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Fertility on TRT

Musclecyborg

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Hi guys, I have a question regarding TRT and having kids.

I'm on TRT currently and I still do cycles here and there, but my concern is, will I still be able to have children even though I'm on TRT? Would I be able to Just hop off TRT and take some things like HCG, HMG, and other stuff to become fertile again? Or are my dreams of having a family totally shot :(
 

danieltx

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Your fertility should be fine if you stop TRT and use the methods you mentioned - HCG, HMG, etc.

Those who are infertile after testosterone usage most likely had fertility issues before they started.
 

mike036

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Hi guys, I have a question regarding TRT and having kids.

I'm on TRT currently and I still do cycles here and there, but my concern is, will I still be able to have children even though I'm on TRT? Would I be able to Just hop off TRT and take some things like HCG, HMG, and other stuff to become fertile again? Or are my dreams of having a family totally shot :(
I have 2 young boys,7 months and 2 1/2 years old that were conceived while using hcg/hmg.Before starting hcg/hmg my sperm count was zero
 

JMAC 21

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No, you're not screwed, a lot of options for you. You can come off, do PCT and see where you stand OR there are protocols with hcg and hmg if you dont wamt to stop TRT. Either way male fertility issues (if you end up having them) are highly correctable, plus IVF is always an option - just need 1 sperm to go that route.
 

mike036

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How much did you use and how long?
The first time it took about 7 months the second about 2 months.I used 75ius HMG Monday and Friday’s for the first 4 weeks only and about 5000ius HCG split mon,wed,Friday the whole time until my wife was pregnant
 

maldorf

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You wont know until you try. I conceived both of my girls while on cycles that were 1 gram + and contained tren. You just don't know.
 

j4ever

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i dont think your chance for a family shot at all, for me personally i would not come off trt, i would stay trt and start hcg at 500iu twice a week and go from there, but hey that's me, good luck!
 

itconsulting

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No need to come off at all anymore, blast HMG 75iu eod and HCG 1500iu ED and your sperm count will be back while you are ON.µ

PS: Stay and HCG and you'll not lose your fertility at all.
 

Sides

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You shouldn't have to come off testosterone at all, although don't use any other steroids like Tren or Deca that are more suppressive. Just continue with an HRT level of test, and add in HCG and HMG.

Small frequent injections seem to be better than shotgunning large doses. My wife and I are trying for another child now, and I am taking 200mg test per week, along with 25iu HMG and 125-250iu of HCG every day. Hoping for the best.
 

TODouble2

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I’ll be the odd balls out here. I came off for a year and a half, took high dose hcg and hmg. And clomid.. never achieved normal sperm count. I’ll never know what I was working with before ever using steroids, but it sure as hell didn’t work for me.

Thank god I finally have a child after a long road of doctors visits and misery.


Sent from my iPhone using Tapatalk Pro
 

Pumped340

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I have 2 young boys,7 months and 2 1/2 years old that were conceived while using hcg/hmg.Before starting hcg/hmg my sperm count was zero
Were you still on your TRT during conception or did you have to come off?
 

mike036

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Have you tried first without coming off? or you just directly came off to make it faster?
Me and my wife saw a fertility specialist and he advised me to just use the hcg and hmg and stop all steroids.
 

holepoker

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I was 40 and on Dr prescribed TRT for 5 yrs when my wife decided she was ready to have kids. Due to reading post on this subject I started taking HCG as a precaution. Knocked her up in the first month or two. 1.5 years after child was born, she wanted a second. No HCG and got her pregnant in the first month.
 
Last edited:

Sides

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Stay on testosterone and take frequent doses of HCG, HMG or FSH, and an AI (Arimidex, Letrozole) and Clomid, and you should regain fertility without having to go off TRT.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854084/

"A patient who presents for treatment of male factor infertility, indicated by oligospermia or nonobstructive azoospermia, who either reports a recent history or current use of TRT and/or AAS is a common scenario faced by a male fertility specialist. Several options could be discussed depending on the severity of his hypogonadal symptoms, timing in which he and his partner wish to achieve pregnancy, and assuming there is no clinical evidence of primary hypogonadism.

If the patient and his partner are willing to wait and his hypogonadal symptoms are manageable without TRT or AAS, the patient could simply discontinue the use of TRT or AAS to allow spontaneous recovery. Data from the male contraception literature indicate a reasonable probability of recovery in 67%, 90%, 96%, and 100% of men at 6, 12, 16, and 24 months, respectively, with a median time to recovery of 20 × 106 ml-1 sperm in 3–6 months.13,30,31 Yet, many men will not tolerate discontinuation either due to severe hypogonadal symptoms, uncertainty of recovery, and/or timing issues, and these men may require some form of alternate androgen supplementation. Therefore, one could administer gonadotropin analogs similar to those implemented in patients with HH. Assuming there is no major component of primary hypogonadism, this option is safe, would treat hypogonadal symptoms, and would hasten the time to recovery. It is reasonable to start with hCG 3000 IU subcutaneous injection 3 times weekly for 3 months with additional titration pending interim serum testosterone levels although the optimal hCG dose has not been clearly established. If at 3 months seminal parameters have not improved, one could add FSH. A typical starting dose is rFSH 75 IU subcutaneous injection 3 times weekly.

During gonadotropin therapy, adjunctive treatments with AIs or SERMs are typically implemented. Such an approach has demonstrated excellent results on average within 4–5 months.59 CC 25 mg daily or 50 mg every other day, titrated up to 50 mg daily, may demonstrate improvement in seminal parameters in as little as 3 months for men with HH. CC is cost effective and has been more effective as a combined therapy in this setting, with less extensive data to support it as a monotherapy.80 If the patient exhibits a low T/E ratio, an AI could be prescribed, with anastrozole 1 mg oral twice weekly is a reasonable starting dose that may be titrated up or down according to the response."
 

Sides

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Although, the older you are, and the longer you've been on testosterone, the harder it will be and the less likely to recover spermatogenesis. So if fertility is a concern, we are best off taking HCG and HMG all the time just to maintain fertility, rather than having to work harder to get it back later.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292276/
 

johnjuanb1

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My friend age 48 just got his wife pregnant, age 35, while on sustanon. He was using hmg and hcg. That did the trick.
 

Pumped340

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Although, the older you are, and the longer you've been on testosterone, the harder it will be and the less likely to recover spermatogenesis. So if fertility is a concern, we are best off taking HCG and HMG all the time just to maintain fertility, rather than having to work harder to get it back later.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292276/
That's my concern. Only 27 but have been on something since 21 and with no HCG. Hoping to have kids in ~2 years and debating if I should start on HCG / the path to recovery soon.
 

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