm count was at zero. In November of 2017 I lowered my test to 200mg per week, and started taking Clomid at 50mg per day and HCG at low doses of about 100iu per day (as Dr Crisler recommends), slowly increasing the HCG over the next few months to 500iu every day. In April of 2018 I added a Chinese generic HMG (mixed FSH and LH) at low doses. I would have used real pharmaceutical HMG or FSH, but my fertility doctor wouldn't prescribe it for me and I couldn't find it on the black market yet. In May of 2018 my semen analysis came back at 4 million per ml. In June my next semen analysis came back at 7 million per ml. In July my fertility doctor refused to prescribe me HMG or FSH, but did want me to increase the HCG to 3000iu every other day. All that did for me was give me erectile dysfunction and make me absolutely miserable. In July I was able to get Ferring Menopur HMG, and in August I switched to Merional HMG at 30-60iu per day. In August of 2018, my semen analysis back at 12 million per ml. But the HMG hadn't really kicked in yet, as a sperm cycle is about 2.5 months (between 42-76 days depending on the individual.) My wife and I were approved for IVF, and did that in October. At the time of our IVF procedure, my final sperm count was 35 million per ml. My wife produced 20 mature eggs, of which my sperm fertilized 14, of which 3 survived to become 5-day blastocysts. So we have 3 good embryos, and are ready to do the implantation this month. My biggest problem was lack of access to good quality HMG or FSH during that time, as my fertility doctor wouldn't prescribe it for me. So I had to access that myself through the black market. But nevertheless, adding in HCG and (eventually) HMG did bring back my sperm count all the way from zero to 35 million, in 11 months, without ever going off of testosterone. Now my fertility doctor has finally "seen the light", and has prescribed me FSH from Empower Pharmacy after I brought that to his attention after seeing it mentioned on this site. If he had done that from the beginning, I have no doubt my final sperm count would have been much higher. If I had to do it all over again, I would have done: 200mg test per week 500iu HCG every other day 60iu FSH or HMG every day Although the "old school" way of doing things was to get off test for fertility, my experience and the experience of many others shows that you can stay on testosterone the whole time, add in HCG and HMG or FSH, and you can still bring back your sperm count and achieve pregnancy with your wife. Plus of course you will feel much better and your sex drive will be higher if you stay on testosterone as opposed to going off. Best wishes to you whatever course you take, and please let me know if you have any questions or if there is anything I can do to help you out. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Yet another fertility, ancillary case following long term TRT
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