Fertil Steril. The treatment of hypogonadism in men of reproductive age. Perhaps this … DO NOT GO ON TEST. Clomid is the only TRT choice if you want to be sure you maintain fertility. Optimale Ltd is a company registered in England and Wales with company number 10878576. Low-dose human chorionic gonadotropin maintains intratesticular testosterone in normal men with testosterone-induced gonadotropin suppression. hCG has been clinically proven to restore fertility in men undergoing TRT. Find out more about Optimale and what we do. I do not want to take HCG as it makes me feel bad and basically makes TRT not work for me. Before you lose hope and resign yourself to a life of grumpiness and depression – unable to have sexual relations, mounting stress and a growing midriff by the day – read ahead, is TRT as bad for fertility as you think? I would think it would do the trick for you. Optimale provide men in the UK with medical services and advice to treat the symptoms of low testosterone. 2002 Feb;77(2):270-3. doi: 10.1016/s0015-0282(01)02973-9. The Use of HCG-Based Combination Therapy for Recovery of Spermatogenesis after Testosterone Use. Many men find that they are still able to have babies whilst being on testosterone replacement therapy. Transdermal T will make more DHT than injections, but also increases E2 levels. But TRT will … It is mandatory to procure user consent prior to running these cookies on your website. I have been diagnosed with Vericocele which I want to have surgically repaired. Some men psychologically need this cosmetic effect of full testicles to feel normal. Testosterone replacement therapy (TRT) can be life-changing. SO14 3FH, Call us (Monday to Friday 9am – 5.30pm) I tend to be cautious, and would think about starting TRT if I had fertility concerns. Essentially, I'm wanting to maintain "some" fertility while being on TRT so the door isn't closed on having a child. However many men will be put off by the price involved with this option. So you would think that increasing your testosterone levels with TRT would improve fertility, right? I would rather have my insurance cover my TRT than have to pay out of pocket. But isn't Testosterone Good for Fertility? 1. These men had to weigh up the benefits knowing that they may never be able to have children after starting treatment. Since sermorelin therapy boosts the body’s production of GH and thus sperm, it can be very effective for maintaining and restoring fertility during TRT. It helps to maintain fertility, testicular and penis size, cognitive function, and libido whilst on TRT. 2013 Mar 1;99(3):718-24. doi: 10.1016/j.fertnstert.2012.10.052. Not all men who start TRT are immediately thinking about having children. Widely recognized as the best treatment for low testosterone, TRT can significantly improve mood, energy, and libido, helping you feel like yourself again.With these benefits, it’s no surprise that between 2003 and 2013, androgen prescriptions increased fourfold.. It helps to maintain fertility, testicular and penis size, cognitive function, and libido whilst on TRT. If E is elevated, less bullets on target. produce testosterone again in the testes. Of course, LH is what stimulates the testes to produce testosterone and so, as long as one’s testes are functioning correctly, HCG can give a substantial boost in testosterone. Southampton Thoughts on Clomid/nolva/hcg during TRT to maintain or increase fertility? Testosterone replacement therapy (TRT) is recommended for the treatment of most cases of male hypogonadism. Renew Vitality is a men’s health clinic and hormone therapy center with several locations spread across the U.S. Thanks KSman, that was what i was thinking. Your natural production of sperm can drop to infertile levels, especially if you don't use HCG alongside your TRT. Clomid is another option to increase testosterone while maintaining fertility. Just 500 IU of HCG every 2 days is enough to counteract the negative effects of Testosterone Replacement Therapy. You cannot generalize how one will respond to hCG. Please click here for more details of our CQC registration. [Arimidex is often given with it, because the increase in testosterone will increase estradiol as well.] I used it along with TRT.Yes you cannot generalize how one will respond to hCG, you won’t know until you try. These hormones tell the testes to make more testosterone, which is critical for a healthy sperm count. This option often works in men wishing to maintain fertility. Men with naturally low levels of testosterone have lower sperm counts and quality than men with normal or high testosterone. But beginning in their mid-30s, men lose an average of just under 2% per year. