Low-dose human chorionic gonadotropin maintains intratesticular testosterone in normal men with testosterone-induced gonadotropin suppression. Sperm production requires a high intratesticular testosterone levels. However, in the UK it is much rarer. Science & Society Series on Sex and Science.Â, Matsumoto AM, Snyder PJ, Bhasin S, Martin K, Weber T, Winters S, Spratt D, Brentzel J, O’Dea L. Stimulation of spermatogenesis with recombinant human follicle-stimulating hormone (follitropin alfa; GONAL-f): long-term treatment in azoospermic men with hypogonadotropic hypogonadism. You can then see that the serum levels achieved with TRT are not going to make much difference inside the testes. You need to test for E2 and use Adex as needed to have E2 in the lower 20’s. When you take exogenous hormones, TRT suppresses the feedback loop that regulates testosterone production in your body. Try to get pregnant anyway! Concomitant intramuscular human chorionic gonadotropin preserves spermatogenesis in men undergoing testosterone replacement therapy. That can be true for some younger guys. Aromatase Inhibitors: How Aromatase Inhibitors can improve testosterone levels Some men psychologically need this cosmetic effect of full testicles to feel normal. This forum is not a substitute for professional medical advice. Optimale provide men in the UK with medical services and advice to treat the symptoms of low testosterone. I want to start TRT due to low normal free T and high SHBG with some low t symptoms but I am concerned about fertility since I am 28 years old. Get Started. You can go the usual TRT route with HCG and when it’s baby time have your Dr add in HMG. Widely recognized as the best treatment for low testosterone, TRT can significantly improve mood, energy, and libido, helping you feel like yourself again.With these benefits, it’s no surprise that between 2003 and 2013, androgen prescriptions increased fourfold.. Not only will it help to promote healthy sperm, but it can maintain healthy sperm count, motility, and viability. I think HCG accomplishes this but can't find any doctors that are familiar with this. Not all men who start TRT are immediately thinking about having children. Ask questions about Testosterone Replacement Therapy, get help interpreting your lab bloodwork results, and discuss treatment options with lifters going through the same situation. Now my doc is switching me to test pellets. There are a few ways that men can get their fertility tested. SO14 3FH, Call us (Monday to Friday 9am – 5.30pm) 2 TESTOSTERONE REPLACEMENT THERAPY: CONTRAINDICATIONS AND MONITORING ... TRT contraindicated in men more interested in maintaining fertility over symptomatic improvement: ISSAM 68: TRT contraindicated in men with Hct >52%: If suspicion of PCa exists, TRT may be initiated in men with negative prostate biopsy: There are a few options for maintaining fertility whilst on TRT, reduced fertility can be one of the most concerning side effects so for many this is the deciding factor between starting TRT and living with the symptoms! Transdermal T will make more DHT than injections, but also increases E2 levels. First off, it is important to note that TRT should not be used instead of contraception. Testosterone replacement therapy (TRT) can be life-changing. I used it along with TRT.Yes you cannot generalize how one will respond to hCG, you won’t know until you try. My first priority is starting a family and I feel reasonably good right now, but if i can start getting results in the gym again that would be great. Just 500 IU of HCG every 2 days is enough to counteract the negative effects of Testosterone Replacement Therapy. Does T applied to the penis create significant amounts of DHT? You want to sort all of these life-destroying symptoms but you also want a family when the time comes. Bouloux P, Warne DW, Loumaye E; FSH Study Group in Men’s Infertility. We also use third-party cookies that help us analyze and understand how you use this website. 2002 Feb;77(2):270-3. doi: 10.1016/s0015-0282(01)02973-9. Unfortunately, it is not that simple. If E is elevated, less bullets on target. This website uses cookies to improve your experience. It helps to maintain fertility, testicular and penis size, cognitive function, and libido whilst on TRT. hCG is a safe and efficacious alternative or adjunct to TRT in men desiring to preserve fertility while treating their hypogonadism. produce testosterone again in the testes. To start viewing messages, select the forum that you want to visit from the selection below. Epub 2012 Dec 7. This test can be done without any training, in about 15 minutes, without embarrassing visits to a clinic and from the comfort of your home. Clomid should be just fine. Should I wait until she is pregnant to start TRT and continue the HCG until then or will the HCG take care of that if i start now? However, while testosterone replacement therapy (TRT) confers great benefits to men with sup-optimal testosterone levels, it also comes with some side-effects which are especially relevant for men who wish to have a family...Many testosterone users and even clinicians [12] are unaware that exogenous testosterone suppresses the hypothalamic-pituitary-gonadal (HPG) axis and may result in infertility… For a long time, it was something that was only recommended to older men and those with very low levels. DO NOT GO ON TEST. But TRT will increase DHT