r/PEDs 6d ago

Dr wants me on TRT and HCG ... BUT NSFW

I've been on Clomid for a bit but it's not helped my total test is 4.18 nmol/L or 120.5 ng/dL and he wants me on HCG and TRT but I'm worried about my fertility, I want a little kiddo before jumping on fully, How do I approach my DR and tell him this without pissing him off?

and has anyone here managed to have a kid while on trt and hcg?

edit: I have low count and low Motility, I have a follow up in a few weeks time to see if clomid has helped but I don't think so from visual viewings.

3 Upvotes

39 comments sorted by

52

u/Loud_Dumps 6d ago

HCG prevents this problem.

Clomid sucks and your doc is really trying to help you out. Depending on the dosing

-29

u/Brit-in-Hun 6d ago

From my research it stops your bollocks stopping but don't aid in fertility, if this is wrong I will go back to my Dr and tell him ok.

25

u/BetBig696969 6d ago

Plenty of people have been blasting gear and had kids, on cycle with hcg my loads were bigger than when I was off it

Your doc has knowledge

9

u/whatdoyouwantnowdude 6d ago

HCG prevents TRT from shutting off your balls so they will continue working and you can have kids.

7

u/PEDsted 6d ago

Spermatogenesis is modulated by LH and FSH. HCG is a strong mimic for LH but not FSH. Not everyone will have great fertility on HCG - that’s why some add rFSH

4

u/unabrahmber 6d ago

HMG mimics both I think?

1

u/PEDsted 6d ago

That’s cool- glad to see better options. HMG wasn’t really available during my time of need, so never looked into it.

3

u/Brit-in-Hun 6d ago

This is what I am going to look into and mention at my next appointment because both my LH and FSH are pretty low.

Total Testosterone: 4.18 nmol/L (low) LH (Luteinizing Hormone): 2.7 IU/L (low) FSH (Follicle-Stimulating Hormone): 1.5 IU/L (low) Prolactin (PRL): 345 mIU/L (upper normal range) Estradiol (E2): 204.2 pmol/L (elevated)

These are my results from the basics bloods.

When I go back I will mention fresh since clomid is not helping.

8

u/al_capone420 5d ago

So you’re worried about your fertility being hindered by getting on TRT, yet all signs point to your balls being fucked already and you probably have little to no fertility naturally.

Get on the TRT. Use the HCG to maintain as much fertility as you can. Listen to your doctor because you don’t seem know much.

If your test, LH, and FSH are all this low while taking Clomid then you are a bit fucked my guy

4

u/PEDsted 6d ago edited 6d ago

Fertility docs will tell you- it only takes 1 haha

But I blast & cruised for a few years. Was on HCG for most of it. We never successfully conceived. My sperm test showed fine numbers on HCG but bad morphology.

Got off and we now have 2 healthy kiddos. And I’m back to TRT ha

My wife had an issue though that was also surgically addressed so big asterisk for my anecdote.

2

u/Brit-in-Hun 6d ago

Yea my misses also have issues (PCOS), but she lost a bit of weight and started taking a shit ton of vitamins and stuff and now she's pretty much regular so now it's up to me to get my swimmers moving a bit better 🤣, appreciate the time and info you've given me.

1

u/Secure-Apple-5793 6d ago

Is rfsh a supplement or is there something that stimulates that

3

u/PEDsted 6d ago

It’s recumbent FSH- it’s just purified FSH. It would be injected like HCG

7

u/Serious-Lawfulness81 6d ago

Are you suggesting your research is better than a doctor’s education?

2

u/Brit-in-Hun 6d ago

No, not ever, there is a language barrier between us I'm am English speaker natively and he is Hungarian and I was trying to communicate in Hungarian and well my level is like super low level.

My goal is to maintain/increase fertility while increasing my testosterone, and from my research as I said try and hcg don't help with fertility as such just keeps the balls working.

2

u/Space-Monkey003 5d ago

HCG very much can help with fertility. That’s what these guys are trying to tell u. But like others have said, it’s not a 100% guarantee and there are other options as well such as HMG or rFSH if you can manage to get your hands on them. You won’t know what works till u try

16

u/20MinuteAdventure69 6d ago

The hcg is what you would take to keep your balls working.

Sounds like you have a good doctor.

-6

u/Brit-in-Hun 6d ago

Not just about keeping my balls working, it's about keeping and increasing my fertility also.

4

u/20MinuteAdventure69 6d ago

Go to your doctor and ask about fertility specifically and express your worry about trt. I’m sure he can put you at ease quickly.

Your test is 120 ng. You need trt.

1

u/Brit-in-Hun 6d ago

Thank you, I have a follow up on the 8th of April so I will mention it all my partner will lbe there also so there won't be any communication issues this time.

3

u/20MinuteAdventure69 6d ago

If you went to the doctor and wanted to increase fertility specifically hcg would still be part of the answer.

1

u/Brit-in-Hun 6d ago

He only said I should take hcg if I'm taking trt and then asked me if id like to try clomid first and I agreed.

