TRT and Fertilty - My protocol - Advice needed

Krx · Jan 6, 2017

Hello all,

I am currently on TRT (125mg per week), 75iu hMG eod, and 500iu HCG eod also 0.3mg anastrozole every 4-5 days.

So far so good. I feel good, full and i now have more volume in in my ejaculation (went from driblles to normal). I run this now for 2 months. I try to knock up my missus. So far we have been unsuccessful. My doctor (which is quite nice guy) told me to do a sperm check on the 4th of Feb (exactly 3 months after we started the protocol).

We have contemplated of adding 25-50mg of clomid ed to this protocol but we decided to drop it.

What do you think? How is my protocol? Is his approach correctly?

mike036 · Jan 6, 2017

It takes about 3 months for the body to produce healthy sperm.also it is very important for your wife to know when she is ovulating because there is only a small window of opportunity .your medication use looks good .i would take your docs advice and get a sperm analysis asap .this will tell you where you stand and if Meds are working .my fertility doc made me come off all steroids and prescribed me 3,333iu Hcg m-w-f and for the first 4 weeks only 75ius HMG mon and fri .it took about 8 months to get my wife pregnant .best of luck and go get the semen analysis .

Krx · Jan 6, 2017

mike036 said:
It takes about 3 months for the body to produce healthy sperm.also it is very important for your wife to know when she is ovulating because there is only a small window of opportunity .your medication use looks good .i would take your docs advice and get a sperm analysis asap .this will tell you where you stand and if Meds are working .my fertility doc made me come off all steroids and prescribed me 3,333iu Hcg m-w-f and for the first 4 weeks only 75ius HMG mon and fri .it took about 8 months to get my wife pregnant .best of luck and go get the semen analysis .

We monitor ovulation cycle etc. I have been book for the 4th of Feb. They told me to wait at least 3 months before getting sperm test.

He pretty much told me that if on the 3 month mark we have no improvement he will ask me to stop trt and increase my dose to 1000iu hcg eod.

Thank you for your reply.

Happy to see that the doctor knows what he is doing.

allornothing · Jan 6, 2017

If your still on TRT then HMG with HCG weekly is the best way to achieve spermatogenesis. Clomid will do nada if your on TRT. It takes 80-90 days to achieve spermatogenesis. I would stick with the HMG/HCG protocol. If your producing some by the 3rd month your numbers should continue going up till about months 7-9 and probably stable out there. Best of luck.

Sent from my iPhone using Tapatalk

*KT* · Jan 6, 2017

TRT

What i have read on clomid is that it wont help much unless you are a patient that has high risks for TRT then it may be considered to stimulate LH, FSH and T levels. But it you are fine with the other then stick with it like Allornothing said.

Been on HRT since i was 25.

Krx · Feb 15, 2017

Just did a sperm analysis test.

all was normal except

Vability is 45.53% with cutoff point 50%
Activity ratio 57.43% with cuttof point 60%
Density is 13.35*10^6/ml (which is around 13.5million) with cuttof point 20 million

I went to this from nothing (0 sperm) in 3 months while using

125mg testosterone, 500iu HCG eod and 75iu HCG eod (Alternate with HCG).

Based on this paper https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854084/ and discussion with my doctor

I am thinking of dropping TRT and going for:

MONDAY 1500iu HCG
Tuesday: 75iu HMG
Wednesday: 1500iu HCG
Thursday: 75iu HMG
Friday: 15000iu HCG
Saturday: 75iu HMG

Wish me luck guys. I hope for a baby before Summer. After that I will blast again.

BTW I have lost a ton of muscle while on 125mg.. but nevermind that life goes on

Sometimes lifting goes out of the window for a while.

mike036 · Feb 15, 2017

Krx said:
Just did a sperm analysis test.

all was normal except

Vability is 45.53% with cutoff point 50%
Activity ratio 57.43% with cuttof point 60%
Density is 13.35*10^6/ml (which is around 13.5million) with cuttof point 20 million

I went to this from nothing (0 sperm) in 3 months while using

125mg testosterone, 500iu HCG eod and 75iu HCG eod (Alternate with HCG).

Based on this paper https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854084/ and discussion with my doctor

I am thinking of dropping TRT and going for:

MONDAY 1500iu HCG
Tuesday: 75iu HMG
Wednesday: 1500iu HCG
Thursday: 75iu HMG
Friday: 15000iu HCG
Saturday: 75iu HMG

Wish me luck guys. I hope for a baby before Summer. After that I will blast again.