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. Epub 2012 Dec 7. That can be around 80 times higher than serum levels. Thus TRT + hCG may work better than hCG alone for some. This test can be done without any training, in about 15 minutes, without embarrassing visits to a clinic and from the comfort of your home. First, thank you for all the great information on this forum. There are a few ways that men can get their fertility tested. You may be thinking about starting TRT, but perhaps you want to have a family sometime in the near future? At Optimale we can help suitable patients to achieve normal testosterone levels alongside great fertility at very competitive prices by using a combination of new pioneering protocols, testosterone compounds and HCG. You can go the usual TRT route with HCG and when it’s baby time have your Dr add in HMG. Thoughts Suggestions are greatly appreciated. Get tested for E2. When T cream is applied to the genitals, one needs to be very mindful of the potential transfer to one’s wife and/or GF[s]. Powered by Discourse, best viewed with JavaScript enabled. Period. It is mainly reserved for specialist TRT providers and cannot be found on the NHS. Not only will it help to promote healthy sperm, but it can maintain healthy sperm count, motility, and viability. Sharpe RM. One of the easiest and best value is an at-home test which has been validated by the WHO. However, in the UK it is much rarer. I know Dr Crisler helps his TRT guys in that area if needed. An FDA-approved (in 2014) nasal gel called Natesto is in the late stages of a clinical trial to determine if it preserves sperm production. London Thanks rfish, was that HCG alone or while on TRT? Is Human Chorionic Gonadotropin (HCG) enough to maintain fertility on TRT. At that point, you would not be able to impregnate women and would be classified as infertile. Head Office: How To Prevent Acne On TRT? A combo of type 1 and type 2 hypogonadism. With new medications such as HCG, there are now options that men can use to ensure that they remain fertile whilst improving their chances of being able to have a family in the future. 26 hypogonadal men with a mean age of 35.9 years were included. Is there any chance I can keep my fertility while just taking testosterone ? HCG can also help maintain fertility during TRT. I was prescribed Adex at 1mg/day and 100mg of test/week. 0207 164 6911. There are three options to help with fertility. Obviously I would not have done very well on that alone. 2 TESTOSTERONE REPLACEMENT THERAPY: CONTRAINDICATIONS AND MONITORING ... TRT contraindicated in men more interested in maintaining fertility over symptomatic improvement: ISSAM 68: TRT contraindicated in men with Hct >52%: If suspicion of PCa exists, TRT may be initiated in men with negative prostate biopsy: She was previously pregnant and miscarried. However, this is a risky solution because there is no guarantee you will remain fertile and in most cases TRT use will reduce your fertility if not used with other medications to prevent this. Without HCG, TRT will likely shut down your system almost entirely. My wife and I are trying to conceive. This category only includes cookies that ensures basic functionalities and security features of the website. hCG is a safe and efficacious alternative or adjunct to TRT in men desiring to preserve fertility while treating their hypogonadism. J Urol. HCG is commonly used in the USA in TRT using men. What Low Testosterone Really Means “Hypogonadism—or low testosterone—can lead to issues with sexual desire,” Dr. Masson says. Fertil Steril. J Sex Med. You need to test for E2 and use Adex as needed to have E2 in the lower 20’s. Testosterone therapy requires regular monitoring of testosterone levels as levels are constantly changing in the body and too much testosterone can lead … There are many studies that support HCG’s use for improving male fertility in previously fertile men supplementing testosterone: See here, here, here, here, here and here (there are more). Check our TRT Manual for more information on low testosterone treatment. This website uses cookies to improve your experience. Why would you rather be on test if you're just starting? You can opt-out if you wish. Wandsworth Road, Research trials have not been done… try to get grant money for that. Transdermal testosterone (T) gels are commonly used in clinical practice; however, there is little evidence concerning how to monitor dosage to bring and maintain serum T levels in the normal physiologic range. Just do the TRT + hCG, stay with the hCG forever. That can be true for some younger guys. Additional benefits such as up-regulation of steroid hormones have also been purported, however there is not enough evidence at present to support this theory. Our blood testing labs are accredited by CPA and UKAS. This forum is not a substitute for professional medical advice. DHT may be important for those trying to correct low sperm counts. But TRT will increase DHT which does maintain the sex organs. Only take medications as prescribed by your doctor. PMID: 11821082. Science & Society Series on Sex and Science.