A little background first: I’ve been on TRT since late 2010, and I’ve gone through a few doctors until I found a decent one in early 2013. I had a thread on that, but it’s gotten too large so I am starting a new one.
You can read back if you like, but I’m going to give a short summary here:
Cause of low testosterone (<300 TT) - unknown. Regrettably, LH, FSH and other parameters not tested until after starting TRT. Low T manifested in ED & low libido symptoms, went through a carousel of doctors until I found a good one who prescribes me compounded T creams plus HCG to maintain the boys. He also tested everything else under the sun, CBC, physical exam, heart EKG, thyroid, adrenals, etc… and everything came back just fine except my lipid panel, which isn’t as optimal as it should be (HDL is excellent, but LDL is also high, Triglycerides normal).
Settled on TRT regimen as follows - 100 mg T cream ED, 250 IU HCG EOD. No interest in bodybuilding, sole goal of TRT is to increase libido and maintain solid erections. TT went up to +500 after a few months but E2 too low at <10 with no AI. Libido comes and goes, some improvement in erections. Currently not taking an AI, will test E2 first week of April.
Now, my wife and I are thinking about having kids. We are preparing for a pregnancy later in this year. I do NOT want to get off testosterone. I am a wreck without it, so I must stay on testosterone.
So my question is, do I continue taking HCG? Or should I switch to Nolvadex? When I start trying to conceive, or should I start a few months before? For how long? Or is Clomid better? If one MUST stay on TRT while trying to get a girl pregnant, how do the parameters and dosing of TRT change?