Hi- New here, so I hope this is in the right place.
I’ve been in treatment for secondary hypogonadism for over a year. Wife and I are trying to have a second baby (had one naturally a few years ago) and I’ve been on HCG monotherapy for about 10 months now. I came across a T-Nation article while researching some current events and am hoping some of you can help as I’m not a lifter and testosterone replacement is relatively new to me.
We are working with an andrologist at the cleveland clinic who has me on 2000IU of HCG 3X/week. This was to help bring up my test levels (was 150 total a year ago). It did that; got me up to around 300 total. Not great, but somewhat better. For awhile, it made my sperm count go up (we are trying to have a final baby ASAP and it’s been quite a ride). In November it was over 25 million/ml, but my last SA showed it falling (13 million/ml). We keep track at home too and it’s been steadily falling for a few months now. My test levels are also slowly falling. Total T was 248 just a few weeks ago and I can feel it falling more.
Did some research and despite the fact that my doc thinks I’m crazy, I feel like my LH receptors are probably desensitized. The more I read about HCG the more I see that high doses really aren’t recommended because of this. She increased my HCG to 2500IU/3X a week but we’ve held off on it because I think it’s working backward now.
I hope this makes sense. I should also add that my LH/FSH levels back in September were both less than 1. At my most recent bloodwork, LH was 1.4 and FSH was 3.4. A friend I met in another forum suggested LH receptor sensitivity because of this and the more I hear about it, the more I think that’s what is going on.
So… is there a way to make my LH receptors sensitive again? We have access to clomiphene (which I have avoided) and FSH injections outside of the MD’s recommendation, but they’re pricy so I don’t want to drop big dollars if my receptors aren’t working now.
What can I do to help reset my leydigs? Any opinions are welcome. I don’t know what’s going on but we’ve been sinking mad money into treatment with little return and I’m done screwing around.