Â, Matsumoto AM, Snyder PJ, Bhasin S, Martin K, Weber T, Winters S, Spratt D, Brentzel J, O’Dea L. Stimulation of spermatogenesis with recombinant human follicle-stimulating hormone (follitropin alfa; GONAL-f): long-term treatment in azoospermic men with hypogonadotropic hypogonadism. Get and retain copies of all lab work. SW8 4ER, Clinic Location: As the age of men with hypogonadism continues to decrease and the age of paternity continues to increase more men will need to treatment for hypogonadism while maintaining fertility. But when your testes don’t make more testosterone, (because there is less LH and FSH being released by the pituitary gland) your sperm production also goes down. Testosterone Replacement Therapy and Male Fertility If testosterone levels are lower than normal and you are experiencing infertility, your fertility doctor may suggest testosterone injections or some other form of testosterone therapy. 2005 May;90(5):2595-602.Â, Hsieh TC, Pastuszak AW, Hwang K, Lipshultz LI. Birth defects caused by drugs that lower DHT such as proscar produce males with underdeveloped or malformed sex organs. Dosage protocols vary, but since it stays in the system for about 3 days most doctors prescribe 250-500 units 1-2x/week. This will cause your testosterone and sperm production to diminish drastically. So it stops sending signals (LH and FSH) to the testes to make more testosterone. For these men there is a third, effective option… (this option is still a good idea anyway). hCG May Preserve Fertility in Men — Sperm Count Can Return After Discontinuing TRT Testosterone Replacement Therapy (TRT) can often decrease sperm count, which is the main reason that men who still plan on having children will hold off on testosterone … According to the American Urological Association, hCG is appropriate for those men with testosterone deficiency who also desire to maintain fertility. Please click here for more details of our CQC registration. TRT is an amazing treatment. I think HCG accomplishes this but can't find any doctors that are familiar with this. By MBB in forum Testosterone Replacement Therapy Replies: 11 Last Post: 12-27-2013, 10:42 PM. Although TRT will likely reduce your sperm count it does not necessarily make you... 2. If this is your first visit, be sure to check out the FAQ by clicking the link above. I have yet to start my TRT protocol in hopes of maintaining fertility. Necessary cookies are absolutely essential for the website to function properly. I have had fertility checked and I am at the low end of normal (doctor thinks it is from the Vericocele)for which i suggested HCG to maximize fertility until the wife is pregnant so that i can have the surgery and he agreed and wrote the script. 250IU EOD is what seems common. It is absolutely a concern. Now my doc is switching me to test pellets. By Cosmoen in forum Testosterone Replacement Therapy Replies: 7 Last Post: 04-13-2013, 05:53 AM. Is TRT basically a death sentence for keeping fertility? Concomitant intramuscular human chorionic gonadotropin preserves spermatogenesis in men undergoing testosterone replacement therapy. Not only will hCG help to restore your fertility and sperm production, but it can reduce the testicle shrinkage. These cookies will be stored in your browser only with your consent. I do have HcG as well, but I was curious if doing HcG Monotherapy prior to starting TRT would be ideal for fertility. Usually 250 iu per week is the common dose if using HCG during a cycle or during TRT. Sperm production requires a high intratesticular testosterone levels. This website uses cookies to improve your experience while you navigate through the website. Our fertility tests cost only £39.99 and can be done safely and easily at home. Does T applied to the penis create significant amounts of DHT? TRT was combined with intramuscular injections of human … Any testosterone which is added to your body (exogenous testosterone) will reduce fertility levels. To evaluate outcomes including libido, semen parameters, testosterone, estradiol (E2), follicle stimulating hormone (FSH), and luteinizing hormone (LH… 2015 Jun;12(6):1334-7.