Please help! I’m new here but have been reading the past few days. My husband has been on trt for 3+ years. We decided to have another baby a year ago. Of course he had zero sperm on a SA at that time. He came off T for 2 weeks and took clomid 25mg eod and hcg 1500iu 2x week. He then went back on T and continued the hcg at 500iu 2x week. His counts came up and we did IVF. I had some issues at the time which is why we did IVF. I have since had surgery to correct those.
He did not stay on the hcg after the IVF we were convinced I would get pregnant but after both transfers I was not pregnant. After I had surgery he started the same protocol as before and now 4 months later he has zero sperm still. He does not want to go off T long term! His Dr is willing to work with us but she doesn’t really know much about the fertility aspect of trt. From what I’ve read I’m thinking of asking her to let us try some fsh. Just wondering what your thoughts are of this… Stay on T, continue hcg 500iu 2x week, add 75iu of fsh 3x week. Should the addition of fsh stimulate spermatogenesis since hcg alone isn’t working thus far? Also how long should he plan on being on fsh? Until I get pregnant? Oh and he is also on anastozole .5mg week.