maintaining fertility on trt

Muna Kalati

J Sex Med. DO NOT GO ON TEST. produce testosterone again in the testes. I have concurrent lower range test and have a doctor who is willing to prescribe TRT. Essentially, I'm wanting to maintain "some" fertility while being on TRT so the door isn't closed on having a child. Transdermal testosterone (T) gels are commonly used in clinical practice; however, there is little evidence concerning how to monitor dosage to bring and maintain serum T levels in the normal physiologic range. If E is elevated, less bullets on target. Bouloux P, Warne DW, Loumaye E; FSH Study Group in Men’s Infertility. J Urol. Fertil Steril. Why would you rather be on test if you're just starting? Is TRT basically a death sentence for keeping fertility? Although TRT will likely reduce your sperm count it does not necessarily make you... 2. 1. 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). Our blood testing labs are accredited by CPA and UKAS. Freeze your sperm and store it for when you want to have children Not all men who start TRT are immediately thinking... 3. Clomid is another option to increase testosterone while maintaining fertility. It is mainly reserved for specialist TRT providers and cannot be found on the NHS. That can be around 80 times higher than serum levels. Necessary cookies are absolutely essential for the website to function properly. Perhaps you’ve heard that having testosterone replacement therapy and fertility isn’t possible? What Low Testosterone Really Means “Hypogonadism—or low testosterone—can lead to issues with sexual desire,” Dr. Masson says. hCG has been clinically proven to restore fertility in men undergoing TRT. For these men there is a third, effective option… (this option is still a good idea anyway). Unfortunately, it is not that simple. 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 … If one had low T because LH was low, then hCG can increase T quite a bit IF the testes are healthy and responsive. This is not medical advice. 1. Thoughts Suggestions are greatly appreciated. Check our TRT Manual for more information on low testosterone treatment. When T cream is applied to the genitals, one needs to be very mindful of the potential transfer to one’s wife and/or GF[s]. I would think it would do the trick for you. 12 Aston House, Concomitant intramuscular human chorionic gonadotropin preserves spermatogenesis in men undergoing testosterone replacement therapy. But opting out of some of these cookies may have an effect on your browsing experience. But TRT will increase DHT which does maintain the sex organs. (Don’t assume you don’t need contraception just because you are on TRT). Your natural production of sperm can drop to infertile levels, especially if you don't use HCG alongside your TRT. 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. 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. Only take medications as prescribed by your doctor. 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. In my case, adding hCG to my TRT increased my T by ~15%. hCG is a safe and efficacious alternative or adjunct to TRT in men desiring to preserve fertility while treating their hypogonadism. And what doses? It helps to maintain fertility, testicular and penis size, cognitive function, and libido whilst on TRT. I used it along with TRT.Yes you cannot generalize how one will respond to hCG, you won’t know until you try. Opinion is currently divided amongst Endocrinologists regarding the benefit of HCG in TRT due to the traditional treatment model … 26 hypogonadal men with a mean age of 35.9 years were included. That can be true for some younger guys. You also have the option to opt-out of these cookies. Wandsworth Road, lower sperm counts and quality than men with normal or high testosterone. [Arimidex is often given with it, because the increase in testosterone will increase estradiol as well.] I would rather have my insurance cover my TRT than have to pay out of pocket. Just 500 IU of HCG every 2 days is enough to counteract the negative effects of Testosterone Replacement Therapy. Now my doc is switching me to test pellets. There are three options to help with fertility. Men with naturally low levels of testosterone have lower sperm counts and quality than men with normal or high testosterone. This will cause your testosterone and sperm production to diminish drastically. However, in the UK it is much rarer. 2013 Mar 1;99(3):718-24. doi: 10.1016/j.fertnstert.2012.10.052. 2013 Feb;189(2):647-50.Â. We also use third-party cookies that help us analyze and understand how you use this website. Not only will hCG help to restore your fertility and sperm production, but it can reduce the testicle shrinkage. Powered by Discourse, best viewed with JavaScript enabled. Is there any chance I can keep my fertility while just taking testosterone ? Is Human Chorionic Gonadotropin (HCG) enough to maintain fertility on TRT. Has anyone else been through this situation? The treatment of hypogonadism in men of reproductive age. Testosterone replacement therapy (TRT) is recommended for the treatment of most cases of male hypogonadism. Southampton Our fertility tests cost only £39.99 and can be done safely and easily at home. 20% T cream applied to smaller skin areas also reduces E2 production compared to weaker creams applied to large areas or a-gel. Optimale provide men in the UK with medical services and advice to treat the symptoms of low testosterone. Many men find that they are still able to have babies whilst being on testosterone replacement therapy. Doing so can lead to problems, according to Puneet Masson, MD, assistant professor of Urology and director of the Male Fertility Program at Penn Fertility Care. By MBB in forum Testosterone Replacement Therapy Replies: 11 Last Post: 12-27-2013, 10:42 PM. 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… This option often works in men wishing to maintain fertility. PMID: 11821082. SO14 3FH, Call us (Monday to Friday 9am – 5.30pm) 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. 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. First, thank you for all the great information on this forum. 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? Get Started. 