So my husband has been on trt for about 2 and a half years with no hcg. I am unsure of the dose, but he takes it once a week. We wanted to try for another child so his doc had him take clomid every day starting this past February along with his weekly test shot. Had a semen analysis done beginning of June and not surprising the results were 0 sperm. His doc put him on hcg 3x a week, I dont know the dosage in iu’s, but hes using I think an insulin syringe and taking .3ml or .5ml. He cut his test shot in half from what he was originally taking, not sure the dose, and still using the clomid.
I have read on several sites that using test, Hcg, and clomid is not good and the clomid and test will actually work against each other. He has been doing that regime since approximately July. He finally had blood drawn and his LH levels were 0.1, they didn’t include the FSH level for some reason but the doc said it was going to be low anyway. I am assuming with LH levels so low he still isn’t producing sperm? Could it be a possibility he is producing sperm since the HCG mimics LH and won’t be detected on bloodwork? He doesn’t want to come off the test bc of the crash, and the doc didn’t seem to want to prescribe FSH and said it would be very expensive. I would assume it would be pointless to do another semen analysis with such low LH numbers. Is there anything help you guys could provide as to what we could try next to restore fertiliy?
Prior to trt he had a great semen analysis and we had a child, so he was fertile prior to test.