The high estrogen effects of too much HCG are what I believe to be my problem at the moment.
I am 50 years old, and have been using test and other steroids for over 26 years now. My wife and I would like to have one more child, so since December, I have been on my own fertility program of 200mg Test Cyp per week, 50mg Proviron per day, 500 iu HCG per day, 25-50iu HMG per day, and 50mg Clomid per day.
This has successfully brought my sperm levels up from zero, to 4 million per ml, to over 7 million per ml at the most recent semen analysis on June 20. So my protocol is working, although of course it could certainly be improved.
However, I have been suffering from lack of libido and ED issues, which I believe to be caused by high estrogen from the HCG (and admittedly, perhaps too much testosterone as well, although I had much better libido when I used to take 400mg Test Cyp per week. However, right now fertility is the main concern, so I thought it was wise to reduce test levels to what puts me at the top or slightly over the top of the range, 1014 and 944 ng/dL on the last two blood tests with a reference range of 264-916. FT was 21 pg/mL on a range from 7.2 to 24, E2 (non-sensitive) was 58.3 PG/ML on a range from 27.1 to 52.2).
Now I have started going to a fertility specialist to see if he can further improve the results, and his two big ideas were to decrease my testosterone from 200mg to 100mg per week, and to increase the HCG up to 3000iu three times per week, much more than I am taking right now.
I know that there is research indicating that higher levels of HCG do increase sperm counts more than lower levels of HCG.
However, my concern is that the higher amounts of HCG will further increase my estrogen levels, although that would partially be lessened by taking less testosterone per week that can aromatize into estrogen.
I don't want to suffer from more libido and ED problems caused by too much estrogen, although right now fertility is the primary focus, so I have to do whatever leads to higher sperm levels. So I am in a bit of a quandary as to whether to take the fertility specialist's recommendations, or whether just to stick with my own program of 500iu per day that has worked reasonably well for me so far.
So my big question is, do higher amounts of HCG really increase sperm counts much more than lower steady consistent amounts of 250-500iu per day?