0207 164 6911. I tend to be cautious, and would think about starting TRT if I had fertility concerns. How can I maintain Fertility on Testosterone Replacement? 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. The increased T and DHT will also improve ones sex life… more bullets on target. Aromatase Inhibitors: How Aromatase Inhibitors can improve testosterone levels When you’re getting testosterone replacement therapy, testosterone is added into the bloodstream from another source. I was prescribed Adex at 1mg/day and 100mg of test/week. DHT may be important for those trying to correct low sperm counts. These hormones tell the testes to make more testosterone, which is critical for a healthy sperm count. That can be around 80 times higher than serum levels. Thanks KSman, that was what i was thinking. Whilst the level of testosterone present in the testes is important for sperm levels, this testosterone is produced by the body, and not replaceable by TRT. Get and retain copies of all lab work. 250IU EOD is what seems common. For a long time, it was something that was only recommended to older men and those with very low levels. This option is a good safeguard that ensures fertility at a later date. It also seems to be effective in helping men who have lost fertility due to abuse of anabolic steroids. Without HCG, TRT will likely shut down your system almost entirely. Clomid should be just fine. Transdermal T will make more DHT than injections, but also increases E2 levels. 2002 Feb;77(2):270-3. doi: 10.1016/s0015-0282(01)02973-9. When you take exogenous hormones, TRT suppresses the feedback loop that regulates testosterone production in your body. Take our free ADAM questionnaire to check for low testosterone symptoms. This category only includes cookies that ensures basic functionalities and security features of the website. Thus TRT + hCG may work better than hCG alone for some. You may be thinking about starting TRT, but perhaps you want to have a family sometime in the near future? In practice, hCG is most commonly used during TRT to help maintain intratesticular testosterone levels and therefore preserve fertility. 2009 Sep;92(3):979-990.Â, Wenker EP, Dupree JM, Langille GM, Kovac J, Ramasamy R, Lamb D, Mills JN, Lipshultz LI. Get tested for E2. I have been diagnosed with Vericocele which I want to have surgically repaired. 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. Sperm production requires a high intratesticular testosterone levels. TRT is an amazing treatment. Usually 250 iu per week is the common dose if using HCG during a cycle or during TRT. But isn't Testosterone Good for Fertility? These men had to weigh up the benefits knowing that they may never be able to have children after starting treatment. TRT was combined with intramuscular injections of human … 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. It helps to maintain fertility, testicular and penis size, cognitive function, and libido whilst on TRT. Fertil Steril. HCG is commonly used in the USA in TRT using men. This website uses cookies to improve your experience while you navigate through the website. 2-4 Canute Road, 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. Sperm production requires a high intratesticular testosterone levels. Not all men who start TRT are immediately thinking about having children. 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. Using hCG with TRT can restore your testicles to their normal, healthy size and function. This forum is not a substitute for professional medical advice. 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? To evaluate outcomes including libido, semen parameters, testosterone, estradiol (E2), follicle stimulating hormone (FSH), and luteinizing hormone (LH… But beginning in their mid-30s, men lose an average of just under 2% per year. I used the “and/or [GFs]” in consideration of push. I do have HcG as well, but I was curious if doing HcG Monotherapy prior to starting TRT would be ideal for fertility. 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. SW8 4ER, Clinic Location: Injections of HCG may be just the thing to make your TRT more effective at boosting fertility and testosterone levels. My wife and I are trying to conceive. Testosterone, a hormone, helps men maintain muscle, bone health, libido, and the ability to perform in the bedroom. Research trials have not been done… try to get grant money for that. You cannot generalize how one will respond to hCG. You need to test for E2 and use Adex as needed to have E2 in the lower 20’s. 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. These cookies do not store any personal information. Your brain interprets this rise in testosterone levels as a sign that you now have enough testosterone. Does T applied to the penis create significant amounts of DHT? Although TRT will likely reduce your sperm count it does not necessarily make you infertile. Testosterone replacement therapy (TRT) can be life-changing. Find out more about Optimale and what we do. Try to get pregnant anyway! 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. Please click here for more details of our CQC registration. Thanks rfish, was that HCG alone or while on TRT? 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. Ask questions about Testosterone Replacement Therapy, get help interpreting your lab bloodwork results, and discuss treatment options with lifters going through the same situation. 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. 50mg eod took my levels from 190s to 700-800s and I was 29 when I started Not only will it help to promote healthy sperm, but it can maintain healthy sperm count, motility, and viability. It is mandatory to procure user consent prior to running these cookies on your website. If this is your first visit, be sure to check out the FAQ by clicking the link above. J Clin Endocrinol Metab. 2005 May;90(5):2595-602.Â, Hsieh TC, Pastuszak AW, Hwang K, Lipshultz LI. 