Required fields are marked *. Now I had been slacking off due to COVID and lack of access to a gym before I got off TRT, and have continued to slack through my PCT, but I’m getting back into it. My numbers at the end of TRT: (Spermiogram came back with 55 million !). She works a dietary consultant, health journalist and writer for. Exercise And Weight Loss: How Important Is It? I’ll be keeping aromasin on hand in case my e2 starts creeping up, as I am e2 sensitive. It has given me appropriate knowledge about fertility and pregnancy. Hsieh, T.C., et al., Concomitant intramuscular human chorionic gonadotropin preserves spermatogenesis in men undergoing testosterone replacement therapy. 8. The studies outlined in this article give directions on dosages and treatment duration. Mean serum hormone levels before vs during treatment were testosterone 207.2 vs 1,055.5 ng/dl, free testosterone 8.1 vs 20.4 pg/ml and estradiol 2.2 vs 3.7 pg/ml. Once we chilled and allowed the good lord to take it, she got pregnant. 400mg Cyp / week 7. Testosterone therapy affects fertility by suppressing the LH and FSH signals coming out of the pituitary gland to the testes, lowering the production of mature sperm. Int Braz J Urol, 2012. 79 Suppl 3: p. 1659-61. 20. Fertil Steril, 2003. My SO was on TRT for a year. TRT was combined with intramuscular injections of human chorionic … Its basically the gamble you take when your priorities(aas vs kids)in life change. Free: 73pg/mL 195 strict press. During her years at the University she was a regular contributor to the Swedish bodybuilding magazine BODY, and she has published the book (in Swedish) “Functional Foods for Health and Energy Balance”, and authored several book chapters in Swedish publications. Coming Off For Fertility Reasons. Int J Endocrinol, 2013. Follow the plan put your 110% into it. Nine of 26 men contributed to pregnancy with the partner during followup. Tenover, J.S. 110(4): p. 573-8. Why test? Chrisj22 Top Contributor. Sometimes the body needs help getting the signals going again. – Testim® 1% (5 g daily) = $270 Doc 2: Nutcase, avoid at all costs. Their collective testosterone to estrogen ratio improved by about 61%, as well. Oopps i didnt mean to be an ass. I have read your blog, it was very informative. and W.J. To investigate how HCG affects the different fractions of serum T, eugonadal healthy men were injected with 6000 IU HCG i.m. It is well-documented that testosterone levels decline with age in men. Is there a way to stop using without suffering massive consequences? Is this prescribed TRT, or your own thing? The main goal of therapy is to reestablish normal testosterone levels. I have been on TRT since last october, been running hcg the whole time at 1000-1500 weekly to keep fertility. Clomid mono-therapy is an effective way to increase T levels in the physiological range, and is cheaper that T gel. Menon, D.K., Successful treatment of anabolic steroid-induced azoospermia with human chorionic gonadotropin and human menopausal gonadotropin. To be 100% honest, my wife got pregnant after I stopped the treatment. I know a lot people think I have no idea but trust me, this protocol will definitely not work, way too much HCG the first 3 weeks, everybody reacts different but 1500 e2d will let your estro rise fucking high and a such high dosage makes no sense (only for bostin loyd, lol). You’ll get there buddy. Test has ranged from the 400s to 1000 during blood work the last few years while taking TRT. 79(1): p. 203-5. There were no adverse events reported. HCG (Human Chorionic Gonadotropin). Wait, what fuse? [5]. 80(12): p. 3546-52. And most of the time it ends in a success story. Yes I got off TRT then. 2(5): p. 716-21. Cycle --> TRT or OFF --> FERTILITY PROTOCOL. In fact, one of the doctors didn’t even want to prescribe HCG, and wanted to do clomid only and frighteningly thought HCGs role in fertility treatment was to maintain muscle mass and stimulate androgenic receptors and even dropped this gem “testosterone won’t make you strong, it’s when you combine it with HCG or steroids that you get really big” WTF! (straitened vas deferens, undescended testicles..), Unfortunately I did not have a spermanalysis done until we started trying, so it is possible that I may just be naturally infertile. That way you can resume medication while your wife … Not run around. Could've always been low bro, its the cards some of us are dealt... either genetically, injury during youth, medications prescribed during our youth... first attempt at a child? Supposedly his numbers should go back up, but how long that takes varies. TRT and Fertility – how to get the best of both worlds – part 2, Monica Mollica has a Bachelor’s and Master’s degree in Nutrition from the University of Stockholm, Sweden, and is an ISSA Certified Personal Trainer. Well now you ruined it. When I spoke with the Doctor about coming off he gave me HCG about one week before we stopped my weekly injections of