TRT shuts down HPTA and without LH, testes typically get small and can become permanently damaged.
One of the lobes of hCG is identical to the hCG lobe that activated LH receptors. So hCG will maintain form and function of the testes. Most of the time sperm production is not lost. If there was FSH, sperm production would be fully supported. If sperm count is low, you can use a SERM which will increase LH and FSH levels if the top end of the HPTA is functional. This can be used to get pregnant or as an occasional tune-up, swapping SERM for hCG. Do not use both together.
We have had two guys on hCG planning an elaborate program with SERM but got pregnant before the plan was implemented. [/quote]
I’m not currently looking to have kids, just want to make sure that I can in the future.
In your opinion would I be good to start on TRT without any HCG or the like now or would I be best off waiting to see a urologist and addressing future fertility? I feel like shit and want to start, just want to be very careful about fertility.