No FSH or LH - hCG and Tamoxifen

Pharma / TRT Testosterone Replacement
1

29 yr old male - in January 2020 my FSH and LH were within normal ranges and testosterone low. At that time the endo had me on 20mg tamoxifen for 6 months.

In February 2020 he added 250iu hCG EOD with 20mg tamoxifen. I had blood work done today and it showed free testosterone within range but non-existent LH and FSH.

I’ve had SA’s done Jan/March (while on 20mg tamoxifen) and they came back good volume, concentration, motility. After being on hCG and tamoxifen together the results in May/June showed lower numbers in terms of motility and concentration.

I also have left varicocele (absolute winner -
but being looked at by urologist)

What would be causing the LH and FSH to crash?

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2

So, you have answered your own question. It makes zero sense to take these two together. You are unlikely to produce LH when injecting and LH analogue into your system EOD.

3

Ahh, should I drop the tamoxifen and continue with the hCG? He has me on a fertility protocol (currently trying to convince) at the moment.

4

The tamoxifen isn’t doing anything, so why take it? Maybe up the HCG if anything, but no sense in taking and the tamox together.

5

Ah gotcha. Now knowing the LH would be suppressed during hCG administration; will it return to normal levels once I get off of hCG?

6

Theoretically.

7

Oh ok.

8

HCG mimics LH but doesn’t increase either LH or FSH, HCG also suppresses the HPTA (LH and FSH). If you want to increase FSH, you need FSH injections. Through a retail pharmacy you will pay a small fortune for FSH, compounding pharmacy’s are a great deal cheaper.

9

Thank you for the reply. That makes sense, I do have an appointment upcoming with my endo. I will ask about hMG w/ hCG. I just hope levels can normalize once I get off all of this.