T Nation

Coming Off TRT After 3yrs to Have a Baby. High Dose HCG Treatment


#1

A fertility specialist recommend I take 3000iu of HCG 3 times a week for 3 months. I had a zero Sperm count (I have had children in the past so this is 100% caused by the TRT)

It has been 3 months and my blood work:

Estradiol: 60 (crazy high) top of scale is 63
FSH: <0.3 (so nothing...)
LH: <0.1 (again nothing)
Prolactin: 5.8 NG/ML 3.0-30.0
Test, Free/Total w/SHBG: 8046 (no range given but shown in red out of range)
Test: 776
SHBG: 39 NMOL/L 17-66
Free Test: 16 NG/DL 4.8-25

I have been feeling pretty good but not as good the last few weeks probably because I have been becoming E dominant. Scrotum has started to stay higher/tighter and Testes not as plump.

I have decided to try Nolvadex at 10mg a day and Anastrozole. I am going in tomorrow to get a prescription for more Anastrolzole I only have 3 1mg tabs left. I just took 1 20mg Nolvadex and 1mg Anastrozole.

I am going to try and do Sperm analysis Wednesday. I am not sure if it would be worth it will LH and FSH at 0.

Any input would be appreciated. Thanks


#2

[quote]HughLucas wrote:
A fertility specialist recommend I take 3000iu of HCG 3 times a week for 3 months. I had a zero Sperm count (I have had children in the past so this is 100% caused by the TRT)

It has been 3 months and my blood work:

Estradiol: 60 (crazy high) top of scale is 63
FSH: <0.3 (so nothing…)
LH: <0.1 (again nothing)
Prolactin: 5.8 NG/ML 3.0-30.0
Test, Free/Total w/SHBG: 8046 (no range given but shown in red out of range)
Test: 776
SHBG: 39 NMOL/L 17-66
Free Test: 16 NG/DL 4.8-25

I have been feeling pretty good but not as good the last few weeks probably because I have been becoming E dominant. Scrotum has started to stay higher/tighter and Testes not as plump.

I have decided to try Nolvadex at 10mg a day and Anastrozole. I am going in tomorrow to get a prescription for more Anastrolzole I only have 3 1mg tabs left. I just took 1 20mg Nolvadex and 1mg Anastrozole.

I am going to try and do Sperm analysis Wednesday. I am not sure if it would be worth it will LH and FSH at 0.

Any input would be appreciated. Thanks[/quote]

And you expected LH and FSH to be something other than 0 on HCG?


#3

I guess I am confused. I thought MY LH would be high/higher on HCG. Doesn’t HCG cause an increase in LH to stimulate Sperm Production? Or dose it stimulate without seeing an increase in LH?


#4

[quote]HughLucas wrote:
I guess I am confused. I thought MY LH would be high/higher on HCG. Doesn’t HCG cause an increase in LH to stimulate Sperm Production? Or dose it stimulate without seeing an increase in LH?[/quote]

Your LH will still be bottomed out even on hCG. HCG doesn’t cause an increase in LH, it mimicks LH to trick your testes into functioning.


#5

Way too much hCG, 250iu EOD is a LH replacement dose.

Zero LH/FSH on TRT is expected, your doc at fault.

There are 7 stickies in this forum. Start with advice for new guys.

DO NOT DO HIGH DOSE SERM.

DO NOT COMBINE SERM and hCG.


#6

With an LH of 0 will I be able producing Sperm on HCG?


#7

[quote]AlwaysUp wrote:

[quote]HughLucas wrote:
I guess I am confused. I thought MY LH would be high/higher on HCG. Doesn’t HCG cause an increase in LH to stimulate Sperm Production? Or dose it stimulate without seeing an increase in LH?[/quote]

Your LH will still be bottomed out even on hCG. HCG doesn’t cause an increase in LH, it mimicks LH to trick your testes into functioning.[/quote]

So the test to see HCG is working is Testes increase in size, T lvl up, and the definite answerer would be a semen analysis?


#8

If testes respond physically, you would give them time to get to steady state. Then check for sperm or fist switch to SERM for a few weeks then test.