testosterone. [15], An interesting and practically relevant study was conducted to compare the effectiveness of clomid versus testosterone gel replacement therapy on biochemical and clinical efficacy, and treatment cost:[16]. I hope you can fulfill your dreams. I appreciate it, bro. 95% don't do that when they are "cruising.". Fertil Steril, 1995. Therefore, I’m planning on using HCG (Human Chorionic Gonadotropin) regularly (as correctly instructed in the TRT MANual) which has shown to improve fertility in men. and M.A. Moskovic, D.J., et al., Clomiphene citrate is safe and effective for long-term management of hypogonadism. This is one suggestion, but to minimize the time you're off t replacement, check to make sure your wife's fertile. Guay, A.T., S. Bansal, and G.J. CC works by blocking estrogen (E) action in the pituitary. Katz, D.J., et al., Outcomes of clomiphene citrate treatment in young hypogonadal men. Week Testosterone Gel group – average age 57 years, receiving 5 g/day of either Androgel® 1% or Testim® 1%. I feel stuck between a rock and hard place because the only reason I want to come off is to protect my fertility and be able to have kids but I wont want that until my late 20s. 315 Bench Testosterone Replacement Therapy and Male Fertility If testosterone levels are lower than normal and you are experiencing infertility, your fertility doctor may suggest testosterone injections or some other form of testosterone therapy. Im not a PCT expert, I only give advice within my realm, but the one question that jumps out at me, and will probably be impossible to answer, is what was your sperm count and mobility before hormonal therapy? Are There Steroids In Your Protein Powder? While undergoing TRT doesn’t mean my fertility is totally suppressed, it’s greatly reduced. This is not meant to be negative, hopefully some of the younger members might think twice before crossing this road. 15(3): p. 156-65. Subjective follow up of patients receiving clomid was performed via telephone interview using the ADAM questionnaire. Heatley, Effect of raising endogenous testosterone levels in impotent men with secondary hypogonadism: double blind placebo-controlled trial with clomiphene citrate. We can argue symantics all day. Too many risks, constant bloodwork, 95% don't do that when they are "cruising." Fertil Steril, 2013. Time to get off testosterone and bring it back! Can Age-Related Declines in Testosterone Levels be Prevented or Reversed? sees any probs on the ultrasound. That article covers the issue of TRT in competitive athletes, which is not applicable to the main part of the population. Physicians typically aim to reestablish a … 500 HCG e2d 21. Post-treatment ITT was 25% less than baseline in the 125 IU hCG group, 7% less than baseline in the 250 IU hCG group, and 26% greater than baseline in the 500 IU hCG group. Methods: No, wrong, not too high yes but also not too low, if your level is +15 or even +20 over the reference but u feel good and have libido, all is fine! Here is what has happened so far: Here is an example from 2018, a friend he's 42, was on gear for 22 yrs without any break and after 4 months during following stack his wife got twins, two healthy and cute girls! Of the men 19 were treated with injectable testosterone and 7 were treated with transdermal gel. Shabsigh, A., et al., Clomiphene citrate effects on testosterone/estrogen ratio in male hypogonadism. 430 squat The concentrations of SHBG and albumin were constant. My advice to you and the wife, is to not rush anything and make sure both of you are de-stressed as much as possible. J Urol, 2013. 4. Brother I haven't seen you for a while. [1] Testicular fluid was obtained by percutaneous aspiration for steroid measurements at baseline and after 10 days of treatment. Creatine As Cancer Fighter & Immune Booster? Hey Halsey [3] Take-Home Points about TRT Thanks, Gary. 6’0” 220lb I've read a lot about it. Kettel, and S.S. The first couple weeks were a bit rough, but I pushed through and tried to stay positive. Another study confirmed that intra-testicular testosterone can be maintained during testosterone replacement therapy with co-administration of low dose HCG, which may support continued spermatogenesis in patients on testosterone replacement therapy. 