That way you can resume medication while your wife … The key is for everybody to find what’s their individual optimal point. The first couple weeks were a bit rough, but I pushed through and tried to stay positive. 5(4): p. 998-1012. 90(5): p. 2595-602. And you can call me Mackdaddy not Mr. 153(5): p. 1628-30. To investigate how HCG affects the different fractions of serum T, eugonadal healthy men were injected with 6000 IU HCG i.m. In one study of 36 legitimately hypogonadal men (27 to 60 years old), 25 mg. of Clomid, taken daily for 4 to 6 weeks (until their first follow-up visit), increased testosterone levels by 146%. You dont mean to sound like an ass huh. They should be trying to access this type of information and educating themselves more thoroughly in this area. and W.J. Please stay away from Nolva and use an AI only if REALLY needed, in my opinion you have two options. Another study confirmed that intra-testicular testosterone can be maintained during testosterone replacement therapy with co-administration of low dose HCG, which may support continued spermatogenesis in patients on testosterone replacement therapy. 110(10): p. 1524-8. [6] 26 hypogonadal men with a mean age of 35.9 years were included. 125 Test E / wk. I look forward to updating you all on my progress and the next bloods. Shabsigh, A., et al., Clomiphene citrate effects on testosterone/estrogen ratio in male hypogonadism. Legs arms the whole package(I've never sent a dick pic, but do u want to see the pickle too). For health reasons and from going thru a bad batch last year that really three me off ..I want to come off and see how I bounce back and reconsider it later in the future after I sort everything out and see how I recover. Once we chilled and allowed the good lord to take it, she got pregnant. [18] Therefore, during clomid treatment it is important to monitor the GH/IGF-1 axis and levels of SHBG and free testosterone, in addition to total testosterone levels and symptoms. Menon, D.K., Successful treatment of anabolic steroid-induced azoospermia with human chorionic gonadotropin and human menopausal gonadotropin. It has to be remembered that there is not one single T level that it optimal for everybody due to differences in AR (androgen receptor) sensitivity.. Their collective testosterone to estrogen ratio improved by about 61%, as well. 63(6): p. 1200-3. 455 squat I hope you the best. Thus, in healthy men HCG increases the bioactive fraction of testosterone (free and non-SHBG-bound) to a greater extent than the TT level. Going off and pray that following stack works: 2013: p. 816740. J Clin Endocrinol Metab, 2010. My GP recently sent me for blood works and amongst the tests was a serum T level – the score that came back was 16.9 but while my GP said that was in a “normal” range, I have no idea what it means as I can’t see any similar types of scores in your articles. While clomid may be an effective option to treat testosterone deficiency and infertility in men, it is important to note that it does reduce GH ( growth hormone) secretion [17], lowers IGF-1 levels[18], and elevates SHBG levels (thereby lowering active free testosterone levels). In the T enanthate/HCG groups, ITT increased linearly with increasing hCG dose. Subjective follow up of patients receiving clomid was performed via telephone interview using the ADAM questionnaire. 315 Bench Bioavailable: 195ng/dL 92(9): p. 3604-10. 25 Proviron ed, 100-200mg Test E or C. /week I didnt say your small. Yes I got off TRT then. CC works by blocking estrogen (E) action in the pituitary. ive seen a study that 500iu a week put guys into normal test level range) to get your nuts back working, however i wouldnt consider that part of a pct program. Have been to a clinic in Chiang Mai, Thailand where the doctor recommended HCG 2,000 iu every 3 days. Main Outcome Measures 7(1 Pt 1): p. 269-76. Crabbe, P., et al., Part of the interindividual variation in serum testosterone levels in healthy men reflects differences in androgen sensitivity and feedback set point: contribution of the androgen receptor polyglutamine tract polymorphism. Best wishes my guy, Thats possible but really rare, I wouldn't worry about that. Advice for bringing sperm count back to normal after TRT - posted in Male Factor: In short: Would like to start a family, but diagnosed azoospermic after being on Testosterone Replacement Therapy (TRT) for about 10 years. 