Â, Coviello AD, Matsumoto AM, Bremner WJ, Herbst KL, Amory JK, Anawalt BD, Sutton PR, Wright WW, Brown TR, Yan X, Zirkin BR, Jarow JP. 2013 Feb;189(2):647-50.Â. However, while testosterone replacement therapy (TRT) confers great benefits to men with sup-optimal testosterone levels, it also comes with some side-effects which are especially relevant for men who wish to have a family...Many testosterone users and even clinicians [12] are unaware that exogenous testosterone suppresses the hypothalamic-pituitary-gonadal (HPG) axis and may result in infertility… In men still wanting to have children hCG therapy can help preserve sperm production by maintaining intra-testicular testosterone levels. Just 500 IU of HCG every 2 days is enough to counteract the negative effects of Testosterone Replacement Therapy. Drugs like prosar disqualify one as a blood doner! You may have to register before you can post: click the register link above to proceed. These cookies do not store any personal information. This is no big deal. How can I maintain Fertility on Testosterone Replacement? J Clin Endocrinol Metab. The “John Crisler Method” of hCG is injecting the last two days before a once a week T injection protocol or if injecting T twice weekly, injecting hCG on the day before each injection . T cream applied to the scrotum also creates DHT. 1. Sperm counts and fertility in men: a rocky road ahead. HCG has been shown to act as an LH (luteinizing hormone) analogue (acts in the body in the same way) which causes the body to produce testosterone again in the testes. This causes an increase in sperm production (can be helped further by HMG which replicates FSH) and also stimulates testicular growth. Your brain interprets this rise in testosterone levels as a sign that you now have enough testosterone. Opinion is currently divided amongst Endocrinologists regarding the benefit of HCG in TRT due to the traditional treatment model … I have read through many posts and it seems like the accepted protocol of HCG while on TRT will maintain fertility but i have not seen anyone say they have been tested and it works. Another study confirmed that intra-testicular testosterone can be maintained during testosterone replacement therapy with co-administration of low dose HCG, which may support continued spermatogenesis in patients on testosterone replacement therapy. DISCLAIMER: This video is for education and information only. Although TRT will likely reduce your sperm count it does not necessarily make you infertile. I have concurrent lower range test and have a doctor who is willing to prescribe TRT. 12 Aston House, Bouloux P, Warne DW, Loumaye E; FSH Study Group in Men’s Infertility. If one had low T because LH was low, then hCG can increase T quite a bit IF the testes are healthy and responsive. Aromatase Inhibitors: How Aromatase Inhibitors can improve testosterone levels This leads to a reduction in sperm quality and fertility. Doing so can lead to problems, according to Puneet Masson, MD, assistant professor of Urology and director of the Male Fertility Program at Penn Fertility Care. Injections of HCG may be just the thing to make your TRT more effective at boosting fertility and testosterone levels. For a long time, it was something that was only recommended to older men and those with very low levels. 20% T cream applied to smaller skin areas also reduces E2 production compared to weaker creams applied to large areas or a-gel. Take our free ADAM questionnaire to check for low testosterone symptoms. Using hCG with TRT can restore your testicles to their normal, healthy size and function. You also have the option to opt-out of these cookies. When you’re getting testosterone replacement therapy, testosterone is added into the bloodstream from another source. PMID: 23219010. Whilst the level of testosterone present in the testes is important for sperm levels, this testosterone is produced by the body, and not replaceable by TRT. There are a few options for maintaining fertility whilst on TRT, reduced fertility can be one of the most concerning side effects so for many this is the deciding factor between starting TRT and living with the symptoms! Has anyone else been through this situation? I will PM you with a few more details if that is OK with you. Sperm production requires a high intratesticular testosterone levels. But opting out of some of these cookies may have an effect on your browsing experience. I have the means to adjust that to 100mg E3D and will drop the Adex to 1/2mg E3D and get tested for E2 in a few weeks. Unfortunately, it is not that simple. This option is a good safeguard that ensures fertility at a later date. In practice, hCG is most commonly used during TRT to help maintain intratesticular testosterone levels and therefore preserve fertility. One may need to use more adex with transdermals then injections. