Hi, I’m looking to add HCG to my TRT regimen for fertility reasons and looking for suggestions on dosages for everything as well as any feedback as to what to expect. I just had a sperm count done and there was none found. The fertility doc ran the following labs.
Total Testosterone: 1280 (blood test was done within 4 hours of my morning test cyp shot.) (280-800)
E2: 35 (non-sensitive test) (7.63-42.6)
Prolactin: 2.84 (4.04-15.2)
LH: 0.27 (1.7-8.6)
FSH: 0.16 (1.5-12.4)
TSH ultrasensitive: 1.79 (0.27-4.2)
I was diagnosed in September, 2015 of being hypogonadism and have been taking 0.25ml of test cyp every 3.5 days. I’m currently taking 0.25mg of anastrozole every 2.5 days. Prior to starting on trt my labs showed:
Total testo: 249
LH: 3.3 (2-12)
FSH 5.2 (1-12)
From my reading I understand taking HCG is needed to compensate for the low LH and possibly HMG for the low FSH. So my questions:
What dosage of HCG should I be looking to take?
How much should I lower my testo dosage since my peak is already a little over 1280? My trough testo was 1080 about 6 weeks ago. I was thinking of dropping it to 0.4ml every 3.5 days.
How much should I up my anastrazole dosage after I start the HCG. I was thinking of going to 0.25mg every 2.0 days to start off with. I was on that dosage a couple months ago but it drove my e2 down too low.
Do you think the HCG is enough to get my sperm count to where it needs to be for having a child or should I be adding something for the FSH?
I’m still not sure what’s going on with my low prolactin. This is the third test and it keeps dropping. My general doc told me not to worry about it but I’ve read the study about how having prolactin under 5 can cause ED issues. If anyone has thoughts as to why its dropping I’d love to hear them, as well as suggestions on how to raise it a little.