Endo is wanting me try Clomid

[Gibrone]

not sure he's trying to do a restart, I think he's just trying to see what's wrong first. He's having me take 50mg tabs twice a day. I think after the clomid, if my LH/FSH (whatever/whichever it is) doesn't go up he'll have me try HCG and see what happens. I'm just speculating here but I think that's somewhere along the line of what he's doing. If my pituitary doesn't react, that means I have secondary right? Say my pituitary reacts to the clomid and actually starts telling my testes to produce T, what does that mean? That would mean I don't have primary or secondary? Since I stopped doing injections, my testicles have recovered in size so my pituitary is communicating something when my T drops below something at least

 

[Alpin]

how did this all come about ?
If you're body responds to the clomid, you are secondary. If they do not respond to it you are Primary...
Basically...
Keep in mind some guys that are hypo have a little of each.

 

[Alpin]

Since I stopped doing injections, my testicles have recovered in size so my pituitary is communicating something when my T drops below something at least

It's trying....

 

[Gibrone]

how did this all come about ?

I just wanted to see about HCG or something in order to prevent potentially losing my fertility until I know I don't need it anymore, this is how he wants to go about it. I think he disagrees with how the urologist went about putting me on trt

 

[Alpin]

I just wanted to see about HCG or something in order to prevent potentially losing my fertility until I know I know I don't need it anymore and this is how he wants to go about it.

HCG and Clomid both stimulate natural T by different mechanisms. Clomid blcoks estrogen at the pituitary and thus RAISES LH & FSH which in turn tells your Testes to produce more Testosterone & SPERM. HCG is Analog (exogenous) signal for LH and works by increasing gonadal T. Increasing T will help with spermatogenesis (which keeps your fertility)...
understand ?

 

[Alpin]

Stop worrying too much about this. IMO....you will see some increase in LH/FSH and T by running clomid....judging by your labs.
HCG CAN provide greater stimulation to your Testes if the appropriate doses are used.
That's why it is important to be guided by the right medical professional.
I don't know why your doc doesn't go to 14 days with this trial clomid run.
There's a study that shows its effect in a 14 day trail dosed at 100 mg/day....
it delivered great results.

 

[Gibrone]

Stop worrying too much about this. IMO....you will see some increase in LH/FSH and T by running clomid....judging by your labs.
HCG CAN provide greater stimulation to your Testes if the appropriate doses are used.
That's why it is important to be guided by the right medical professional.
I don't know why your doc doesn't go to 14 days with this trial clomid run.
There's a study that shows its effect in a 14 day trail dosed at 100 mg/day....
it delivered great results.

I'm not worried, I only posted to verify what he was doing sounded right. The urologist never checked e2 and only put me on straight T, I just wanted to make sure the endo was better about it which from what you've all said, he seems to be trying to do what should have been done in the beginning.

I'm definitely not worried, once some of you said the clomid thing was normal all doubt was removed. I'm glad I'm seeing him instead of the urologist. I'm glad you're all here to ask too, I'm not stressing and I'll be sure to update the labs, I'll share everything with you that he wants me to do

 

[Megatron28]

Gibrone, If I were in your shoes I would want the doc to explain why he is giving you clomid for 10 days. What is he trying to learn from this experiment? It sounds like you don't know.

We are giving this endo the benefit of the doubt that he is just trying to confirm that you are truly Secondary and will respond to HCG, but that is just speculation. For all we know, he could think that he is trying to do a restart. Unfortunately, there are a lot of docs out there that are not up to date with current treatments for hypogonadism. It would be in your best interest to fully understand what the game plan is. And start reading up on how the HPTA works.

 

[Megatron28]

Chapter 253 ? THE TESTIS AND MALE SEXUAL FUNCTION

This would be a good one to read.

 

[DrHouse]

I sort of skimmed but saw clomid and would like to share my experience.

I take 50 mg EOD as low t prevention. I would recommend giving it a try and see how you do.

I pay 15 dollars per 15 tablets and I have good insurance so I think 58? For 20 isn't that awful. Especially since if you use long term, you'll probably get put on the same dose as me.

Good luck

 

[bowhunter01]

Dr. House has clomid affected your libido at all?

 

[DrHouse]

Dr. House has clomid affected your libido at all?

It actually increased it for me for a few months and then gradually tapered down. It is still more than when I first started Clomid though.

 

[Alpin]

It actually increased it for me for a few months and then gradually tapered down. It is still more than when I first started Clomid though.

Are you gonna run complete labs this time and post your results for us ?

 

[DrHouse]

Edit

 

[Gibrone]

I already have ED/a pretty low libido so let's hope I walk away like House where it's actually better than baseline. I'll definitely post my labs, I didn't ask what all my endo was checking (was his secretary that called to schedule the day) but I'm assuming/hoping he'll be a lot more thorough than the urologist since it's more his field. I still hate that I don't have an e2 baseline, I guess since I was only on 100mg/wk he (urologist) didn't seem to be concerned. For those interested I will definitely post my clomid results to see what sort of increase there is over baseline(the year prior to starting TRT I got 255, 239, then 241 so an average of ~245 TT)

 

[IMT staff]

clomid makes your estrogen go up too much and in the longterm it may increase your t a little, but usually sex drive is not good like it should be

 

[Alpin]

clomid makes your estrogen go up too much and in the longterm it may increase your t a little, but usually sex drive is not good like it should be

What do you think would help to control Estrogen while on clomid ?
you can't continue to run an AI throughout the SERM phase of the restart protocol.

 

[IMT staff]

What do you think would help to control Estrogen while on clomid ?
you can't continue to run an AI throughout the SERM phase of the restart protocol.

longterm ai treatment may not be the best idea either, it can make your musculoskeletal system weak. the reason this does not happen when you take it with t shots is because there is plant of t to turn to estrogen.

but I've never tried it so you never know

 

[Alpin]

longterm ai treatment may not be the best idea either, it can make your musculoskeletal system weak. the reason this does not happen when you take it with t shots is because there is plant of t to turn to estrogen.

but I've never tried it so you never know

I think there is some credence to the fact ones body can be more sensitive from the AI in lowering or crashing Estradiol while on exogenous T

 

[Gibrone]

I got my results, my LH went up to 6.03 (1.24-8.62, previously 1.9), FSH was 4.99 (1.27-19.26, previously 2.4), TT was 363 (241-827, previously 241) and Free T was 55 (47-244, don't have previous test on-hand but it was low normal too)


Any idea what any of that means? I went there concerned about fertility and hoping there was an alternative to TRT which is what the urologist wanted me to try. His assistant called and said the doc said there's a chance I may not even be fertile but I'm not sure what's next, she'll be calling me again tonight once she finds out what he wants to do next. She just called to give my lab #'s so no info on what's next yet. Should I be concerned? Because I am.