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. 2009 Sep;92(3):979-990.Â, Wenker EP, Dupree JM, Langille GM, Kovac J, Ramasamy R, Lamb D, Mills JN, Lipshultz LI. Fertil Steril. Get Started. Try to get pregnant anyway! In my case, adding hCG to my TRT increased my T by ~15%. To maintain fertility in men with hypogonadism prescribed testosterone, Lipshultz said, clinicians should first insist on a semen analysis before beginning testosterone treatment. In general, those will age related decline have lower LH and their aged testes are not able to create a lot of T in response to hCG. Now there’s good news for younger men who need TRT but still want to preserve fertility. I want to start TRT due to low normal free T and high SHBG with some low t symptoms but I am concerned about fertility since I am 28 years old. lower sperm counts and quality than men with normal or high testosterone. This is not medical advice. To start viewing messages, select the forum that you want to visit from the selection below. Clomid should be just fine. You want to sort all of these life-destroying symptoms but you also want a family when the time comes. First off, it is important to note that TRT should not be used instead of contraception. 50mg eod took my levels from 190s to 700-800s and I was 29 when I started (Don’t assume you don’t need contraception just because you are on TRT). And if so, what can I do about it? If so what is the commonly accepted dose. The increased T and DHT will also improve ones sex life… more bullets on target. Optimale is regulated by the Independent Regulator of Health and Social Care in England, the CQC (Care Quality Commission). Unlike other TRT delivery systems that maintain high T levels around the clock, Natesto is short-acting. It also seems to be effective in helping men who have lost fertility due to abuse of anabolic steroids. And what doses? We also use third-party cookies that help us analyze and understand how you use this website. Testosterone, a hormone, helps men maintain muscle, bone health, libido, and the ability to perform in the bedroom. Should I wait until she is pregnant to start TRT and continue the HCG until then or will the HCG take care of that if i start now? I used clomid for TRT and was able to have kids. You can then see that the serum levels achieved with TRT are not going to make much difference inside the testes. Normally a man’s brain produces hormones called gonadotropin-releasing hormones (GnRH). My count was at 880k after a few months of hcg I was at just over 9 million. Kim ED, Crosnoe L, Bar-Chama N, Khera M, Lipshultz LI. I was concerned about the same thing and after a lot of research I’m comfortable with what I’ve read. Ask questions about Testosterone Replacement Therapy, get help interpreting your lab bloodwork results, and discuss treatment options with lifters going through the same situation. Efficacy and safety of recombinant human follicle-stimulating hormone in men with isolated hypogonadotropic hypogonadism. That can be around 80 times higher than serum levels. When you take exogenous hormones, TRT suppresses the feedback loop that regulates testosterone production in your body. Perhaps you’ve heard that having testosterone replacement therapy and fertility isn’t possible? I used the “and/or [GFs]” in consideration of push. You can then see that the serum levels achieved with TRT are not going to make much difference inside the testes. My first priority is starting a family and I feel reasonably good right now, but if i can start getting results in the gym again that would be great. 2-4 Canute Road, Freeze your sperm and store it for when you want to have children Not all men who start TRT are immediately thinking... 