A little background -
-age - 22
-height - 170 cm
-weight - 70 KG
due to low levels of testosterone (leading to low sex drive and fatigue and other symptoms) received TRT for the last eight months.
Blood tests before starting treatment:
FREE TESTOST. PMOL / L 15:10
FSH MIU / ML 2.37 2.05
GH NG / ML 0.75
LH MIU / ML 2.00
PRG-17-OH NMOL / L 1.70
PROGESTERONE NMOL / L 2.23
PROLACTIN M / UL 95.03
FREE T4 PMOL / L 13:00
TESTOSTERONE NMOL / L 7.14 8.00
TSH UIU / ML 2.54 2.35
I did many tests before starting the treatment - but there was no reason apparent reason for the low T levels (LH levels were not elevated…).
Treatment: TestoMax gel 50 MG once daily for the past eight months, the values â??â??increased and the general feeling and the symptoms have been greatly improved.
lab results last month (after eight months of treatment):
DHEA SO4 UMOL/L 6.16
ESTRADIOL(E2) PMOL/L 94.47
FREE TESTOST. PMOL/L 78.70
FSH < 0.8
LH < 0.2
PROLACTIN M/UL 94.24
TESTOSTERONE NMOL/L 18.20
TSH UIU/ML 2.40
VIT.D 25-OH NG/ML 53.60
- first question - is this lab results good?
following a semen test analysis that turned out i’m Infertile (side effect of the treatment) and the willing to ensure the ability to bring future offspring, it was decided to take a break from treatment, Ensure proper semen test after three months of break and then freeze the sperm, so that I can continue treatment without concern for years and always have a backup in case something goes wrong in the future.
And now to the subject - a few questions:
- what do you think about the decision to stop the TRT and freeze the sperm?
- should I do PCT?
Specialist urologist prescribed me HCG (as ovitrelle) to resume the production of sperm, the dosage - 60MG three times a week for a whole month (60MG = 1500UI If I’m not mistaken). Total of â??â??25,0000 UI.
I understand it’s a pretty high dose and for quite a long time (month), what do you think of this? I read a high dose (more than 500IU per day) is not recommended and may lead to a large increase in estrogen. Should I change the dose?
Never offered any use SERM, do I need one? (Especially with a relatively large amount of the HCG)
Should I consider using an AI?
How long since the cease of applying the gel should I start with the HCG (or SERM if you recommend it)? The gel comes out of the bloodstream in 72-96 hours (according to PI).
I was also offered Pregnyl instead of ovitrelle, which one I should prefer? can I inject Pregnyl subcutaneous like ovitrelle or it must be intramuscular? - I saw reference in past posts, most were against subcutaneous because it may hurt immersion, The question is it even possible and is it significant?
I really appreciate any help, I should start injecting the HCG soon.