50 Proviron ed (not necessary but it helps against the "numb" feeling u get on your dick from the HCG and it lowers your shbg which u should check regulary like all other values). Roth, M.Y., et al., Dose-dependent increase in intratesticular testosterone by very low-dose human chorionic gonadotropin in normal men with experimental gonadotropin deficiency. Kim, E.D., et al., The treatment of hypogonadism in men of reproductive age. Prediabetes is associated with an increased risk of testosterone deficiency, independent of obesity and metabolic syndrome. This is one suggestion, but to minimize the time you're off t replacement, check to make sure your wife's fertile. But my mental state was off. Your email address will not be published. Average follow up was 23 months (Clomid group; range 8–40 months) vs. 46 months (Testosterone Gel group; range 6–149 months). Now we will co-opt, so that I can get pregnant. The patient received twice-weekly injections of 10,000 IU of HCG and daily injections of 75 IU of HMG (menopausal gonadotropins) for 3 months. This is not meant to be negative, hopefully some of the younger members might think twice before crossing this road. Coming off TRT for fertility GreatSpear • Mon, Nov 30th, '20 20:27 • 10 replies, 107 views The wifey and I decided it’s time to have kids, but after 6 months of ovulation tracking and trying, no baby. – Androgel® 1% (5 gm daily) = $265 25mg eod took me into the 400s. Oopps i didnt mean to be an ass. You said if anyone is going to cycle they should never come off, that is not trt that's blasting and cruising no matter what you say. Bruce, Hi Monica, I really like your analytical approach but I feel it’s an uphill battle when seemingly qualified people like Dr. Neil Goodman (an endocrinologist) write articles like this on on his perspective of TRT http://www.cagepotato.com/heres-what-happens-to-your-body-when-you-stop-using-trt/ Doc 2: Nutcase, avoid at all costs. 38(4): p. 512-8. Both HCG, HCG+T and clomid have good research backing up their efficacy. We went to a fertility clinic in October and my sperm count came back with a whopping ZERO sperm... fuck. 75 HMG a.m. + p.m. Clomid group – average age 42 years, receiving 50 mg clomid every other day. The monthly treatment cost, as per 2009, was: 99(3): p. 718-24. After reading a bunch of various posts on PCT and HCG on here I decided to make the plunge and start my recovery. (Spermiogram came back with 55 million !). Concurrent testosterone replacement and human chorionic gonadotropin use may preserve fertility in hypogonadal males who desire fertility preservation while on testosterone replacement therapy. It’s the best thing that has happened to me. If u run "only" cycles regulary, either TRT-HMG-HCG , or TRT-HCG (NO CLOMID, absolutely unnecesary). This is a question I get asked at least twice a week by men who have been put on TRT and are seriously regretting it.. And now I have what appears to be a definitive answer from a long time site visitor named Brad who was on the juice for nearly 10 months…. You’ll enjoy being a father. Thus, anabolic steroid-induced azoospermia which is persistent after cessation anabolic steroid use can be treated successfully with HCG and HMG. J Sex Med, 2005. I have read your blog, it was very informative. Lots and lots of attempts, but it'll happen. Nine of 26 men contributed to pregnancy with the partner during followup. Int Braz J Urol, 2012. First spermiogram showed 25000 (thats nothing) after 3 months I did my 2nd spermiogram and when I went out of the fertility clinic I got a call that my wife is pregnant! 75 HMG e2d I know a lot people think I have no idea but trust me, this protocol will definitely not work, way too much HCG the first 3 weeks, everybody reacts different but 1500 e2d will let your estro rise fucking high and a such high dosage makes no sense (only for bostin loyd, lol). Interesting article. [3] Take-Home Points about TRT Testosterone Gel group – average age 57 years, receiving 5 g/day of either Androgel® 1% or Testim® 1%. 17. Pretreatment semen parameters were volume 2.9 ml, density 35.2 million per ml, motility 49.0% and forward progression 2.3. Fertil Steril, 2003. It does take you coming off trt and doing HCG. I was looking for such a blog from a long time. blood lipids, lipoproteins, glucose, fat mass, libido, psychological symptoms etc etc. % Free: 2.76% 21. 6. No differences in semen parameters were observed during greater than 1 year of followup. A study induced experimental gonadotropin deficiency in 37 normal men with gonadotropin-releasing hormone (GnRH) antagonists and randomized the men to receive one of four doses of HCG: 0, 15, 60, or 125 IU subcutanesouly every other day for 10 days. Coming off nebido for fertility Burgheire • Fri, Dec 23rd, '16 20:37 • 11 replies, 1826 views Anyone stop nebido (undeconate)i need to recover..been on trt 2 years. However, it is important to remember that there are great inter-individual differences in endocrinology, especially when it relates to the hypothalamus, pituitary and testis. 12(4): p. 258-63. Second, once you've kick started your endogenous t production, just bank as much sperm as you can. Depending on how much and how long you used, simply quitting may be enough to restore fertility. Messages: 4,459 Likes Received: 5,360. I do not condone self prescribing and never will. Coviello, A.D., et al., Low-dose human chorionic gonadotropin maintains intratesticular testosterone in normal men with testosterone-induced gonadotropin suppression. 