Urgent help needed guys!!!

EnhancedAthlete

New member
My wife and I are trying to have our first child and she suffers from a condition called 'premature ovarian failure' or 'diminished ovarian reserve' so she produces less eggs and the quality are not that great. We did an IUI yesterday morning, similar to IVF but they take my sample and place it inside her.

My count is usually 55-65 million before beginning testosterone replacement therapy (TRT) and yesterday I confidently gave my sample and it came back at 22 million and after they washed they were only left with 3.6 million to place in her.

I was devestated to say the least. I need a plan of action to help me remedy this situation asap. I know it takes only 1 single sperm to have a child but since my wife has this condition the higher I am the better for us.

My protocol right now is:

210mg Test Cyp E5D
250 iu HCG eod
1mg Anastrazole day after test.

I feel great all the time every day but I need to accomplish this for my wife. She has already suffered and gone through a lot being only 33 and having premature ovarian failure.

Will increasing my HCG amount help, should I throw in some clomid or HMG?

As always I appreciate all your guys help in this matter. I tried to contact Chip but was not able to get a hold of him yet. Thanks.
 
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I know that taking test is the best birth control method with 99.5%, followed by the pill at 97% or whatever.

As far as I know coming off T would put your numbers back after 3-6 months, maybe increased HCG or dropping T and raising HCG. uff hard one to say the least. Im sure Chip can help you.

Strangely I was the opposite, went on gels and got my fiancee pregnant :s

But dont be deverstated it will happen one way or another. Good luck
 
Thanks bro for the reply. I appreciate your kind words. I really want to continue my HRT therapy and was thinking that maybe increasing my HCG to 500iu EOD and throwing in some clomid, proviron or HMG would allow me to continue my therapy and help bring up the numbers. I feel that there must be a way to continue my protocol and at the same time adjust a few other things to help take me to where I need to be. Thanks once again for the reply.
 
so with this ailement, have you guys tried straight clomid? my wife has a similar issue and could not get pregnant at all! no matter what, we would have sex 3-5 times a day durring the supposed "ovulation" period and still would get no babies, so we went to a fertility spec, and asked to try clomid the doc said it usually wont happen but did it anyways, and wham, first try! for both kids, like i said similar issues with her, as well as thinning walls and stuff, but just clomid did the trick, not sure why but it happened 2 times!

hope it goes well, so you guys can be parents soon! it is cool, and a pita, at the same time!
 
Thanks bro. I am still waiting to talk to Chip but I am thinking an aggressive combo of HCG and clomid might do the trick. I heard HMG is really expensive so hopefully I won't have to go that route.
 
hcg and clomid for yourself or both of you? my wife went on clomid, not me, she needed it, and i didnt, i guess the fertility doc said as long as my swimmer swim, then they will find the eggs, no matter the amount or not, and with her on clomid, she was a fertal mertal!
 
Dude, slow down. Your sperm a stressing. LOL 3-5x per day = no babies. You need a full load. As I understand it sperm takes 24-48hrs for full recovery. To increase your odds timing is everything. Every 48 hrs, after she ovulates, fill her up = babies. Nighttime is best as she can just stay in bed afterwords, without leaking any of the precious little guys. Remember it is her body that must let the sperm and egg join. I would personally recommend a pillow under her booty, and drive missionary.

Chip or one of his Dr's will get a hold of you. No worries.
 
My wife and I are trying to have our first child and she suffers from a condition called 'premature ovarian failure' or 'diminished ovarian reserve' so she produces less eggs and the quality are not that great. We did an IUI yesterday morning, similar to IVF but they take my sample and place it inside her.

My count is usually 55-65 million before beginning testosterone replacement therapy (TRT) and yesterday I confidently gave my sample and it came back at 22 million and after they washed they were only left with 3.6 million to place in her.

I was devestated to say the least. I need a plan of action to help me remedy this situation asap. I know it takes only 1 single sperm to have a child but since my wife has this condition the higher I am the better for us.

My protocol right now is:

210mg Test Cyp E5D
250 iu HCG eod
1mg Anastrazole day after test.

I feel great all the time every day but I need to accomplish this for my wife. She has already suffered and gone through a lot being only 33 and having premature ovarian failure.

Will increasing my HCG amount help, should I throw in some clomid or HMG?

