Just saw this forum and hoping for some advice form you guys, here's my situation:
I'm currently almost 34 years old, got hormone levels tested back in 2005, test, LH, FSH were all below low end of range, had MRI etc no problems found. Never had done prohormones or AAS before. Sperm count was excellent. Knowing all this I did a small 8 week Testosterone only cycle followed by PCT, since I was already messed up to an extent I didn't worry about it.
Kind of let this all go, didn't work out for a few years had some other health issues. Started working out again and am healthy this year. Got levels checked again a few months ago, same story, test, LH, FSH all below low end of range. Sperm count still excellent
So here is my problem...I am engaged and we will want to have kids in 3-4 years max. I went to an endocrinologist and he said he would give me a small amount of Test to get my levels into at least the low normal range and it shouldn't hurt my sperm too much, or at least not irreversibly.
I went yesterday to get a 2nd opinion from a urologist who is also the Director of the Center for Male Reproductive Medicine at a large University/Hospital. He said that because my LH and FSH are not so low as to be barely undetectable (they are just below the low end of normal), he said he has found that people at those levels such as mine respond very well to Clomid and wants me to go on 50mg clomid/day and see him in 2 months to repeat my tests.
He says that because my sperm currently looks great he does not want to risk supplementing exogenous testosterone because he says that though my levels are low I am NOT fully shut down and there is no reason to risk that.
He agreed that Clomid is not a viable long term treatment but he wants to try it.
I don't undertand why I wouldn't try HCG instead at a very low dose every day or every other day.
Clomid will block some Estradiol so it will still not be a normal hormonal environment for my body while HCG at low dose ought to just turn the volume up a little on everything I think?
I am worried about osteoporosis and reduced bone mass and other problems associated with low Test (and my Test has now been low for at least 4 years) and obviously want to have better gains at the gym and feel more energetic, but is he right to be cautious with this? He said if I had already fathered children, it would be a whole different ballgame but I know he sees people all day who can't have kids and are desperately trying everything so his perspective must be skewed that way rather than being sympathetic to me living and feeling right, being in a better mood, better libido, etc>
Thanks in advance for any suggestions