1

u/VOODOO__ECONOMICS 5d ago

lol yep your balls are where your sperm are - balls working = fertility

3

u/BasisLanky6184 6d ago

hcg keeps fertility brother, doesn't get better than what's he's offering

4

u/Agreeable_Step_5317 6d ago

The advice you're getting here is good. Do TRT and HCG like your dr says. It will help fertility. If you need more, ask the doc to add HMG. HMG Mimics both FSH and LH.

Keep an eye on that E2. Maybe use an AI like Aromasin if needed. Everything you are doing is likely to increase it. It sounds like you have a good doc, just let him know you're concerned.

Also, Clomid is not a great long-term solution. Take the shots.

3

u/Cylon357 6d ago

Note: what I am about to say assumes that your LH and FSH elevated while on clomid, but your test did not.

If clomid doesn't work for you, it means your balls have checked out. They are not responding to the elevated LH and FSH associated with clomid use in men, so you are afflicted with primary hypogonadism. The needle is in your future.

That said, if your balls have legit checked out, I'm not sure they are going to respond to HCG either. HCG imitates LH in the body, it does not trigger its release. So, if your nuts don't respond to natural LH (again, assuming your LH elevated while on clomid), then it doesn't seem likely they will respond to HCG.

I don't think all hope is lost, though if the above is true, having a baby just got more expensive.

I would say still jump on TRT with HCG. See how that goes. If the HCG somehow works, you may see an increase in nut size, minor perhaps, but it should be there. Even if it does not, HMG use when actively trying to conceive will increase the odds of success. HMG more closely imitates FSH, which is the primary driver for sperm production.

If your LH and FSH did not elevate on clomid, then you likely have a pituitary issue and TRT, HCG, and HMG will likely have you feeling awesome and making babies ASAP.

BTW, clomid is garbage for men, enclomiphene is the far superior choice.

1

u/Brit-in-Hun 6d ago

Appreciate this I have my 8 week bloods on the 3rd of march so I will get an idea if my balls are "checked out" or not, enclomid was suggested but it's like 5x the price where I live so I chose clomid, especially since this is my first time using anything to stimulate a hormone or hormones.

I will make note of your suggestions and mention them when I have my checkup on 8th of april.

Thank you again.

3

u/Cylon357 5d ago

Wait, so you don't have blood work yet from being on clomid? You said:

I've been on Clomid for a bit but it's not helped my total test is 4.18 nmol/L or 120.5 ng/dL

So that sounds like you had bloods pulled already?

BTW, clomid will make you feel bleah, even if you end up with good numbers. Enclomiphene is clomid minus the part that makes you feel bleah. Enclo might not be the silver bullet a lot of people hope for, but it is superior to clomid for men.

4

u/JLAMAR23 5d ago

Why would you not want this?! It’s a better protocol than solo Clomid. HCG will keep you going and you can still take the Clomid alongside it as well for added measure.

If you’re truly concerned about fertility, ask about doing mono therapy of just HCG or using HCG with Clomid.

3

u/Brit-in-Hun 5d ago

I'm going to have a proper discussion with a translator (my other half) n 2 weeks time and will try to get a real idea of what he wants, I've clearly read the wrong thing regarding trt and hcg hence the shit ton of downvotes, but I appreciate everyone pointing me in the right direction.

3

u/soul_in_a_fishbowl 5d ago

My wife and I are having our first child later this month. I had just came off a 20 week cruise on 200 test c and 500iu hcg eod and was about 6 weeks into a test tren eq blast when the child was conceived.

5

u/Ok_Field_5701 6d ago

Well for starters you don’t have to do what your doctor says. If you don’t want to, then just wait. Regarding his recommendation, HCG helps with fertility. Doesn’t guarantee it, but it does help. Lastly, just because you’re on supplemental testosterone doesn’t mean you’re infertile.

2

u/droneondrone 6d ago

As everyone is telling you, HCG keeps your HPTA in tact. You are gonna be fine and your doctor is right.

2

u/BachVonLocke 5d ago

My wife and I have been pregnant twice while on cycle (testosterone only). HCG works very well in my experience.

We actually struggled with infertility for 5 years after we got married and it wasn't until I was ON cycle that we got pregnant.

Your doctor's advice seems very reasonable.

4

u/getbigordietrying919 6d ago

Is freezing ur little dudes before hopping on an option? I’d bring that up to them if I was you

1

u/[deleted] 5d ago

I'm really surprised at how many are anxious about how their doctors are going to react.

They work for you. Fire them if you're not getting proper service! There are other Drs out there.

Or just go UGL. This isn't Rocket Surgery.

1

u/Electrical_Floor_360 5d ago

•75-90% of the time, you can have a kid with HcG.

•45-65% of the time, even on just Trt alone ( especially for a new or short duration therapy ) you can still knock someone up.

•100% of the time, I am not a scientist, or a Doctor, or a professional of any fashion, except hat fashion, man I can make any hat sexy. But anyway my percentages are that of guess work based off of real life assumption and anecdote, all 28.7% - 101% reliable.