As always I appreciate all your guys help in this matter. I tried to contact Chip but was not able to get a hold of him yet. Thanks.

Enhanced from my reading of your post and PM it seems that there may be two separate issues here.

First, I need to know did the doctor say "Your numbers are to low to be successful with this process?"

Did he tell you it is a no go b/c your low count?

If he did, then you need a plan.

I want to be clear on that point.

Again, did the doctor tell you the procedure will not work because of your low count?
 
Yes my doc said for IUI my count was very low but not if we were doing IVF. My wife cycled for an IVF taking the appropriate fertility meds both day and night but because of her number of eggs produced her cycle was cancelled and converted to IUI which needed me to bring my game to the table but my count came in at 22.4 million and after washing and prepping the best only 3.6 million were placed inside her. The doc told me the first time we did IUI she placed around 32 million in her which resulted in a pregnancy but unfortunately she miscarried in her 10th week.

Cash, if this happens again where her cycle gets converted due to poor response I definitely need a plan of attack ASAP as we will find out if she is pregnant in 2 weeks and if not then we will begin another cycle again.
 
Yes my doc said for IUI my count was very low but not if we were doing IVF. My wife cycled for an IVF taking the appropriate fertility meds both day and night but because of her number of eggs produced her cycle was cancelled and converted to IUI which needed me to bring my game to the table but my count came in at 22.4 million and after washing and prepping the best only 3.6 million were placed inside her. The doc told me the first time we did IUI she placed around 32 million in her which resulted in a pregnancy but unfortunately she miscarried in her 10th week.

Cash, if this happens again where her cycle gets converted due to poor response I definitely need a plan of attack ASAP as we will find out if she is pregnant in 2 weeks and if not then we will begin another cycle again.

Okay, if you are unsuccessful this go round and you need to get your count up, I would stop the test injections and run an exit type of protocol similar to what I am doing right now.

Here is what I know to be fact. 200 mg of test administered every 7 days will put 55-60% of Caucasian males in a state of azoosperima - very low sperm count.

Other ethnic groups are affected differently. Asian males, the same treatment will put about 90% of the males in a state of azoosperima.

I don't know the statistics for other ethnic groups but suffice to say it is somewhere in between the two ends of the spectrum mention above.

So, 200 mg can have a significant impact on your overall count.

I can also tell you for a fact, HCG while on HRT did very little for my overall count.

I started my HRT at 200 mg test cyp once a week and 500 iu of HCG. My count dropped from over 60 million to 19 million in 3 months. I stopped HCG as part of my protocol when my wife and I decided to try to use my HRT as a form of contraception. When I dropped HCG, my count fell to 8 million - what most urologist would say is effectively sterile.

Based on that, I would think the Test injection would have to stop. Then HCG and Clomid would be the best course of therapy to ramp up your count.

Now, I have no idea what my count is now because I haven't given a sample for testing since I started my exit.

I would hypothesis that my count **may be** higher but I have no quantitative support for that right now.

The first step is to get the testes fully functional and HCG would be key in doing that. Perhaps 10 injections spaced in and EOD schema initially to stimulate the testes.

Clomid as a second step would help as provide additional support to ramp up the HPTA as well. This could be done for up to 30 days. There is considerable support for the combination in the medical research.

Those would be my initial suggestions.

However, I will hope that you all are successful this time around and you do not need to make any additional plans other than ones related to parenthood.
 
Thanks Cash for the reply.

How does this look:

500iu HCG EOD

Clomid:

Day 1: 300mg
Day 2-11: 100mg
Day 12-30: 50mg

Anastrazole 1mg E4D

Do you think I could try this and lower my test to 100mg E5D or just stop completely?
 
Thanks Cash for the reply.

How does this look:

500iu HCG EOD

Clomid:

Day 1: 300mg
Day 2-11: 100mg
Day 12-30: 50mg

Anastrazole 1mg E4D

Do you think I could try this and lower my test to 100mg E5D or just stop completely?

Just my opinion based on what I am doing now and have success with at the present.

2000 iu HCG EOD for 3 weeks with Adex 1 mg EOD.
Start Clomid on the 21st day at 100 mg split into 2 dosages 1 morning and one evening for 30 days. Adex M/Th @ 1mg per for 30 days and then .5 mg M/Th for 2 more weeks after stopping clomid.