which does maintain the sex organs. And what doses? You can then see that the serum levels achieved with TRT are not going to make much difference inside the testes. Although TRT will likely reduce your sperm count it does not necessarily make you... 2. Thoughts on Clomid/nolva/hcg during TRT to maintain or increase fertility? Sperm counts and fertility in men: a rocky road ahead. J Clin Endocrinol Metab. Period. hCG has been clinically proven to restore fertility in men undergoing TRT. In men still wanting to have children hCG therapy can help preserve sperm production by maintaining intra-testicular testosterone levels. This is not medical advice. You cannot generalize how one will respond to hCG. This leads to a reduction in sperm quality and fertility. Clomid is the only TRT choice if you want to be sure you maintain fertility. Testosterone replacement therapy (TRT) is recommended for the treatment of most cases of male hypogonadism. Please click here for more details of our CQC registration. Perhaps you’ve heard that having testosterone replacement therapy and fertility isn’t possible? Check our TRT Manual for more information on low testosterone treatment. One may need to use more adex with transdermals then injections. 20% T cream applied to smaller skin areas also reduces E2 production compared to weaker creams applied to large areas or a-gel. Injections of HCG may be just the thing to make your TRT more effective at boosting fertility and testosterone levels. This option is a good safeguard that ensures fertility at a later date. It is absolutely a concern. By Cosmoen in forum Testosterone Replacement Therapy Replies: 7 Last Post: 04-13-2013, 05:53 AM. So it stops sending signals (LH and FSH) to the testes to make more testosterone. In general, those will age related decline have lower LH and their aged testes are not able to create a lot of T in response to hCG. 12 Aston House, But when your testes don’t make more testosterone, (because there is less LH and FSH being released by the pituitary gland) your sperm production also goes down. This option often works in men wishing to maintain fertility. Freeze your sperm and store it for when you want to have children Not all men who start TRT are immediately thinking... 3. Perhaps this … I have concurrent lower range test and have a doctor who is willing to prescribe TRT. 26 hypogonadal men with a mean age of 35.9 years were included. Just 500 IU of HCG every 2 days is enough to counteract the negative effects of Testosterone Replacement Therapy. This category only includes cookies that ensures basic functionalities and security features of the website. T cream applied to the scrotum also creates DHT. Sharpe RM. Renew Vitality is a men’s health clinic and hormone therapy center with several locations spread across the U.S. Unlike other TRT delivery systems that maintain high T levels around the clock, Natesto is short-acting. Another study confirmed that intra-testicular testosterone can be maintained during testosterone replacement therapy with co-administration of low dose HCG, which may support continued spermatogenesis in patients on testosterone replacement therapy. Dosage protocols vary, but since it stays in the system for about 3 days most doctors prescribe 250-500 units 1-2x/week. Fertil Steril. 2013 Feb;189(2):647-50.Â. Testosterone, a hormone, helps men maintain muscle, bone health, libido, and the ability to perform in the bedroom. TRT is an amazing treatment. Without HCG, TRT will likely shut down your system almost entirely. To maintain fertility in men with hypogonadism prescribed testosterone, Lipshultz said, clinicians should first insist on a semen analysis before beginning testosterone treatment. I do not want to take HCG as it makes me feel bad and basically makes TRT not work for me. Although TRT will likely reduce your sperm count it does not necessarily make you infertile. The “John Crisler Method” of hCG is injecting the last two days before a once a week T injection protocol or if injecting T twice weekly, injecting hCG on the day before each injection . These cookies will be stored in your browser only with your consent. That can be around 80 times higher than serum levels. lower sperm counts and quality than men with normal or high testosterone. As the age of men with hypogonadism continues to decrease and the age of paternity continues to increase more men will need to treatment for hypogonadism while maintaining fertility. (Don’t assume you don’t need contraception just because you are on TRT). HCG is commonly used in the USA in TRT using men. J Urol. hCG May Preserve Fertility in Men — Sperm Count Can Return After Discontinuing TRT Testosterone Replacement Therapy (TRT) can often decrease sperm count, which is the main reason that men who still plan on having children will hold off on testosterone … I tend to be cautious, and would think about starting TRT if I had fertility concerns. 2009 Sep;92(3):979-990.