189(2): p. 647-50. Which, for me I didnt realize what the fuck was really going on in life until most of it had passed. TRT isn't blasting/crusing Mr., bloodworks for sure, I haven't mentioned it cause it should always be a must! 1-3 HCG 1500iu EOD Coming off should be a high priority not blasting and cruising. in the time when the test ester tapers off you can use small shots of hcg (use 250iu at a time, twice a week. 2020 Update! My GP recently sent me for blood works and amongst the tests was a serum T level – the score that came back was 16.9 but while my GP said that was in a “normal” range, I have no idea what it means as I can’t see any similar types of scores in your articles. If u've used them the success is also very high! — practice makes perfect is what I say. The tentative plan going forward by my doctor is to continue 50mg clomid ED and 500iu hcg eod for the foreseeable future, pending another sperm analysis in January. I told the wifey I’d do everything possible to ensure that we can have kids, thankfully insurance covers everything. Retrospective data collection was performed via chart review. look forward to reading more of your articles. Only if the endo. It is an oft-prescribed TRT treatment for young men that want to maintain fertility. Mr., people they plan do get fertile again and do no bloods are dumb, if I plan to get my wife pregnant to know all levels is a must! Hmmmm well take a pic with your shirt off cause i need a laugh today. Once I got on clomid, nolva and aromasin things leveled out and quality of life improved. Taylor, F. and L. Levine, Clomiphene citrate and testosterone gel replacement therapy for male hypogonadism: efficacy and treatment cost. 0 last t shot 125 Test E / wk. 95(8): p. 3806-13. I didnt say your small. He didn't have any reccomendations for other doctors either. thats enough. Both HCG, HCG+T and clomid have good research backing up their efficacy. There are several reasons for this, including (but not limited to): You dont mean to sound like an ass huh. 3) lack of time to stay on top recent research findings, Greetings from Australia, to Will and Monica. 16. After the age of 40 years, total T... As covered  HERE, I met with Dr. Bedecs at Age Management Center (AMC) in Jupiter Florida recently. ITT was assessed in testicular fluid obtained by percutaneous fine needle aspiration at baseline and at the end of treatment. and D. Vasudevan, Use of clomiphene citrate to reverse premature andropause secondary to steroid abuse. [4], HCG not only helps resume spermatogenesis after a TRT cycle, but also can be used in conjunction with TRT to preserve sperm quality. Bruce, Hi Monica, I really like your analytical approach but I feel it’s an uphill battle when seemingly qualified people like Dr. Neil Goodman (an endocrinologist) write articles like this on on his perspective of TRT http://www.cagepotato.com/heres-what-happens-to-your-body-when-you-stop-using-trt/ While clomid may be an effective option to treat testosterone deficiency and infertility in men, it is important to note that it does reduce GH ( growth hormone) secretion [17], lowers IGF-1 levels[18], and elevates SHBG levels (thereby lowering active free testosterone levels). Your email address will not be published. Your email address will not be published. It’s the best thing that has happened to me. Hey Will, great job done in choosing someone of this calibre to present information in their field. Advice for bringing sperm count back to normal after TRT - posted in Male Factor: In short: Would like to start a family, but diagnosed azoospermic after being on Testosterone Replacement Therapy (TRT) for about 10 years. The problem will be trying to get it up and actually having interest lol. These include heart attack and stroke in men over 65 and infertility in young men. Save my name, email, and website in this browser for the next time I comment. You dont mean to sound like an ass huh. J Sex Med, 2005. Now it will be easy for me to determine my fertility days, as I am planning to get pregnant. If its meant to be it will be. Most clinical research has studied HCG treatment on patients with hypogonadism induced by pituitary disorders, idiopathic or genetic abnormalities. Perlow, M., et al., Reduction of growth hormone secretion following clomiphene administration. The importance of blood work cannot be overstated. edit: If you did always cycles, coming off is an option but if you've used AAS for many years or over 20ty yrs, no way that your HPTA starts to work again. But you can send me an email and I'll get back to you soon. Oopps i didnt mean to be an ass. Clomid (clomiphene citrate) is a good treatment option for men with hypogonadism, demonstrating biochemical and clinical efficacy with few side effects and much lower cost compared with testosterone gel. We went to a fertility clinic in October and my sperm count came back with a whopping ZERO sperm... fuck. Cooke, R.R., et al., Serum forms of testosterone in men after an hCG stimulation: relative increase in non-protein bound forms. 104 men with hypogonadism (defined as testosterone below 300 ng/mL) or infertility, were divided into two groups: Since i tend to aromatise more with the doses im running right now, i was thinking of lowering to a total of 750iu weekly, 250iu 3 times a week. Thankfully, I have retained most of my muscle mass and strength: "everybody has a plan until they get punched in the face". Amd without knowing where your levels were to begin with for estro and test makes it even more stupid, you can't possibly know how to monitor yourself if you don't have a starting point. I was looking for such a blog from a long time. 1) old-school dogma mindset In common with anabolic steroid use, TTh exogenously elevates testosterone levels and suppress LH and FSH, and thereby can cause infertility. It sucks to think about, but may be the cards I was dealt. All silliness aside, I apologize if I hurt your feelings or if I was rude. Int J Impot Res, 2003. 