On trt. May want to conceive. Sperm looks bad. Have a question

anzel

anzel

New member
I am 43 and started trt at 40 right after my daughter was born.
I have done several blasts since then.
My wife and I have not been using protection and after a year or more it didn't look like she was going to get pregnant again.
We were not specifically trying but we weren't careful either.
But since nothing had happened yet she went to a fertility Dr. And in the process I found out my sperm are looking shitty.
They want me to see a urologist and do full labs.
Meanwhile I'm on a blast .

For this upcoming lab work should I stop everything for 2 weeks then do the lab work?

I hate leaving out information but I don't want it to be a long post to bore you guys with either.

I have always ran HCG
 
I think you can bring things right back, would have to just try HCG mono-therapy for a while.

Its not that bad though still feel pretty good on it.

Hope this helps.
 
Yeah that does help. I have no prob with that.
Now here is my next question.

Should I make the appointment and do the labs while on blast ?
Go back to trt dose and wait 2 or 3 weeks for test levels to drop and then do labs?

Or cease all . No test. Wait 2 to 3 weeks then get labs?

Option one the dr sees I'm on blast.

Option 2 he sees I'm on trt but then he tells me to stop with trt and wait till it's out of my system and then start hcg.
This would delay the process.

Options. 3 we get the ball rolling but he sees horrible labs.

One concern is that my trt will wind up on my medical record and then later in life if I have health issues for whatever reason my insurance will blame testosterone and try not to cover me.

Of course if I want to keep my trt off the record I would have to crash myself and deny ever being on it. Although he will know I'm lying it will at least stay offor my record.

If that's even a problem


Advice?
 
Definitely would make sure my levels were in eugonadal range before getting lab work drawn.

I guess it would depend on when you plan to conceive, if it is soon probably would be the best plan of action to cease exogenous T and jump right on mono-therapy then get tested on mono-therapy, make sure you are not AAS induced primary hypo. This will give you a gauge on if they are capable, or if they are not may need longer mono-therapy or higher dose or both.

Basically your testing the testes to see if they are still capable of performing task with HCG and then confirming with labs.

Let me know if this makes sense.
 
Here is a great study to reference that someone provided me with yesterday:

An increasing number of young and middle-aged men are seeking treatment for symptoms related to deficient levels of androgens (hypogonadism) including depression, loss of libido, erectile dysfunction, and fatigue. The increase in prevalence of testosterone supplementation in general and anabolic steroid-induced hypogonadism specifically among younger athletes is creating a population of young men who are uniquely impacted by the testicular end-organ negative consequences of exogenous steroid use. Exogenous testosterone therapy can alter the natural regulation of the hypothalamic-pituitary-gonadal axis leading to impaired spermatogenesis with azoospermia being a serious possible result, thus rendering the individual infertile. For men of reproductive age who suffer from hypogonadal symptoms, preservation of fertility is an important aspect of their treatment paradigm. Treatment with human chorionic gonadotropin (hCG) has shown the ability not only to reverse azoospermia brought on by testosterone supplementation therapy but also to help maintain elevated intratesticular testosterone levels. In addition, selective estrogen receptor modulators, often used with hCG have been shown both to elevate total testosterone levels and to maintain spermatogenesis in hypogonadal men.
Click to expand...

Preserving fertility in the hypogonadal patient: an update
 
IMT staff said:
Definitely would make sure my levels were in eugonadal range before getting lab work drawn.

I guess it would depend on when you plan to conceive, if it is soon probably would be the best plan of action to cease exogenous T and jump right on mono-therapy then get tested on mono-therapy, make sure you are not AAS induced primary hypo. This will give you a gauge on if they are capable, or if they are not may need longer mono-therapy or higher dose or both.

Basically your testing the testes to see if they are still capable of performing task with HCG and then confirming with labs.

Let me know if this makes sense.
Click to expand...

I'm grasping what you are telling me as far as purpose of hcg therapy.

But I would be put on hcg monotherapy by the urologist no?

Or are you saying. Cease exogenous test. Wait 2 weeks. Start monotherapy on my own and at some point in the future after say several weeks of monotherapy go get my labs done.?

I can certainly do it myself but I was thinking just allow myself to crash and then get the labs. Allow the dr to see the blood work and he would oversee the monotherapy.
 
I'm just waiting to have a discussion with the wife about our plans.
Meanwhile I'm reading up on things and had a good discussion with an AAS vet .

He went to a fertility Dr who said his lab results were the worst he had ever seen. He prescribed 10k iu of hcg a week!

It worked in a few months.

That's an incredible amount of hcg!

Meanwhile I increased my trt dose of hcg from 250iu 2x/wk to 500iu 2x starting today.
I'm still on blast mind you. And I'm having a great run.... don't want it to end!

I have seen older threads on here where guys in the same boat are told to cease trt and get on monotherapy.
Other members questioned this approach saying not to cease the trt but continue with it and do the hcg ad well.

Looking at it this way. I been using 250 iu 2 x a week and my semen sample look like crap. So even if I do 500 iu 3 x a week it may not help my fertility that much.

Also I saw it mentioned to add in clomid for 3 to 4 weeks along with hcg and see if that helps.
Maybe it would?

But that's not what the Dr's are actually doing . And even IMT only mentioned hcg up above when he replied to me.

Yeah I can try to stay on trt and use higher doses of hcg and use some clomid but then I'm guessing around.

If we decide for another kid then I should see a fertility Dr who has dealt with this before and knows the drill.
 
IMT staff said:
Definitely would make sure my levels were in eugonadal range before getting lab work drawn.

I guess it would depend on when you plan to conceive, if it is soon probably would be the best plan of action to cease exogenous T and jump right on mono-therapy then get tested on mono-therapy, make sure you are not AAS induced primary hypo. This will give you a gauge on if they are capable, or if they are not may need longer mono-therapy or higher dose or both.

Basically your testing the testes to see if they are still capable of performing task with HCG and then confirming with labs.

Let me know if this makes sense.
Click to expand...

Reading this again.... so just cease exo test and do my own mono therapy??

1000iu 4 x a week?
 
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