HCG Protocol For Fertility?

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LaserGoPewPew

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Would anyone have suggestions on this? Got my sperm count back and it was 0 ... which was understandable seeing that I have been on TRT for couple years

Plan is to stay on low dose TRT unless told otherwise ..
 

BBiceps

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I/We already answered this, sorry that you don’t get the answer you’re looking for but the answer still going to be the same as the first time you asked.
 
LaserGoPewPew

LaserGoPewPew

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I/We already answered this, sorry that you don’t get the answer you’re looking for but the answer still going to be the same as the first time you asked.
wasnt aware I had asked .... just beginning the research as I got the lab results on Fri.

I am not looking for any specific answer BTW ... just trying to get a gameplan together and see whats worked for others
 
bad rad

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Would anyone have suggestions on this? Got my sperm count back and it was 0 ... which was understandable seeing that I have been on TRT for couple years

Plan is to stay on low dose TRT unless told otherwise ..
You're going to get a lot of different answers. In research they've used 125iu EOD to 10,000iu weekly. The most common dosage is 1500-6000iu weekly in split doses. I'm taking 200iu daily since it doesn't cause E2 spikes and 1500iu weekly seems the lowest effective dosage to regain fertility.
 

BBiceps

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wasnt aware I had asked .... just beginning the research as I got the lab results on Fri.

I am not looking for any specific answer BTW ... just trying to get a gameplan together and see whats worked for others
Sorry, it might not been you but I thought I answered this question somewhere else.

For me I think Clomid did the most for my sperm count after I got off TRT, but adding HCG will help.
 
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Joshinator

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To regain fertility youd probably want to use 1500iu + a week for a couple weeks. I use 250-500iu a week and i just had a kid.
 
LaserGoPewPew

LaserGoPewPew

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To regain fertility youd probably want to use 1500iu + a week for a couple weeks. I use 250-500iu a week and i just had a kid.
thats helpful -- thanks

i have seen a lot of "250 IU EOD until fertile" advice ... so that would be getting close to the 1500 mark

how long were you on trt and did you come off test when adding the hcg?
 
LaserGoPewPew

LaserGoPewPew

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You're going to get a lot of different answers. In research they've used 125iu EOD to 10,000iu weekly. The most common dosage is 1500-6000iu weekly in split doses. I'm taking 200iu daily since it doesn't cause E2 spikes and 1500iu weekly seems the lowest effective dosage to regain fertility.
ok cool - thanks for info

I am going to up the dose to get above the 1500/wk mark
 

CroLifter

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I would also look into hmg, which is real lh and fsh. It seems it would make things work faster and easier.
 

Joshinator

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thats helpful -- thanks

i have seen a lot of "250 IU EOD until fertile" advice ... so that would be getting close to the 1500 mark

how long were you on trt and did you come off test when adding the hcg?
I was still on test for a couple years
 
bad rad

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Based off this evidence an algorithm was suggested for the simultaneous treatment of hypogonadism and preservation of fertility (14). All men wishing to preserve fertility while on TRT should have a baseline semen analysis (SA). Next it is important to determine the appropriate dosing regimen of hCG based off the timeline for desired pregnancy. For men who wish to obtain pregnancy within six months it was suggested to discontinue TRT and start 3,000 IU of hCG intramuscular, or subcutaneous every other day. SA should then be performed every two months. Clomiphene citrate 25–50 mg PO daily can be added or omitted to promote FSH production (15). We suggest including of clomiphene citrate in all men who are already oligospermic or azoospermic. It can be omitted in men who are initiating TRT and hCG simultaneously and have normal semen parameters.

If Semen parameters fail to improve and FSH remains low, Gonal-f (recombinant FSH) 75 IU every other day can be added. In men who desire pregnancy within 6–12 months TRT can be continued with co-administration of 500 IU of HCG every other day ± clomiphene citrate can be used. When planning for pregnancy in greater than 12 months TRT should be cycled off every six months replaced by a four-week cycle of 3,000 IU of hCG every other day. For men who do not desire to preserve fertility testicular size can me maintained while undergoing TRT with 1,500 IU of HCG given weekly. Which is enough to maintain pre-TRT levels of intratesticular Testosterone (11). Table 1 summarizes recommendations for preserving spermatogenesis in men on TRT (16).

 
LaserGoPewPew

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I would also look into hmg, which is real lh and fsh. It seems it would make things work faster and easier.
is that something i would need to speak to my doc about .. or something that i can acquire in other ways?

never heard of HMG... appreciate the info
 
LaserGoPewPew

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To regain fertility youd probably want to use 1500iu + a week for a couple weeks. I use 250-500iu a week and i just had a kid.
Doc gave me 3 refills for my Rx for Clomid ... 50 mg pills ... instructions to take 25mg a day until Rx runs out and then get tested again

This was a urologist and fertility specialist ... and she had never heard of HCG when I brougght that up. She actually googled it while we talked about increasing sperm count

Should i be concerned? She said she has had great success using Clomid solo
 

BBiceps

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Should i be concerned? She said she has had great success using Clomid solo
It’s a small concern that she doesn’t know what HCG is but Clomid have great success rate on it’s own, she’s 100% right about that.

Use the Clomid.
 
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Joshinator

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Doc gave me 3 refills for my Rx for Clomid ... 50 mg pills ... instructions to take 25mg a day until Rx runs out and then get tested again

This was a urologist and fertility specialist ... and she had never heard of HCG when I brougght that up. She actually googled it while we talked about increasing sperm count

Should i be concerned? She said she has had great success using Clomid solo
Clomid is good. your on the right track. And actually clomid is probably better than hcg for increasing fertility.
 
LaserGoPewPew

LaserGoPewPew

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Clomid is good. your on the right track. And actually clomid is probably better than hcg for increasing fertility.
It’s a small concern that she doesn’t know what HCG is but Clomid have great success rate on it’s own, she’s 100% right about that.

Use the Clomid.
Clomid is good. your on the right track. And actually clomid is probably better than hcg for increasing fertility.
what dose / freq of clomid? i am taking 250 IU EOD of HCG as well ... thanks guys
 
LaserGoPewPew

LaserGoPewPew

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I would use it like she recommended (25mg ed until you run out) and just do HCG 2x week. Something to look out for with this combo is high estrogen.
i am assuming no more test or anabolics until we are pregnant?
 

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