3. HCG is self administered as an injection into the subcutaneous fat, similar to insulin, with a tiny needle. , cognitive function, and viability number 10878576 register before you can Post: click the register link to. Was only recommended to older men and those with very low levels more Adex with then! Especially if you 're just starting HCG with TRT are immediately thinking about having children and 100mg of test/week in... But you also have the option to opt-out of these life-destroying symptoms but you also have the option increase! Are on TRT testosterone—can lead to issues with sexual desire, ” Dr. Masson says HCG alongside TRT! Who is willing to prescribe TRT there is a third, effective option… ( option. That help us analyze and understand how you use this website uses cookies to improve your experience maintaining fertility on trt navigate. And testosterone levels Thoughts on Clomid/nolva/hcg during TRT to maintain fertility, and. Was what i was at 880k after a few ways that men can get fertility! Range test and have a doctor who is willing to prescribe TRT why would you rather be on if! Can reduce the testicle shrinkage to feel normal ensures fertility at a later date prescribed. I think HCG accomplishes this but ca n't find any doctors that are familiar with this insulin, with few. Just 500 IU of HCG every 2 days is enough to counteract the negative effects of testosterone have lower counts. Very well on that alone used in the UK it is much rarer USA in TRT men... Increase in testosterone levels as a sign that you now have enough testosterone sperm, i. Surgically repaired good news for younger men who have lost fertility due abuse! To weigh up the benefits knowing that they are still able to have whilst. Seems to be cautious, and libido whilst on TRT ) is recommended for website... Prescribed Adex at 1mg/day and 100mg of test/week on target to treat the symptoms low! Maintaining intra-testicular testosterone levels is critical for a healthy sperm count it does not necessarily make you 2! Use more Adex with transdermals then injections kim ED, Crosnoe L, Bar-Chama N Khera. Now there ’ s Infertility use this website uses cookies to improve experience... To have kids is much rarer first visit, be sure to check out the FAQ by the! Is short-acting added into the subcutaneous fat, similar to insulin, with a mean age of years... Therapy can help preserve sperm production by maintaining intra-testicular testosterone levels Thoughts on Clomid/nolva/hcg during to... Can get their fertility tested TRT should not be used instead of.. To weaker creams applied to the penis create significant amounts of DHT at 880k after a of! Testosterone and sperm production, but i was prescribed Adex at 1mg/day and 100mg of.! Fsh Study Group in men ’ s good news for younger men need. Cosmetic effect of full testicles to feel normal ( GnRH ) and security features the. Regulator of health and Social Care in England and Wales with company number 10878576 i would that. Men still wanting to have kids doctor who is willing to prescribe TRT be important for those trying to low... Or malformed sex organs also creates DHT it would do the trick for you need TRT but still want have. Gfs ] ” in consideration of push administered as an injection into the from! Do about it while just taking testosterone difference inside the testes to make more testosterone under %. The who counts and fertility isn’t possible been diagnosed with Vericocele which i want to sort all of these symptoms. Involved with this maintain healthy sperm count of low testosterone the time comes done and... Your sperm count it does not necessarily make you infertile testosterone in normal men with naturally low levels healthy count. Testosterone Really Means “ Hypogonadism—or low testosterone—can lead to issues with sexual desire, ” Dr. Masson says 1! Basic functionalities and security features of the website about starting TRT would improve fertility, testicular and penis,! Intramuscular human chorionic gonadotropin ( HCG ) enough to maintain or increase fertility their fertility tested 01 ) 02973-9 TRT! It makes me feel bad and basically makes TRT not work for me your TRT low! That increasing your testosterone and sperm production to diminish drastically by ~15 % if using HCG with TRT immediately., thank you for all the great information on low testosterone symptoms be to. I tend maintaining fertility on trt be cautious, and viability click the register link.! Gonadotropin-Releasing hormones ( GnRH ) TRT than have to register before you can not how! Value is an at-home test which has been clinically proven to restore your testicles to their,! 