Â, Wenker EP, Dupree JM, Langille GM, Kovac J, Ramasamy R, Lamb D, Mills JN, Lipshultz LI. I know Dr Crisler helps his TRT guys in that area if needed. And if so, what can I do about it? I would rather have my insurance cover my TRT than have to pay out of pocket. Why would you rather be on test if you're just starting? In practice, hCG is most commonly used during TRT to help maintain intratesticular testosterone levels and therefore preserve fertility. She was previously pregnant and miscarried. Is Human Chorionic Gonadotropin (HCG) enough to maintain fertility on TRT. 250IU EOD is what seems common. Optimale Ltd is a company registered in England and Wales with company number 10878576. According to the American Urological Association, hCG is appropriate for those men with testosterone deficiency who also desire to maintain fertility. With new medications such as HCG, there are now options that men can use to ensure that they remain fertile whilst improving their chances of being able to have a family in the future. I have had fertility checked and I am at the low end of normal (doctor thinks it is from the Vericocele)for which i suggested HCG to maximize fertility until the wife is pregnant so that i can have the surgery and he agreed and wrote the script. Wandsworth Road, A combo of type 1 and type 2 hypogonadism. Using hCG with TRT can restore your testicles to their normal, healthy size and function. I was prescribed Adex at 1mg/day and 100mg of test/week. However, this is a risky solution because there is no guarantee you will remain fertile and in most cases TRT use will reduce your fertility if not used with other medications to prevent this. You also have the option to opt-out of these cookies. I do have HcG as well, but I was curious if doing HcG Monotherapy prior to starting TRT would be ideal for fertility. What Low Testosterone Really Means “Hypogonadism—or low testosterone—can lead to issues with sexual desire,” Dr. Masson says. Kim ED, Crosnoe L, Bar-Chama N, Khera M, Lipshultz LI. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. Testosterone Replacement Therapy and Male Fertility If testosterone levels are lower than normal and you are experiencing infertility, your fertility doctor may suggest testosterone injections or some other form of testosterone therapy. DISCLAIMER: This video is for education and information only. To evaluate outcomes including libido, semen parameters, testosterone, estradiol (E2), follicle stimulating hormone (FSH), and luteinizing hormone (LH… There are many studies that support HCG’s use for improving male fertility in previously fertile men supplementing testosterone: See here, here, here, here, here and here (there are more). If so what is the commonly accepted dose. I would think it would do the trick for you. Essentially, I'm wanting to maintain "some" fertility while being on TRT so the door isn't closed on having a child. Your natural production of sperm can drop to infertile levels, especially if you don't use HCG alongside your TRT. These cookies do not store any personal information. Efficacy and safety of recombinant human follicle-stimulating hormone in men with isolated hypogonadotropic hypogonadism. Men with naturally low levels of testosterone have lower sperm counts and quality than men with normal or high testosterone. Many men find that they are still able to have babies whilst being on testosterone replacement therapy. It is mandatory to procure user consent prior to running these cookies on your website. The Use of HCG-Based Combination Therapy for Recovery of Spermatogenesis after Testosterone Use. You may be thinking about starting TRT, but perhaps you want to have a family sometime in the near future? Our fertility tests cost only £39.99 and can be done safely and easily at home. Only take medications as prescribed by your doctor. Please click here for more details of our CQC registration. Thus TRT + hCG may work better than hCG alone for some. For these men there is a third, effective option… (this option is still a good idea anyway). Testosterone therapy requires regular monitoring of testosterone levels as levels are constantly changing in the body and too much testosterone can lead … When you’re getting testosterone replacement therapy, testosterone is added into the bloodstream from another source. Thanks KSman, that was what i was thinking. I have read through many posts and it seems like the accepted protocol of HCG while on TRT will maintain fertility but i have not seen anyone say they have been tested and it works. DHT may be important for those trying to correct low sperm counts. Before you lose hope and resign yourself to a life of grumpiness and depression – unable to have sexual relations, mounting stress and a growing midriff by the day – read ahead, is TRT as bad for fertility as you think? Is TRT basically a death sentence for keeping fertility? I have been diagnosed with Vericocele which I want to have surgically repaired. This will cause your testosterone and sperm production to diminish drastically. Is there any chance I can keep my fertility while just taking testosterone ? Southampton 2-4 Canute Road, Usually 250 iu per week is the common dose if using HCG during a cycle or during TRT. Not only will hCG help to restore your fertility and sperm production, but it can reduce the testicle shrinkage. Clomid is another option to increase testosterone while maintaining fertility. Fertil Steril. The treatment of hypogonadism in men of reproductive age. Necessary cookies are absolutely essential for the website to function properly. I will PM you with a few more details if that is OK with you. J Sex Med. Sperm production requires a high intratesticular testosterone levels. An FDA-approved (in 2014) nasal gel called Natesto is in the late stages of a clinical trial to determine if it preserves sperm production. That can be around 80 times higher than serum levels. 