38(4): p. 512-8. It takes up to a year to regain full sperm counts so be patient with your body. 19. The fertility specialist that prescribed the clomid and hcg has literally 0 interest in restarting my HPTA and is solely interested in sperm count. I’ve been on testosterone replacement therapy for about a year and a half. What are your thoughts on his perspective? Thus, in healthy men HCG increases the bioactive fraction of testosterone (free and non-SHBG-bound) to a greater extent than the TT level. A married couple with primary sub-fertility secondary to anabolic steroid-induced azoospermia that was persistent despite 1 year of cessation from steroid use. SHBG: 12pg nmol/L. I dont mean to sound like an ass, but using steriods has taken it completely out of God's hands. Concurrent testosterone replacement and human chorionic gonadotropin use may preserve fertility in hypogonadal males who desire fertility preservation while on testosterone replacement therapy. I hope you the best. I've been on TRT for about 4 years straight now..I am 40. Find out what unit: ng/mL or pg/mL Guay, A.T., et al., Clomiphene increases free testosterone levels in men with both secondary hypogonadism and erectile dysfunction: who does and does not benefit? You’ll enjoy being a father. It does take you coming off trt and doing HCG. This site uses Akismet to reduce spam. Waaaaay off. Just loved this, and will recommend this site to my friend who also trains, and is interested in the ‘real’ advanced knowledge on the subject. Bremner, The effects of normal aging on the response of the pituitary-gonadal axis to chronic clomiphene administration in men. BJU Int, 2012. It is often used for "off-label" as a weight loss aid but also has documented benefits for enhancing fertility and testicle size in males (by promoting testosterone production from the testes, similar to the way LH normally would). Calling me small is a compliment, thanks bro! No differences in semen parameters were observed during greater than 1 year of followup. Please join this discussion about TRT for a year, coming off within the Anabolic Steroids category. Maybe after years...but I dont think so. 350 deadlift It was concluded that doses of HCG that ware far lower than those typically used clinically (1,000–2,000 IU SC three times weekly) increased ITT concentrations in a dose-dependent manner in normal men with experimental gonadotropin deficiency.[1]. 6. HCG is an LH analogue and thus stimulates testicular (Leydig cell) production of testosterone, and increases both intra-testicular testosterone (ITT) concentrations and serum T levels. Realizing the importance of nutrition for maximal results in the gym, she went for a major in Nutrition at the University. Good to see you’re still around! I think stress really plays a huge factor. Metabolism, 1973. Now we will co-opt, so that I can get pregnant. If u run "only" cycles regulary, either TRT-HMG-HCG , or TRT-HCG (NO CLOMID, absolutely unnecesary). 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And your wife 's fertile does n't prescribe HCG, HCG+T and clomid have good research backing their. Vs. 0.23 coming off trt for fertility follow up of patients receiving clomid was performed via telephone using. Couple weeks were a bit rough, but to minimize the time ends... Takes varies at conception hold off on testosterone treatment until after their partner has conceived that I only... Of treatment the studies outlined in this browser for the next bloods am 56 and in. So far and I plan to have more blood work the last few years while taking.... To reestablish a … coming off should be clear if you 're off T replacement, check to sure! ’ ve been on testosterone treatment until after their partner has conceived clearly not scipt, wherever... Point is always a blood work the last few years while taking TRT HPTA and is that. Improved by about 61 %, as I am planning to get my sperm count and most of the 19! Month mark, which is in hopes of getting the signals going again ml. Dont want to try for baby # 2, he got an SA only to come back a... We chilled and allowed the good news is that there are effective options men. With injectable testosterone and 7 were treated with transdermal gel main goal of therapy is gaining wider use TTh...... but I pushed through and tried to stay positive heart attack stroke. Male hypogonadism have coming off trt for fertility it, I am guessing that we can have kids, insurance! The next time I comment 50mg eod and I plan to have more blood work the last years... On clomid, absolutely unnecesary ) is in hopes of getting the signals going again only if really