Editing original post.
In December of 2011, we discovered I was azoospermatic after 18 months of T+HCG+AI.
I ceased all TRT and after about 6 months, recovered to about 2 million sperm per mL.
Most recent semen analysis was this past Monday, still at around 2 million per mL. Roughly 10% of a “normal” male. Thankfully, enough for IVF, and also thankfully, motility and morphology are good. So, this 8 month ride I’ve been on was a victory in that it achieved what I set out to achieve.
I paid a steep price in suffering, so I am glad I got what I was after.
I wish that HCG maintained my fertility even slightly while on that regimen, but it did not, and should be taken into consideration by anyone going down a similar path.
Now then, the sperm are banked, and it’s time for me to return to treatment. I am now primary, as my testicles are now clearly dysfunctional. In spite of ample LH and FSH (confirmed by lab work), my testosterone level remains next to zero.
I am considering TRT without the use of HCG for a couple of reasons and welcome discussion on same.
When I began treatment on HCG alone, my e2 rocketed (70 or so). When I added androgel to the HCG, e2 remained at 70 ie no increase from the androgel.
When I switched to injections and hCG, it again remained around 70.
I needed 0.0625mg (you read that right) of arimidex to lower my estrogen levels.
It’s my belief that I was chasing E2 levels with an AI due to HCG.
I’m sure HCG offers some benefit from a mood perspective etc, but if it means I don’t have to chase E2 all over the map if I don’t take it, I’ll deal with that easily. I have no need to keep my testicles full now, and my wife is fine with it from an aesthetic point.
In any event, I’ll add labwork and such and post progress as I move along.
Hope you all are well.