low FSH and LH 7 months after stopping TRT

[jiu jitsu]

Have been trying to have a kid, got off TRT, took HCG and enclomiphene and got my LH and FSH checked. I am low

LH: 2.4 ( 1.7-8.6 )
FSH: 2.6 (1.5-12.4)


any suggestions?

 

[bad rad]

Try the enclomiphene again. 25mg EOD or ED is where I would start. Mine LH/FSH stayed low too after getting off TRT and my serum test levels never went above 140ng/dL.

 

[beefyfan]

I'm using enclomiphene right now. Gonna do my labs after the Holidays. Been off TRT now for 3 months or so. I'm taking 20mg's daily and I'm on week 8. My balls are back to their robust selves.

 

[jiu jitsu]

Try the enclomiphene again. 25mg EOD or ED is where I would start. Mine LH/FSH stayed low too after getting off TRT and my serum test levels never went above 140ng/dL.

I was taking it for 8 weeks and this is my bloodwork a month or so after discontinuing

 

[Kronic]

what dose of HCG you doing?

 

[jiu jitsu]

what dose of HCG you doing?

250iu ED I stopped a while ago, though

 

[Kronic]

250iu ED I stopped a while ago, though

interesting. a lot of the studies I read do larger doses but fewer injections. maybe it helps jump start. you never noticed a change in your balls? no side effects from the serm?

 

[jiu jitsu]

interesting. a lot of the studies I read do larger doses but fewer injections. maybe it helps jump start. you never noticed a change in your balls? no side effects from the serm?

Only barely. Im thinking about trying HMG. I dont care too much for a restart just fertility

 

[Kronic]

Only barely. Im thinking about trying HMG. I dont care too much for a restart just fertility

maybe. I'd go more wild with the LH stuff than serms, but some of the studies I read showed some people would start producing sperm, but it ends up deformed. so you'll want to go all in on this one. ice your balls etc. don't just rely on the drugs

 

[jiu jitsu]

maybe. I'd go more wild with the LH stuff than serms, but some of the studies I read showed some people would start producing sperm, but it ends up deformed. so you'll want to go all in on this one. ice your balls etc. don't just rely on the drugs

which LH stuff do you suggest

 

[Kronic]

which LH stuff do you suggest

I've only researched HCG. I start my HCG cycle in a week! but I'm not doing it for hypogonadism. all the research is for that though

 

[bad rad]

I was taking it for 8 weeks and this is my bloodwork a month or so after discontinuing

What were your levels on enclomiphene?

 

[jiu jitsu]

What were your levels on enclomiphene?

My testosterone levels are unchanged. I didn’t get lh and fsh tested on enclomiphene

my total floats around 500-600 ng/dl and my free is at the bottom of the range. 13 pg/ml (9-25)

Shbg is 50

 

[bad rad]

My testosterone levels are unchanged. I didn’t get lh and fsh tested on enclomiphene

my total floats around 500-600 ng/dl and my free is at the bottom of the range. 13 pg/ml (9-25)

Shbg is 50

To clarify, you have the LH/FSH levels above and 500-600ng/dL of natural serum testosterone? If so then you're not low. It means your testicles are very sensitive to LH/FSH and don't need a lot of stimulation to produce effective levels.

 

[jiu jitsu]

To clarify, you have the LH/FSH levels above and 500-600ng/dL of natural serum testosterone? If so then you're not low. It means your testicles are very sensitive to LH/FSH and don't need a lot of stimulation to produce effective levels.

But my free testosterone is low
And my SHBG is high.

My total testosterone is only artificially inflated

 

[bad rad]

But my free testosterone is low
And my SHBG is high.

My total testosterone is only artificially inflated

SHBG has a lot more functions than just transporting sex hormones.

Europe PMC

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europepmc.org

To answer your original post I'd get a semen analysis and develop a plan from there. Serum testosterone levels and fertility aren't completely linear in relationship. Even with intra-testicular suppressed to 74% of normal levels sperm production wasn't impacted to a statistically significant degree. (The hCG/TRT studies)

 

[KvanH]

Your free T isn't that low and many serms raise SHBG (I don't know of speficially about Enclo, but wouldn't be a surprise if it does too). So yeah your testes are repsonding well to LH and like Bad Rad said, semen analysis would tell you the more important story in this case.