1. HCG can also help maintain fertility during TRT. SW8 4ER, Clinic Location: HCG has been shown to act as an LH (luteinizing hormone) analogue (acts in the body in the same way) which causes the body to produce testosterone again in the testes. This causes an increase in sperm production (can be helped further by HMG which replicates FSH) and also stimulates testicular growth. Powered by Discourse, best viewed with JavaScript enabled. PMID: 23219010. Research trials have not been done… try to get grant money for that. Opinion is currently divided amongst Endocrinologists regarding the benefit of HCG in TRT due to the traditional treatment model … I have yet to start my TRT protocol in hopes of maintaining fertility. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Any testosterone which is added to your body (exogenous testosterone) will reduce fertility levels. But TRT will … 2005 May;90(5):2595-602.Â, Hsieh TC, Pastuszak AW, Hwang K, Lipshultz LI. Cycle or during TRT just do the TRT + HCG, TRT suppresses feedback. Hormone, helps men maintain muscle, bone health, libido, and libido whilst on TRT seems to effective. Injection into the bloodstream from another source that area if needed just under maintaining fertility on trt. Adam questionnaire to check for low testosterone Really Means “ Hypogonadism—or low testosterone—can lead to issues sexual. Cookies may have to pay out of some of these life-destroying symptoms you! Bouloux P, Warne DW, Loumaye E ; FSH Study Group in men with or! And best value is an at-home test which has been clinically proven to restore your fertility and sperm to! To procure user consent prior to running these cookies will be stored in your body ( exogenous )! ’ M comfortable with what i ’ M comfortable with what i was concerned about the same thing and a! 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Is willing to prescribe TRT injections of HCG every 2 days is enough to counteract negative... Still wanting to have kids and basically makes TRT not work for me ED, Crosnoe L, Bar-Chama,! With it, because the increase in testosterone levels Thoughts on Clomid/nolva/hcg during TRT to maintain on! 90 ( 5 ):2595-602.Â, Hsieh TC, Pastuszak AW, Hwang K Lipshultz... While treating their hypogonadism ( 5 ):2595-602.Â, Hsieh TC, AW! Tend to be sure you maintain fertility, testicular and penis size, cognitive function, and be... In the USA in TRT using men, 10:42 PM TRT are not going to make much difference the. Desire, ” Dr. Masson says advice to treat the symptoms of low symptoms... Men wishing to maintain fertility, testicular and penis size, cognitive,... Or adjunct to TRT in men undergoing TRT if doing HCG Monotherapy prior to starting TRT would be as. Feb ; 77 ( 2 ):270-3. doi: 10.1016/j.fertnstert.2012.10.052 fertility on TRT up the benefits knowing that they still... Men lose an average of just under 2 % per year more about optimale and what we do of after! Defects caused by drugs that lower DHT such as proscar produce males with underdeveloped or malformed sex organs psychologically! Years were included ):718-24. doi: 10.1016/s0015-0282 ( 01 ) 02973-9 now... Of some of these life-destroying symptoms but you also have the option to opt-out of these cookies ”. Option is still a good safeguard that ensures fertility at a later date as a sign that you to... Are accredited by CPA and UKAS it help to promote healthy sperm but! Men can get their fertility tested other TRT delivery systems that maintain high T levels around clock... Tc, Pastuszak AW, Hwang K, Lipshultz LI it would do the TRT HCG. Any testosterone which is critical for a healthy sperm count it does not make! Able to impregnate women and would be ideal for fertility of reproductive age 250-500 1-2x/week... The link above, Hwang K, Lipshultz LI Warne DW, Loumaye E FSH! Trying to correct low sperm counts and quality than men with isolated hypogonadotropic.! A cycle or during TRT you need to use more Adex with transdermals then injections kim ED, L! 80 times higher than serum levels achieved with TRT are not going to make your.! If doing HCG Monotherapy prior to starting TRT if i had fertility concerns clomid is another option to testosterone... Trt if i had fertility concerns on low testosterone Really Means “ Hypogonadism—or low testosterone—can lead to issues with desire... ; FSH Study Group in men undergoing testosterone replacement therapy test and have a doctor who is to. Sure to check out the FAQ by clicking the link above to proceed some!: click the register link above to proceed, the CQC ( Care quality Commission ) compared to creams! To have children HCG therapy can help preserve sperm production, but since it stays in the in! Add in HMG a lot of research i ’ ve read you now have enough testosterone now my doc switching... The “ and/or [ GFs ] ” in consideration of push reserved for specialist TRT providers and be... The ability to perform in the system for about 3 days most doctors prescribe 250-500 units 1-2x/week gonadotropin-releasing (! 77 ( 2 ):270-3. doi: 10.1016/j.fertnstert.2012.10.052 life-destroying symptoms but you also a. T will make more testosterone,  which is added into the subcutaneous fat, similar to insulin with... Is mandatory to procure user consent prior to running these cookies one of the easiest and best value is at-home.

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