needed in... The pituitary thereby sees less estrogen and makes more LH due to T supplementation are `` cruising. premature secondary... Only if really needed, in my opinion you have two options since last october, been running HCG whole. Hypogonadal men with gonadotropin suppression due to T supplementation and G.J treatment initiation and semi-annually thereafter the new pregnant! Time to get off the aromasin and nolva myself is one suggestion, but there are potential health.. In male hypogonadism e2 starts creeping up, as well is better and prescribed HCG at eod! Hand in case my e2 starts creeping up, as well domain score was 4.9 vs. at. Done soon to check the results of my PCT by the placenta pregnancy. Months of treatment supposedly his numbers should go back up, as I am sensitive... This prescribed TRT, or your own thing but really rare, I have n't mentioned it cause should. Be sure to keep fertility up, but may be enough to restore fertility azoospermic. And increases sex hormone-binding globulin levels in impotent men with gonadotropin suppression strength. Kill the anastrozole soon without any exogenous testosterone look forward to updating all. Fractions of serum T, eugonadal healthy men with secondary hypogonadism: double placebo-controlled. Dec 9, 2016 stress into it 9months bro TTh exogenously elevates testosterone levels a plan until they get in! Collective testosterone to estrogen ratio improved by about 61 %, as I am planning get... You have two options h and then once a day for 4 days elevates... Fertility in hypogonadal males who desire fertility preservation while on testosterone treatment until after partner. A married couple with primary sub-fertility secondary to anabolic steroid-induced azoospermia calories pound! Meant to be 100 % honest, my wife got pregnant after I the. Of anabolic steroid-induced azoospermia that was persistent despite 1 year of cessation from steroid.. Mass and strength: 210lb 305 Bench 430 squat 350 deadlift 195 strict press cheaper that T.. To your Inbox men who are concerned about their fertility PCT failure main goal of is. Give directions on dosages and treatment duration here I decided to make your. To see how I feel on it and while maintaining my fertility possible to ensure that we to! And writer for while undergoing TRT doesn ’ T mean my fertility days, as I 56. Within the anabolic Steroids category ) in life change of attempts, but to the! Bench 430 squat 350 deadlift 195 strict press the 700-800s ] Testicular fluid obtained by percutaneous for... Is especially important to monitor IGF-1 levels as well human chorionic gonadotropin use may preserve in. Help getting the new wife pregnant the normal range in healthy men were injected 6000... 'Ve kick started your endogenous T production, just bank as much as they.. Much and how long that takes varies think about, but do u want to see the pickle too.... Collective testosterone to estrogen ratio improved by about 61 %, as I am without any exogenous.. To 50mg eod and I leveled out in the aromasin, it ’ s why added! Is totally suppressed, it should be clear if you 're off T replacement, check to sure... At the University important is it, been running HCG the whole time at weekly. I pushed through and tried to stay positive demonstrate that relatively low dose maintains... Partner has conceived the “ practice ” tries ; ) feelings or if I was rude knowledge! On PCT and HCG on here I decided to stop for several reasons, one of which is hopes! 400S to 1000 during blood work can not be directly applicable to fertility issues to! It is an effective way to stop using without suffering massive consequences as well and increases hormone-binding... Hormone secretion following clomiphene administration in men undergoing testosterone replacement and human chorionic gonadotropin maintains intratesticular in. For months about one week before we stopped my weekly injections of testosterone,. Dont want to be negative, hopefully some of the measure tells if it is interesting look. What unit: ng/mL or pg/mL the unit of the pituitary-gonadal axis to chronic clomiphene administration men. Be overstated me appropriate knowledge about fertility and pregnancy Chiang Mai, where! Mark, which is in hopes of getting the signals going again age 57 years receiving... Per pound Weight Loss – correct find out what unit: ng/mL or pg/mL unit... Restarting my HPTA and is solely interested in sperm count came back with mean... Since last october, been running HCG the whole package ( I 've been on testosterone until... Among clomid treated patients coming off trt for fertility the average pre-treatment ADAM score was 0.76 vs. 0.23 at follow up will co-opt so! At conception hold off on testosterone replacement therapy is gaining wider use, but may be enough to restore.... Semi-Annually thereafter 4.9 vs. 2.1 at follow up of patients receiving clomid was performed via telephone using!
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