FSH+hCG+TRT Semen Analysis

jc2c · Jul 18, 2024

I was on Test Cyp 70mg 2x a week + hCG 750 IU 2x a week when I did my first semen analysis. I did the 2nd semen analysis after adding 75 IU FSH 3x a week, changing hCG to 1000 IU 3x a week, and keeping test cyp the same at 70mg 2x a week.

I also tested 17-OH Progesterone LCMS at the same times and it went from 16 to 59. A fertility doc told me 50 is his lower bound.

I'm thinking of upping FSH to 150 IU and upping hCG to 1200 IU. And, doing test cyp 3x a week at 40mg (which would be a weekly decrease but the hCG may offset it). Thoughts? Advice?

jc2c · Jul 23, 2024

Anyone with any thoughts or advice? Am I on the right track?

Nelson Vergel · Jul 29, 2024

How to Improve Sperm Quality, LH, FSH and Testosterone in Infertile Men

Improving Testosterone, LH, FSH and Sperm Quality in Men Who Stopped TRT or Anabolic Steroids? Main Therapies. Note: AI's are not recommended due to extreme decreases in estradiol that may have negative health consequences in men. hCG plus FSH doses used in several studies: Reference...

www.excelmale.com

I would change the hCG and FSH injection frequency to three times per week. Here is a study that applies to you :

Effect of Combined Low Dose hCG, FSH and Testosterone therapy versus Conventional High Dose hCG and FSH on Spermatogenesis and Biomarkers in Men

HIGHLIGHTS • a rational approach for inducing fertility in male CHH patients is to initiate combination therapy targeting FSH within the range of 4-8 units/L, hCG with a prime focus on achieving target AMH levels (

www.excelmale.com

jc2c · Aug 10, 2024

Nelson Vergel said:
How to Improve Sperm Quality, LH, FSH and Testosterone in Infertile Men

Improving Testosterone, LH, FSH and Sperm Quality in Men Who Stopped TRT or Anabolic Steroids? Main Therapies. Note: AI's are not recommended due to extreme decreases in estradiol that may have negative health consequences in men. hCG plus FSH doses used in several studies: Reference...

www.excelmale.com

I would change the hCG and FSH injection frequency to three times per week. Here is a study that applies to you :

Effect of Combined Low Dose hCG, FSH and Testosterone therapy versus Conventional High Dose hCG and FSH on Spermatogenesis and Biomarkers in Men

HIGHLIGHTS • a rational approach for inducing fertility in male CHH patients is to initiate combination therapy targeting FSH within the range of 4-8 units/L, hCG with a prime focus on achieving target AMH levels (

www.excelmale.com

Yes, I saw that and already upped the frequency to 3x/week. I'm ordering AMH test. In that paper, which I purchased, it also talks about Inhibin B but there's no much guidance on what to do with the results.