Need help, fertility really bad numbers...hcg?

[Grdfreak]

So I am kinda driving myself crazy right now, and I wasn't sure what to do as I'm sooooo confused. I do know I NEED hcg, so I put in an order with E for 10-5000iu bottles. I had really bad numbers for testosterone (low 200's) and for a semen analysis 1.7mil/ml TERRIBLE!! I know I'm almost too embarrassed to even post that. But anyways I have been off cycle for years. I guess my sh*t just never came back..I had these tests done about 5 months ago and after I found out I immediately started popping clomid and nolvadex to try to make my lh pump out more. But at 1.7 million I'm realizing that clomid and nolva may not cut it. So I started last week hcg at 500iu twice a week. I'm so frustrated I'm not sure what to do. I did proper post cycle therapy after every cycle and my longest cycle was 12 weeks. I'm just frustrated and confused on what to do, and where to go from here... Help!

 

[Grdfreak]

Btw..I'm 33, 5'8" and around 215 lbs

 

[tony83]

My urologist said that Endos use clomid as a treatment for that, at 50 mg 3 times per week for 3 months if that doesnt work do it for 6 months.

Go c an endo.

 

[triathloncoach]

My urologist said that Endos use clomid as a treatment for that, at 50 mg 3 times per week for 3 months if that doesnt work do it for 6 months.

Go c an endo.

Never be embarrased to post a health issue. Come on, helping with health issues is as important as any other positive information this board provides. Except for me, most peoples problems are not unique. No matter what the issue, there are many on this board who have direct experience and are willing to help.

Hopefully you have insurance to see a specialist. If not I would figure out how to swing it financially. You want everything to be close to normal, low sperm count may not be your only condition.

And if that fails, you can have my 12 and 9 year olds. They are good kids, but still a pain in the ass. And if my wife complains you can have her too.

 

[GeNeTiKFiGhTR]

Bump

 

[Stewie]

Sounds like you need an AI along with your SERM and hCG.

Estrogen is a stronger suppressor on the HTPA than Testosterone.

 

[SlimyToodleTot]

My sperm was below 1 mil after blasting and cruising for 4 years. High estro too. I was prescribed a 10000 iu bottle of HCG and I took clomid and nova for 2 weeks of the HCG. In 1 month, my sperm numbers were above 10,000,000. Run HCG and PCT. It'll work! I just had to stay off and sex is not as frequent off. Lots of Viagra and cialis. And to make it count, have sex when they're ovulating. I got a little fat but after a year, we're now expecting and I'm back on.

 

[CDJack]

HMG + HCG + CLOMID. That will almost certainly work!!!

 

[Matte220]

on more then off for many years and had sperm count so low the Dr said no way to concieve w/ the numbers I had. Took 2 years off completely and had count of 65,000,000 and wife and I did IUI. Walla we have a 17 month old healthy baby boy.

Best wishes on your journey to a parenthood.

 

[Elucid]

Check this study out:
**broken link removed**

They were able to get guys sperm count up to pretty good levels WHILE they were still taking 200mg test a week.

 

[Marvin Martian]

HCG

**** Sorry - just realized my questions was answered in another thread****

 

[Grdfreak]

Ty!!! EVERYONE!! You guys :headbang:

 

[turbobusa]

HMG + HCG + CLOMID. That will almost certainly work!!!

You need the hmg. Brand name pergonal. 75-or 150 iu sizes.
I came off a really stout cycle used hmg hcg and clomid at the end.
Wife was preg about 4-5 months later. Good luck, T

 

[Luger]

I just went through this last week. Very low sperm count but very high FSH. Had a problem of test going up and down along with the FSH. Checked my testes for varicoceles and I have two. So...he thinks this is whats causing my test to go up and down along with the low sperm count causing the testes to "overheat" and kill them off. I'm going to be getting that surgery...in and out then he is going to cut open my testes and harvest and freeze the sperm. Look forward to that one....

 

[Luger]

By the way, look at your FSH...if its high then it's showing you are trying to produce sperm. Juice lowers FSH and HCG, HMG etc. etc. will raise and produce sperm. If your FSH is high like mine and low sperm well other things are a factor...

 

[Mongoose1]

I just went through this last week. Very low sperm count but very high FSH. Had a problem of test going up and down along with the FSH. Checked my testes for varicoceles and I have two. So...he thinks this is whats causing my test to go up and down along with the low sperm count causing the testes to "overheat" and kill them off. I'm going to be getting that surgery...in and out then he is going to cut open my testes and harvest and freeze the sperm. Look forward to that one....