BTW I have lost a ton of muscle while on 125mg.. but nevermind that life goes on Sometimes lifting goes out of the window for a while.

Best of luck ,keep trying you will get there !

Thappy · Feb 16, 2017

Fuck every night and maybe add 25-50 clomid as well

Ability · Feb 25, 2017

KRX keep us updated on how things are going.

I'm in somewhat of a similar situation.

I've been off all anabolics 25 weeks

75% of the time on cycle I was using hcg.
Did a 10 week run last year of hmg 75iu 2x a week w hcg 5000iu 3x a week w 125mg te.

Also used triptorelin clomid torimefene over the course of my aas use

My pct/fertility protocol was

Hcg 1000 3x a week.
Weeks 1-2
Weeks 10-22

Hmg 75 iu 2x a week
Weeks 4-5
Weeks 10-18

Clomid 50mg/day
Weeks 3-7
Weeks 9-12
Weeks 18-22

Adex. .25mg 3x a week
Weeks 6-12
Weeks 18-21

I saw fertility specialist at the end of week 22 and she advised me to stop taking all meds and get a sperm anlysis.

Just got the sperm anylysis this week (25)
Although I felt like I kinda efd up and I missed some and the hole process was awkward. Felt like I stopped like part way thru trying to get it in the cup.

Results as follows
Volume 1.2ml
Concentration 4mil/ml
Motility 2.4 ( I think out of 10)
Morphology 0

I'm hoping there was some type of error w the morphology.
They want me to repeat the test in 2 weeks.
Is there anything I can do in this period of time that can be helpful?

I've been doing 1000mcg ipa at night before bed. Using fat burners, bcaa, protein, and pre workout.
Should I stop taking any or all supplements?
Should I go back on Clomid hcg?

I also smoke Marijuana.
Being that it takes 90 days for sperm to mature can anything make a difference in 2 weeks.

Any input is appreciated.

KRX good luck.

mike036 · Feb 25, 2017

Ability said:
KRX keep us updated on how things are going.

I'm in somewhat of a similar situation.

I've been off all anabolics 25 weeks

75% of the time on cycle I was using hcg.
Did a 10 week run last year of hmg 75iu 2x a week w hcg 5000iu 3x a week w 125mg te.

Also used triptorelin clomid torimefene over the course of my aas use

My pct/fertility protocol was

Hcg 1000 3x a week.
Weeks 1-2
Weeks 10-22

Hmg 75 iu 2x a week
Weeks 4-5
Weeks 10-18

Clomid 50mg/day
Weeks 3-7
Weeks 9-12
Weeks 18-22

Adex. .25mg 3x a week
Weeks 6-12
Weeks 18-21

I saw fertility specialist at the end of week 22 and she advised me to stop taking all meds and get a sperm anlysis.

Just got the sperm anylysis this week (25)
Although I felt like I kinda efd up and I missed some and the hole process was awkward. Felt like I stopped like part way thru trying to get it in the cup.

Results as follows
Volume 1.2ml
Concentration 4mil/ml
Motility 2.4 ( I think out of 10)
Morphology 0

I'm hoping there was some type of error w the morphology.
They want me to repeat the test in 2 weeks.
Is there anything I can do in this period of time that can be helpful?

I've been doing 1000mcg ipa at night before bed. Using fat burners, bcaa, protein, and pre workout.
Should I stop taking any or all supplements?
Should I go back on Clomid hcg?

I also smoke Marijuana.
Being that it takes 90 days for sperm to mature can anything make a difference in 2 weeks.

Any input is appreciated.

KRX good luck.

What brand of hcg and hmg were you using ? Your sperm count is still very low for all those weeks you were useing the meds .

Ability · Feb 26, 2017

Hcg was pharma grade
This time around hmg was generic, so that is always up for chance, but it is expensive and hard to come by.

Last year while on trt my hmg was pharma grade.

I'm just wondering if I should use clomid and a couple shots of hcg before my next sperm sample.

Peptides shouldn't effect anything right? Was just going to use ipa hopfully.

I have cjc w dac n mk 677 on deck also but I will wait till after test to use that possibly.

Thanks for feedback