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. Optimale is regulated by the Independent Regulator of Health and Social Care in England, the CQC (Care Quality Commission). It is absolutely a concern. Of course, LH is what stimulates the testes to produce testosterone and so, as long as one’s testes are functioning correctly, HCG can give a substantial boost in testosterone. You can then see that the serum levels achieved with TRT are not going to make much difference inside the testes. PMID: 23219010. You can go the usual TRT route with HCG and when it’s baby time have your Dr add in HMG. To maintain fertility in men with hypogonadism prescribed testosterone, Lipshultz said, clinicians should first insist on a semen analysis before beginning testosterone treatment. London First off, it is important to note that TRT should not be used instead of contraception. Fertil Steril. Unlike other TRT delivery systems that maintain high T levels around the clock, Natesto is short-acting. Period. I think HCG accomplishes this but can't find any doctors that are familiar with this. One may need to use more adex with transdermals then injections. Low-dose human chorionic gonadotropin maintains intratesticular testosterone in normal men with testosterone-induced gonadotropin suppression. If so what is the commonly accepted dose. According to the American Urological Association, hCG is appropriate for those men with testosterone deficiency who also desire to maintain fertility. 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.. I have the means to adjust that to 100mg E3D and will drop the Adex to 1/2mg E3D and get tested for E2 in a few weeks. Please click here for more details of our CQC registration. Sharpe RM. And if so, what can I do about it? Testosterone therapy requires regular monitoring of testosterone levels as levels are constantly changing in the body and too much testosterone can lead … Renew Vitality is a men’s health clinic and hormone therapy center with several locations spread across the U.S. She was previously pregnant and miscarried. Obviously I would not have done very well on that alone. Thoughts on Clomid/nolva/hcg during TRT to maintain or increase fertility? There are a few ways that men can get their fertility tested. 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 . 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! You can then see that the serum levels achieved with TRT are not going to make much difference inside the testes. Head Office: The Use of HCG-Based Combination Therapy for Recovery of Spermatogenesis after Testosterone Use. By Cosmoen in forum Testosterone Replacement Therapy Replies: 7 Last Post: 04-13-2013, 05:53 AM. HCG can also help maintain fertility during TRT. These cookies will be stored in your browser only with your consent. In men still wanting to have children hCG therapy can help preserve sperm production by maintaining intra-testicular testosterone levels. Perhaps this … However many men will be put off by the price involved with this option. So you would think that increasing your testosterone levels with TRT would improve fertility, right? Dosage protocols vary, but since it stays in the system for about 3 days most doctors prescribe 250-500 units 1-2x/week. Sperm counts and fertility in men: a rocky road ahead. HCG is self administered as an injection into the subcutaneous fat, similar to insulin, with a tiny needle. So it stops sending signals (LH and FSH) to the testes to make more testosterone. 2015 Jun;12(6):1334-7.Â, Coviello AD, Matsumoto AM, Bremner WJ, Herbst KL, Amory JK, Anawalt BD, Sutton PR, Wright WW, Brown TR, Yan X, Zirkin BR, Jarow JP. I will PM you with a few more details if that is OK with you. This website uses cookies to improve your experience. Additional benefits such as up-regulation of steroid hormones have also been purported, however there is not enough evidence at present to support this theory. How To Prevent Acne On TRT? I do not want to take HCG as it makes me feel bad and basically makes TRT not work for me. My count was at 880k after a few months of hcg I was at just over 9 million. Kim ED, Crosnoe L, Bar-Chama N, Khera M, Lipshultz LI. 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: A combo of type 1 and type 2 hypogonadism. Birth defects caused by drugs that lower DHT such as proscar produce males with underdeveloped or malformed sex organs. Since sermorelin therapy boosts the body’s production of GH and thus sperm, it can be very effective for maintaining and restoring fertility during TRT. At Optimale we can help suitable patients to achieve normal testosterone levels alongside great fertility at very competitive prices by using a combination of new pioneering protocols, testosterone compounds and HCG. You may have to register before you can post: click the register link above to proceed. T cream applied to the scrotum also creates DHT. But TRT will … One of the easiest and best value is an at-home test which has been validated by the WHO. Efficacy and safety of recombinant human follicle-stimulating hormone in men with isolated hypogonadotropic hypogonadism. You can opt-out if you wish. You want to sort all of these life-destroying symptoms but you also want a family when the time comes. To start viewing messages, select the forum that you want to visit from the selection below. I know Dr Crisler helps his TRT guys in that area if needed. Just 500 IU of HCG every 2 days is enough to counteract the negative effects of Testosterone Replacement Therapy. Clomid is the only TRT choice if you want to be sure you maintain fertility. Normally a man’s brain produces hormones called gonadotropin-releasing hormones (GnRH). I have yet to start my TRT protocol in hopes of maintaining fertility. Any testosterone which is added to your body (exogenous testosterone) will reduce fertility levels. I used clomid for TRT and was able to have kids. I was concerned about the same thing and after a lot of research I’m comfortable with what I’ve read. DISCLAIMER: This video is for education and information only. This is no big deal. Just do the TRT + hCG, stay with the hCG forever. Epub 2012 Dec 7. This leads to a reduction in sperm quality and fertility. Now there’s good news for younger men who need TRT but still want to preserve fertility. Optimale Ltd is a company registered in England and Wales with company number 10878576. Drugs like prosar disqualify one as a blood doner! Some men psychologically need this cosmetic effect of full testicles to feel normal. 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. At that point, you would not be able to impregnate women and would be classified as infertile.

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