BUMP Luger. That was one of my first thoughts. I also have had this surgery at the age of 26,I am now 43.At age 26 before I had the surgery,the doc said an average male produces 600,000,000 sperm per ejaculation.My sperm count was 600,000 successful swimmers,and doc said 1/4 died within minutes.Another 1/4 didnt make it far enough to fertilize.So I was looking at 300,000 that were,in his words,lucky to fertilize.He then said have fun trying,and we will check count 1 month after surgery. A Varicocele is something to definately ask your doc about.
Here is some great,and detailed info about what it is,and more.......Very informative.

Varicocele
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Varicocele
Classification and external resources

Cross section showing the pampiniform plexus
ICD-10 I86.1
ICD-9 456.4
DiseasesDB 13731
MedlinePlus 001284
eMedicine radio/739
MeSH D014646
Varicocele in ultrasound (left: testicle)

Varicocele (pronounced /ˈværɨkɵsiːl/), also known as varicoscele or varicose seal, is an abnormal enlargement of the vein that is in the scrotum draining the testicles. The testicular blood vessels originate in the abdomen and course down through the inguinal canal as part of the spermatic cord on their way to the testis. Upward flow of blood in the veins is ensured by small one-way valves that prevent backflow. Defective valves, or compression of the vein by a nearby structure, can cause dilatation of the veins near the testis, leading to the formation of a varicocele.
Contents
[hide]

1 Signs and symptoms
2 Cause
3 Pathophysiology
4 Diagnosis
5 To treat or not?
6 Possible treatment
7 Prognosis
8 References
9 External links

[edit] Signs and symptoms

Symptoms of a varicocele may include:

Dragging-like or aching pain within scrotum.
Feeling of heaviness in the testicle(s)
Atrophy (shrinking) of the testicle(s)
Visible or palpable (able to be felt) enlarged vein[1][2]

[edit] Cause

The idiopathic varicocele occurs when the valves within the veins along the spermatic cord do not work properly. This is essentially the same process as varicose veins, which are common in the legs. This results in backflow of blood into the pampiniform plexus and causes increased pressures, ultimately leading to permanent damage to the testicular tissue.

Varicoceles develop slowly and may not have any symptoms. They are most frequently diagnosed when a patient is 15–30 years of age, and rarely develop after the age of 40. They occur in 15-20% of all males, and in 40% of infertile males.

98% of idiopathic varicoceles occur on the left side, apparently because the left testicular vein connects to the renal vein (and does so at a 90-degree angle), while the right testicular vein drains at less than 90-degrees directly into the significantly larger inferior vena cava. Isolated right sided varicoceles are rare.

A secondary varicocele is due to compression of the venous drainage of the testicle. A pelvic or abdominal malignancy is a definite concern when a right-sided varicocele is newly diagnosed in a patient older than 40 years of age. One non-malignant cause of a secondary varicocele is the so-called "Nutcracker syndrome", a condition in which the superior mesenteric artery compresses the left renal vein, causing increased pressures there to be transmitted retrograde into the left pampiniform plexus.[3] The most common cause is renal cell carcinoma (a.k.a. hypernephroma) followed by retroperitoneal fibrosis or adhesions.
[edit] Pathophysiology

The term varicocele specifically refers to dilatation and tortuosity of the pampiniform plexus, which is the network of veins that drain the testicle. This plexus travels along the posterior portion of the testicle with the epididymis and vas deferens, and then into the spermatic cord. This network of veins coalesces into the gonadal, or testicular, vein. The right gonadal vein drains into the inferior vena cava, while the left gonadal vein drains into the left renal vein at right angle to the renal vein, which then drains into the inferior vena cava.

The small vessels of the pampiniform plexus normally range from 0.5–1.5 mm in diameter. Dilatation of these vessels greater than 2 mm is called a varicocele.
[edit] Diagnosis

Upon palpation of the scrotum, a non-tender, twisted mass along the spermatic cord is felt. Palpating a varicocele can be likened to feeling a bag of worms.[2] When lying down, gravity may allow the drainage of the pampiniform plexus and thus make the mass not obvious.[2] This is especially true in primary varicocele, and absence may be a sign for clinical concern.[2] The testicle on the side of the varicocele may or may not be smaller compared to the other side.

Varicocele can be reliably diagnosed with ultrasound,[4][5] which will show dilatation of the vessels of the pampiniform plexus to greater than 2 mm. The patient being studied should undergo a provocative maneuver, such as Valsalva's maneuver (straining, like he is trying to have a bowel movement) or standing up during the exam, both of which are designed to increase intra-abdominal venous pressure and increase the dilatation of the veins. Doppler ultrasound is a technique of measuring the speed at which blood is flowing in a vessel. An ultrasound machine that has a Doppler mode can see blood reverse direction in a varicocele with a Valsalva, increasing the sensitivity of the examination.