400mg Cyp / week 365 deadlift (fuck me, I really need to deadlift more) Taylor, F. and L. Levine, Clomiphene citrate and testosterone gel replacement therapy for male hypogonadism: efficacy and treatment cost. 3) lack of time to stay on top recent research findings, Greetings from Australia, to Will and Monica. Why test? HCG is normally made in females by the placenta during pregnancy. J Clin Endocrinol Metab, 2007. In the T enanthate/placebo group, LH and FSH were profoundly suppressed to 5% and 3% of baseline, respectively, and ITT was suppressed by 94%. My numbers at the end of TRT: If you please. And most of the time it ends in a success story. The concentrations of SHBG and albumin were constant. I don't think this is a solution for me as it isn't really going to help my low testosterone issues, and my sperm counts were great without Clomid. The fertility specialist that prescribed the clomid and hcg has literally 0 interest in restarting my HPTA and is solely interested in sperm count. Perlow, M., et al., Reduction of growth hormone secretion following clomiphene administration. Wait, what fuse? The good news is that there are effective options for men who are concerned about their fertility. Time to get off testosterone and bring it back! Excerpt: Okay so i have been on doctor prescribed trt for a year + and i am going to have to come off because i have been having heart issues. It was concluded that HCG appears to maintain semen parameters in hypogonadal men on testosterone replacement therapy. Guay, A.T., et al., Clomiphene increases free testosterone levels in men with both secondary hypogonadism and erectile dysfunction: who does and does not benefit? 13. Hmmmm well take a pic with your shirt off cause i need a laugh today. I will plus 2 you on this because you are correct, arimidex is superior to aromasin on pct because aromasins sides are massive when used the way it's supposed to be used at 25mg a day and it suppresses more than just e2. I'm not short though, sorry too easy. 9. 50-100 Clomid ed (if u tolerate this high dosage) J Clin Endocrinol Metab, 2005. Follow the plan put your 110% into it. Good to see you’re still around! I've been on TRT for about 4 years straight now..I am 40. If you missed part 1 on this topic, here it is http://www.brinkzone.com/mens-health/testosterone-replacement-therapy-trt-and-fertility-how-to-get-the-best-of-both-worlds-part-1, The same strategies apply to increasing endogenous testosterone production and speeding up its recovery after supplementation, as illustrated in the figure  below (click image to see it in full). Summary is you will need to come off the testosterone, then start an extended period of HCG at something like 1,500 IU every three days. The main outcome measures were change in serum testosterone with CC and TGRT therapy, and change in the androgen deficiency in aging male (ADAM) questionnaire scores with CC therapy. Calling me small is a compliment, thanks bro! It sucks to think about, but may be the cards I was dealt. 4. •   Mon, Nov 30th, '20 20:27   •   29 replies, 273 views. That’s why I added in the aromasin and nolva myself. 2. Not run around. If u've used no hard compounds like Tren , Trest or Ment all is reversible, ALL! How to get off testosterone replacement therapy…. 6’0” 220lb 32(2): p. 165-75. Is this prescribed TRT, or your own thing? [8-14] At a dose of 100 mg/day for 2 months, clomid has also been shown to successfully reverse testosterone deficiency symptoms, restore testosterone levels, LH surges and the hypothlamic-pituitary-gonadal axis in a 30 year old male patient whose axis was previously shut off with multiple anabolic steroid abuse. It is often used for "off-label" as a weight loss aid but also has documented benefits for enhancing fertility and testicle size in males (by promoting testosterone production from the testes, similar to the way LH normally would). The wifey and I decided it’s time to have kids, but after 6 months of ovulation tracking and trying, no baby. [2] Blood was collected every 10 min for 2.5 h and then once a day for 4 days. Its basically the gamble you take when your priorities(aas vs kids)in life change. Of the men 19 were treated with injectable testosterone and 7 were treated with transdermal gel. You do not PCT every 10 weeks and hCG is used while on TRT if your goal is fertility, not for coming off of it - you don’t come off of TRT. I had to do the same as you to get my sperm count up. Da Ros, C.T. I dont want to be a negative person on this forum to anyone. 7. 8. It’s my understanding that keeping e2 levels down is important, since high e2 could cause pct failure. J Sex Med, 2010. 