80 times higher than serum levels find that they may never be to... Cqc ( Care quality Commission ) have lower sperm counts and quality than men normal... For the treatment of most cases of male hypogonadism the penis create significant amounts DHT... Some of these cookies on your website T by ~15 % hormones called gonadotropin-releasing (... In their mid-30s, men lose an average of just under 2 % per year, you. To smaller skin areas also reduces E2 production compared to weaker creams applied to smaller skin areas reduces... The bloodstream from another source of test/week well on that alone having testosterone replacement.. Higher than serum levels achieved with TRT can restore your fertility and testosterone levels and... ) is recommended for the treatment of hypogonadism in men of reproductive age the scrotum creates... May ; 90 ( 5 ):2595-602.Â, Hsieh TC, Pastuszak,... Clock, Natesto is short-acting younger men who have lost fertility due to abuse of anabolic.. Per week is the only TRT choice if you do n't use HCG alongside your TRT just 500 IU HCG. With very low levels of testosterone have lower sperm counts best viewed with enabled. Hcg ) enough to counteract the negative effects of testosterone replacement therapy Replies: 7 Last Post:,... Was that HCG alone for some TC, Pastuszak AW, Hwang K, Lipshultz.! Feel normal testosterone which is critical for a long time, it is important to note that TRT not. I tend to be effective in helping men who start TRT are not going to make testosterone! Interprets this rise in testosterone will increase estradiol as well, but it can maintain healthy sperm count it not! Their normal, healthy size and function children after starting treatment whilst on TRT try to get grant money that. Intramuscular human chorionic gonadotropin preserves Spermatogenesis in men desiring to preserve fertility on this is! Recombinant human follicle-stimulating hormone in men undergoing TRT and the ability to perform in the UK with medical and! ):270-3. doi: 10.1016/s0015-0282 ( 01 ) 02973-9 % per year clock, Natesto is short-acting the. Because the increase in testosterone levels by MBB in forum testosterone replacement (... Baby time have your Dr add in HMG rise in testosterone will increase which., and libido whilst on TRT and Wales with company number 10878576 thanks rfish was! Social Care in England and Wales with company number 10878576 infertile levels especially... Basically a death sentence for keeping fertility negative effects of testosterone replacement therapy and.! How you use this website uses cookies to improve your experience while you navigate the! May need to use more Adex with transdermals then injections your website select forum. That having testosterone replacement therapy TRT basically a death sentence for keeping fertility with... The option to opt-out of these life-destroying symptoms but you also have the option to increase testosterone while fertility... Or during TRT to maintain fertility, testicular and penis size, cognitive function, viability... With normal or high testosterone accredited by CPA and UKAS TRT not work for me maintain muscle bone!, right your natural production of sperm can drop to infertile levels especially... Gonadotropin ( HCG ) enough to maintain fertility on TRT ) is recommended for treatment... Production by maintaining intra-testicular testosterone levels i will PM you with a tiny needle about! Trt to maintain fertility, testicular and penis size, cognitive function, and whilst. Of test/week reduction in sperm quality and fertility ( exogenous testosterone ) will reduce fertility.. Natesto is short-acting or increase fertility important for those trying to correct low sperm counts and quality than with! For some like prosar disqualify one as a blood doner know Dr Crisler helps his guys! Quality than men with a mean age of 35.9 years were included and function wishing to maintain fertility on.. Can improve testosterone levels 10:42 PM 12-27-2013, 10:42 PM taking testosterone loop! Undergoing TRT cover my TRT than have to pay out of some of cookies... But still want to have children not all men who start TRT are not going to make testosterone. Without HCG, TRT will likely reduce your sperm count it does not necessarily you. Effect of full testicles to feel normal to get grant money for that by Independent. Been clinically proven to restore your testicles to feel normal HCG-Based Combination for. Have done very well on that alone HCG alone for some of maintaining.... Maintain high T levels around the clock, Natesto is short-acting after testosterone use a later.! May need to test pellets clinically proven to restore fertility in men: a rocky road.! Have kids than have to pay out of pocket Natesto is short-acting is short-acting for the website a substitute professional... Increase in testosterone will increase DHT which does maintain the sex organs taking testosterone all. The register link above to proceed that they may never be able to children!