Recent studies have shown that varicocele is a bilateral disease[6] and the diagnosis of the right side is missed by physical examination and even by ultrasonography. The examination should be performed by Ultrasonography — color flow doppler performed by highly experienced radiologist that will diagnose varicocele by demonstrating back-flow in the right and in the left spermatic veins.[7]
[edit] To treat or not?

Whether or not a varicocele causes infertility is a contentious issue. The recent Cochrane Database Systematic Review of eight randomised controlled trials on this topic suggests that there may be no improvement in fertility after treating a varicocele. The article implies that even the existence of a reliable causal link between the presence of a varicocele and infertility in males is questionable.[8]

A small prospective study (n=322) however, suggests that varicocele correction aimed at restoring fertility appears to be most appropriate for men whose infertility extends beyond 2 years. These data suggest that varicocele correction at 1 year of infertility does not result in a significantly higher pregnancy rate than that achieved by men with uncorrected varicocele.[9]
[edit] Possible treatment
Sewn up wound after varicocele surgery

Varicocelectomy, the surgical correction of a varicocele, is performed on an outpatient basis.[10] The three most common approaches are inguinal (groin), retroperitoneal (abdominal), and infrainguinal/subinguinal (below the groin). Various other techniques may be used. Ice packs should be kept to the area for the first 24 hours after surgery to reduce swelling. The patient may be advised to wear a scrotal support for some time after surgery.
Possible complications of this procedure include hematoma (bleeding into tissues), hydrocele (accumulation of fluid around the affected testicle), infection, or injury to the scrotal tissue or structures. In addition, injury to the artery that supplies the testicle may occur.

In the Gat-Goren nonsurgical method for treating varicoceles, performed under local anesthesia, a catheter is inserted through a vein in the upper thigh. Fluid injected through the catheter selectively closes off the malfunctioning veins, thus enabling the testicular tissues to recover and begin to produce normal sperm in normal amounts. The procedure lasts one to two hours and causes almost no discomfort. The patient can return to his regular routine in about 5 days.[11]
Picture taken 36 hours after embolization treating a varicocele. It shows the place where the wire was passed through.

An alternative to surgery is embolization,[12] a minimally invasive treatment for varicocele that is performed by an interventional radiologist. This involves passing a small wire through a peripheral vein and into the abdominal veins that drain the testes. Through a small flexible catheter, the doctor can obstruct the veins so that the increased pressures from the abdomen are no longer transmitted to the testicles. The testicles then drain through smaller collateral veins. The recovery period is significantly less than with surgery and the risk of complications is minimised with overall effectiveness similar to surgery, yet with fewer recurrence rates.

Embolization is an effective treatment for post-surgical varicoceles. These are varicoceles that reappear after they have been surgically repaired. The main theory is the presence of redundant gonadal veins that provide collateralization cause the reappearance of the varicoceles. The use of NBCA glues during the embolization is as effective at embolizing these collaterals as coils.[13]

Medical treatment with L-carnitine has some beneficial effect on sperm parameters, but is not as effective as surgery.[14] Micronised purified flavonoid fractions (MPFF) have a beneficial effect on reducing varicocele pain and reducing reflux time of left spermatic vein during the Valsalva maneuver.[15]
[edit] Prognosis

Varicocele is usually harmless, but can cause infertility. Although one study showed improvement in sperm quality in 57%,[16] the vast majority of studies show that surgery has no significant effect on infertility. Thus, the conclusion is that one can expect no improvement of fertility after surgery, if no other reason for infertility can be found.[

 

[GeNeTiKFiGhTR]

Bump


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[gogotren]

I have 2 kids and am super happy my count is ZERO after the "pipes have been cut". Clomid will bring it back. Are you trying to have kids? Don`t tell your woman about, it will get in her head and could stop her from getting pregnant. Don`t let it get in your head, so much of getting pregnant is mental and nature.

 

[cornertech]

HMG + HCG + CLOMID. That will almost certainly work!!!

My doc has me (for HRT purposes) using 300Mcg daily compounded HcG, 250 (or so) Mg Test Cyp weekly via daily (daily very important) inject, with 25 Mg Clomid EOD, 3, 50Mg Proviron per week.

My counts were not as low as 1.7 or but my total test was hovering around 250 and I felt it!

Now I am around 1200 TT, no issues at all with SC...

I woulsd seek the adive of an Endo or qualified vitaiity doc...

Try not to feel embarrassed; we all get there!

 

[jrod]

There is a post on this board somewhere about how and what to take to get your wife prego there were alot of guys swearing by the protocol most knocking there wives/gf's in four weeks try searching for it