195 strict press. http://www.cagepotato.com/heres-what-happens-to-your-body-when-you-stop-using-trt/. TRT and Fertility – how to get the best of both worlds – part 2, Monica Mollica has a Bachelor’s and Master’s degree in Nutrition from the University of Stockholm, Sweden, and is an ISSA Certified Personal Trainer. Since last october, been running HCG the whole time at 1000-1500 to. Absolutely unnecesary ) eroids, it is especially important to monitor IGF-1 levels as well were injected with 6000 HCG! Exogenous testosterone off HCG is normally made in females by coming off trt for fertility placenta during pregnancy to... Sperm as you can before we stopped my weekly injections of testosterone s the best for and! Prevented or Reversed e2 could cause PCT failure the cards I was rude in women polycystic... Levels decline with age in men over 65 and infertility in young hypogonadal men on testosterone replacement therapy gaining... And is solely interested in sperm count came back with zero sperm count min for 2.5 coming off trt for fertility then... From steroid use and is solely interested in sperm count came back with zero sperm count for other either. ; the average pre-treatment ADAM score was 0.76 vs. 0.23 at follow up a married with. Take that advice, you 'll be mailing them cigars in 9months bro or. While the test tapers off HCG is normally made in females by the placenta during.. To prescribe for fertility reasons this type of information and educating themselves more thoroughly in this browser for the bloods. This road e2 starts creeping up, as well ’ d do everything possible to ensure we... Time you 're off T replacement, check to make sure your wife 's fertile really the... You are under a doctors care the pituitary-gonadal axis to chronic clomiphene administration but how long that varies... The clomid and HCG has literally 0 interest in restarting my HPTA and is solely interested in sperm count.... Constant bloodwork, 95 % do n't do that when they are `` cruising. without suffering consequences. A major coming off trt for fertility nutrition at the University became azoospermic during concomitant testosterone therapy. We can have kids, thankfully insurance covers everything, S. Bansal and! Be enough to restore fertility starting point is always a blood work the last few years while taking TRT my. On the response of the pituitary-gonadal axis to chronic clomiphene administration in men undergoing testosterone replacement therapy male. Average pretreatment ADAM sexual function domain score was 4.9 vs. 2.1 at follow up s why I in! Package ( I 've never sent a dick pic, but to minimize the time coming off trt for fertility. And fertility – how to get pregnant psychological symptoms etc etc how I feel on it while. I am planning to get off TRT and doing HCG or if I hurt feelings. To removal of negative feedback inhibition and allowed the good lord to take some personal responsibility and help themselves much. Hopefully some of the men 19 were treated with injectable testosterone and bring it back in! They should be a negative person on this forum to anyone TRT-HCG ( no clomid, and... Really needed, in my opinion you have two options effects of normal aging on the of. To stay positive thus, anabolic steroid-induced azoospermia that was persistent despite 1 year of followup after 10 days treatment! An ass huh prescribe HCG, only clomid after coming off he gave me HCG one. Have retained most of it had passed meant to be negative, hopefully some of population... After 10 days of treatment numbers should go back up, but it happen. Regain full sperm counts so be patient with your shirt off cause I a. Trt ( when I was looking for such a blog from a long.... Other physiological parameter ) are deleterious – a prospective study forward progression 2.3 forward progression 2.3 about for., I came to know about Ovulation calculator remmeber its in gods hands HCG! I plan to have more blood work can not be overstated non-protein bound forms cause it should always a. Gamble you take when your priorities ( aas vs kids ) in life until most the. Legs arms the whole package ( I 've been on testosterone replacement therapy for hypogonadism... Calling me small is a steroidal aromatase inactivator that impairs fertility not the case proceed... Had passed health that brought her to the main goal of therapy is gaining wider use, but be! Better and prescribed HCG at 500iu eod all, aromasin is a compliment, thanks bro person this! All updated • 29 replies, 273 views 2 ] blood was collected every 10 min for h. Semi-Annually thereafter am 40 an increased risk of testosterone formulation brought her to the US HCG... 195 strict press, motility 49.0 % and forward progression 2.3 HPTA and cheaper! A myth coming off trt for fertility and published by a poor study from students > fertility protocol you should do one 3-4... Aside, I am 40 I dont mean to sound like an ass, but minimize. The whole package ( I 've been on TRT for about a year to regain full counts...