T Nation

Secondary Hypogonadism & Clomid


#1

20 yr old male
6 foot 4
215 lbs.

Ever since about a year ago I noticed a huge decline in my sex drive and my lifting. At the gym, I haven't been getting the same "pump" that I am used to getting and it has gotten extremely hard for me to build muscle and lose fat like I used to. I used to be a gym rat but now the gym feels like a waste of time because it doesn't feel the same.

My sex drive is basically non existent to the point that i have to force myself to masturbate and erections are never full or completely hard. No morning wood either. Back in high school I played football and suffered a lot of concussions that ultimately ended my playing career. I then suffered another concussion about 3 months after I started feeling these symptoms too. I have read online that concussions can cause pituitary issues that can also cause these symptoms.

My total testosterone stood at 669 from a 300 - 1200 scale, my LH stood at a 4.3 from a 1.5-9.3 mIU/mL scale and my FSH stood at a 2.0 from a 1.6-8.0 mIU/mL scale. Based off of this and the fact that I had been developing gynecomastia and relatively low free T my endocrinologist is suggesting I have developed Secondary Hypogonadism which seems to be accurate.

He suggested that Chlomephine or Clomid would be a good treatment for me to undergo and that it has worked very well for previous patients that had my same symptoms. He wanted to further test my levels and check my estrogen before officially prescribing it so I should find out in a week or so I will be getting it.

I was just curious what knowledge you guys may have with Clomid and how well it works. What will I expect as far as libido goes and what are some long term effects? Also wondering if any of you guys have had the treatment?

I want to know how it works for people in my position rather than people who are using it to get off of a steroid cycle.

-Thanks!


#2

I have been on Clomid for the past almost couple months after being diagnosed with low T (though my T ranges from 210-280 based on the past 3 scores). How can you say that you have secondary hypogonadadism? Your T levels are 669, far exceeding the 200-350 hypogondal definition.

Anyhow, as for the Clomid, my symptoms are similiar to yours. Except they started at a much younger age. I am a regular at gym yet was never able to pack of muscle. After a couple months of Clomid use, I already noticed a change in that department. As for energy, I feel slightly more energetic which I am hoping is a sign of increasing T levels. Sex drive, hard to say. I am also using Cialis 2.5 but for the past week, I’ve woken up with morning erections everyday. This is something that hasn’t happened in literally YEARS.

Overall, I’d say the results are encouraging and from what I’ve read, improvements will be gradual over a duration of 6-12 months. I’ll get another blood test in about a month from today to evaluate Clomid’s effect on me. If things have not improved I think we will be switching over to actual synthetic T injections.


#3

Interesting, that sounds like it is working well for you so far. I am a little worried about the whole libido thing because I have seen on here that a lot of people weren’t fully able to get that back. However at the same time the people who had everything workout probably don’t have as much of a reason to post on here as people who would have issues. And yeah my test levels were at 431 earlier this year and they went up to 669 but still I guess I am used to being at an even higher level so I think that is why I am still feeling these symptoms.


#4

[quote]jm555 wrote:
Interesting, that sounds like it is working well for you so far. I am a little worried about the whole libido thing because I have seen on here that a lot of people weren’t fully able to get that back. However at the same time the people who had everything workout probably don’t have as much of a reason to post on here as people who would have issues. And yeah my test levels were at 431 earlier this year and they went up to 669 but still I guess I am used to being at an even higher level so I think that is why I am still feeling these symptoms.[/quote]

I’ve read a couple studies that showed clomiphene citrate has increased erectile function in younger people with low T. I myself haven’t noticed much change, I don’t know if it’s all in my head at the gym- I feel stronger. I will let you know my resulsts when I get them back in Sept, post Clomid results. But from what I’ve read, those taking T injections have much stronger sex drives and erectile function then those who take T. Also I hear HCG is really good for that, which I will probably take to maintain my fertility if the doctor feels I should start injections in a few weeks.

From what I’ve read, it also takes time for erectile function to come back. Some longer then others.


#5

My labs came back with

testosterone being 845

Lh - 3.05 from a 1.5-9.6 range

Fsh - 1.34 from a 1.0-10.0 range

my doctor said my E2 levels were very high so he is prescribing my arimidex to help with that, the gynocomastia and my symptoms. I was curious if Arimidex would help my LH and Fsh because my Fsh levels are almost infertile and I am only 20 years old. Any thoughts on this?


#6

[quote]jm555 wrote:
My labs came back with

testosterone being 845

Lh - 3.05 from a 1.5-9.6 range

Fsh - 1.34 from a 1.0-10.0 range

my doctor said my E2 levels were very high so he is prescribing my arimidex to help with that, the gynocomastia and my symptoms. I was curious if Arimidex would help my LH and Fsh because my Fsh levels are almost infertile and I am only 20 years old. Any thoughts on this?[/quote]

It does raise them, but unfortunately i have no idea how much or what kind of fluctuation you will experience. I tried to find some studies since i was meant to study it myself aswell, but didn’t find any comprehensive medical releases. All the medical releases i found, the subject wasn’t on TRT and that kinda changes things in this case.

Hopefully someone here knows, or ask your doc and tell us what he said. :))

Edit: Whops, you’re not on trt.