I just completed 30 days of clomid and had blood drawn this morning so I hope to know what is going on in a few days.

My expectations based on how I feel are that my numbers should look good.

The test is going to cause you to have inhibition in the feedback loop. I'd think that you would have to stop it.
 
Dude, slow down. Your sperm a stressing. LOL 3-5x per day = no babies. You need a full load. As I understand it sperm takes 24-48hrs for full recovery. To increase your odds timing is everything. Every 48 hrs, after she ovulates, fill her up = babies. Nighttime is best as she can just stay in bed afterwords, without leaking any of the precious little guys. Remember it is her body that must let the sperm and egg join. I would personally recommend a pillow under her booty, and drive missionary.

Chip or one of his Dr's will get a hold of you. No worries.

haha thanks, but this was like three years ago, as my oldest is now three, and youngest is 10 months, so no more babies for us! this is what the doc recommended at those times, to saturate those legs with as much of my stuff as possible!

good luck OP, you'll love it when that little one says whaaaa! for the first time, and takes their first breath!
 
Bro, I went through this with my wife. It was called unexplained infertility, until we finally did IVF and had an egg-extraction, at which point it was identified that she had poor egg quality.

Unfortunately, we did multiple IUI's with no results. IVF was the way to go. The upside is with IVF, you really don't need many sperm for it to work. In fact, their motto was "it only takes one." The downside is that ist costs around $15K.

IMO, IUI's are blown way out of proportion and don't seem to really address the fertility issue you guys have, but for most health care providers, it is one step in the chain leading to IVF. The IUI's really serve to delivery your semen near the ovule, but can't account for the quality of that egg, or any other anomalies. With that said, a close friend recently had success with IUI, after just a few months of "unexplained infertility." (He looks like he has a baby dick though!)

I really feel for what you are going through, especially with your wife on fertility meds. Clomid was the worst, with one month failing, next month having 7 ovules and being told to abstain, next month me traveling. This went on for 3 years. It was during this time I was also diagnosed with a varicocele and moderately low T, although I was always between 45-70M sperm.

We did ONE IVF and have a wonderful, beautiful son, and it was worth every penny and heartache involved.

Good luck. IF you truly need to get off HRT momentarily to deal with your fertility issues, you will be able to come back quickly. Your count looks pretty damn good for being "on!" You will probably need to drop the test entirely, but you can get your natural test up with this PCT style protocol. Cashout's advice is stellar, and should get you fired right back up. Looks like his experiment will really be a valuable lesson.
 
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Bro, I went through this with my wife. It was called unexplained infertility, until we finally did IVF and had an egg-extraction, at which point it was identified that she had poor egg quality.

Unfortunately, we did multiple IUI's with no results. IVF was the way to go. The upside is with IVF, you really don't need many sperm for it to work. In fact, their motto was "it only takes one." IUI's are blown way out of proportion and don't seem to really address the fertility issue you guys have, but for most health care providers, it is one step in the chain leading to IVF.

We did ONE IVF and have a wonderful, beautiful son, and it was worth every penny and heartache involved.

Good luck. IF you truly need to get off HRT momentarily to deal with your fertility issues, you will be able to come back quickly. Your count looks pretty damn good for being "on!" You will probably need to drop the test entirely, but you can get your natural test up with this PCT style protocol.


Thank you very much for the advice. We were scheduled for an IVF and my wife took the appropriate drug protocol for it, however, due to her response to the meds the doctor converted the cycle to an IUI. We will find out in 2 weeks if she is pregnant again. She was pregnant from our first IUI but then miscarried in her 10th week. We have our fingers crossed it all works out this time around.
 
Well, my last shot of Test Cyp was on Sunday 22nd of January. Thanks to Cashout for the advice and protocol, I began the following protocol yesterday (30th) to help me fix the issue at hand:

2000 iu Human Chorionic Gonadotropin (HCG) taken EOD over the course of 19 days equalling 10 injections.

1mg Anastrazole taken Monday & Thursday.

Day 20: 100mg Clomid taken ED for 30 days.
1 tab a.m. 1 p.m.

0.5 mg Anastrazole taken Mon & Thurs and continued for 2 weeks after Clomid therapy has ended.


I am hoping this takes my count back up from my pre-hrt levels which were around 60 million from the 22 million I was sitting at a week ago.
 
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