As I've posted here previously, I successfully restored my fertility using HCG and HMG, and later HCG and FSH, and got my wife pregnant, after 27 years of using testosterone and other anabolic steroids. And I'm 51 years old, so I've been using steroids for more than half of my life. So if it worked for me, then it may work for you as well.
It took eleven months, from the time I started with a zero sperm count in November of 2017, to the time we did our IVF procedure in October of 2018, when I had a 35 million per ml sperm count.
I started using HCG, Clomid, and Proviron in November of 2017, when I was at a zero sperm count. By May, I was only up to 4 million per ml, by June, I was at 7 million per ml. I added HMG starting in July, and by October I was up to 35 million per ml.
I stayed on 200-300mg per week of test the whole time, never came off.
At our IVF procedure, my wife produced 20 mature eggs, of which my sperm fertilized 14, of which 3 embryos made it to the 5-day blastocyst phase and could be frozen. The first embryo we implanted didn't take, but when we implanted the second two embryos in March, one did take, and my wife is successfully pregnant, healthy and happy, and our baby girl is due to be born on November 29.
My protocol changed as I went along, as I didn't have access to HMG or FSH in the beginning. But if I could go back and do it all again, I would have used HMG or FSH the whole time, and no doubt my sperm count would have been much higher, and hopefully we wouldn't have had to do IVF at all. But in the long run, it worked, and that's all that counts. We are truly blessed.
What worked best for me was:
200-300mg Test Cyp per week
500iu HCG every other day
30-60iu HMG or FSH every day
Get a semen analysis from a doctor and see where you're at right now, and try to get him to prescribe HCG, and either HMG or FSH for you. It has worked for many men, and barring any pre-existing fertility problems, hopefully it will work for you as well. It worked for me after 27 years of using steroids, so have faith that it will work for you as well, if you give it time to get your testicles working again.
If you have any questions, let me know, and I'm happy to help as much as possible. I'll pray for the best for you.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854084/
"Alternatively, treatment with injectable gonadotropin regimens has demonstrated equivalent clinical efficacy compared with GnRH for triggering spermatogenesis based upon a recent meta-analysis.44 Therefore, gonadotropins offer patients an efficacious and more convenient treatment approach.45 FSH given alone or in combination with testosterone has proven unsuccessful at inducing spermatogenesis or maintaining spermatogenesis in those previously induced with hCG/FSH (hCG 1500 IU and HMG 150 IU both subcutaneous and 3 times per week), confirming the need for maintenance of elevated ITT.46 However, long-term use of hCG alone can induce spermatogenesis in up to 70% of patients, with a greater effect seen in men with initial testis length >4 cm, but further improvement is appreciated with the addition of FSH (HMG) suggesting a timelier recovery with both gonadotropins.47 The success of inducing spermatogenesis with a combination of hCG and FSH is supported by several studies (Table 1).41,42,45,48,49,50,51,52,53 In these data, most begin by stimulating endogenous testosterone production with trial of hCG alone with doses ranging from 1500 to 5000 IU 2–3 times per week titrated according to serum testosterone levels. Most experts treat with hCG alone for 3–6 months after which a certain number of cases will result in spermatogenesis induction. In those without adequate spermatogenesis induction, treatment proceeds with the addition of FSH with doses ranging from 75 to 400 IU 2–3 times per week titrated according to semen analysis results. Success defined as induction of spermatogenesis with >1–1.5 × 106 ml-1 sperm was reported to occur in 44%–100% of patients treated for 6–144 months.52 Pregnancy rates, when reported, were observed in 40%–75% of patients usually at sperm concentration levels below “normal.”42,51,54 Factors predicting success include larger baseline testis volume, previous natural gonadotropin exposure (normal puberty), and repeated treatment cycles whereas previous exogenous testosterone exposure and cryptorchidism portend a slower response although these findings are variable.42,55 It is important to consider these data are in men with HH due to classic causes and not patients with previous TRT/AAS use in whom better outcomes can theoretically be expected given the likelihood of normal pubertal development and HPG axis function at some point before TRT/AAS exposure."