Many guys on T+hCG+AI have made babies. When seriously trying, swapping 250iu hCG EOD for 20mg Nolvadex EOD or 25mg Clomid EOD will improve things with LH+FSH. Some feel horrible on Clomid, others just fine. Nolvadex does not to that. Clomid is a doctor favored drug, but nolvadex work the same way, docs can be brain dead.
Labs should have been LH and FSH because LH is pulsatile with a short half-life and lab values have a poor signal to noise ratio. In many cases, FSH provides a better LH status than LH itself. If FSH is oddly high, that can be from a FSH secreting testicular cancer. On TRT, LH and FSH should -->zero. If FSH does not, a one time on-TRT FSH lab can detect or rule out such a cancer. Testicular cancers are not rare.
You need to test prolactin to see if elevated which can be from a prolactin secreting pituitary adinoma that leads to low-T. This is not rare.
In a case like this, a diagnostic effort is required to look for causes. Low-T is the symptom, not the disease.
You can be carrying a lot of fat from low-T and/or low thyroid function. Please eval that via last paragraph in this post.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.