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Either way works. The traditional old-school way is to stop T injections, then start the HCG and HMG or FSH. However, this means that you will have low T for a while, perhaps a long time, while your body regains the ability to make it's own T, and libido, erectile function, and sperm count...

lt84, HMG (mixed FSH and LH) is a great product, and I used it myself in my fertility protocol, as my doctor at first refused to prescribe FSH. But your husband will need to use HCG (which is an LH analogue) along with FSH or HMG. Although there is both LH and FSH in HMG, there is not...

Interesting study, but terrible protocol in the HCG/HMG group. 5000-10000iu HCG once or twice a week!? I would like to see what the results would have been with a different protocol, say 500iu HCG and 150iu HMG every other day. T + HCG + HMG/FSH worked for me in restoring my fertility after 27...

HCG, HMG (mixed FSH and LH), and FSH worked for me, and restored my fertility after 27 years on testosterone and other anabolic steroids. My wife is currently pregnant, and our baby girl is due to be born on November 29. And I am 51 years old, and have been using test for more than half my...

Especially since your goal right now is to get your wife pregnant, I would suggest that you play it safe, and avoid the use of any 5-Alpha-Reductase inhibitors, even topical, until after you get your wife pregnant. The 5-Alpha-Reductase inhibitors all have fertility risks, not to mention risks...

@Gman86 thanks, I really appreciate that, and I've learned so much from your posts as well. I had to do a tremendous amount of research on fertility back in 2017-18 so that my wife and I could have our baby. I made a lot of mistakes, but also got a lot of things right, and I learned a great...

I never used HCG either, for 25 years, until I married my new wife, and we started trying for a baby. In November of 2017 I had a zero sperm count, and I started using HCG, Clomid, and Proviron. But when I did a semen analysis in May, my sperm count was only up to 4 million/ml, with very poor...

By the end of the program, I had settled on 500iu of HCG every other day, which is what I would recommend to others, and what worked best for me. I used different doses of HCG over the 11 months I was on the fertility program, from as little as 100iu every day, to as much as 3000iu EOD at the...

HCG is still necessary, even when using HMG. HMG is a mix of FSH and LH, but there is not enough LH to maintain high enough intra-testicular testosterone levels. And the half-life of injected LH is very short, while the half-life of HCG is much longer, which makes HCG much more user-friendly...

Regarding Clomid, it is the consensus of many experts, and it certainly was my experience, that Clomid doesn't do much, if anything, positive, and only has negative side effects for men taking exogenous testosterone. I used Clomid at 50mg per day because my fertility doctor insisted on it, and...

Thanks, I hope so. Too many doctors, including fertility and TRT doctors, are still stuck in the past and want guys to come off testosterone when fertility becomes a priority. But that leads to low libido, and the health issues which were why we all started testosterone therapy in the first...

Well, my fertility program evolved over the course of a year, trying to find doses that worked best for me personally, and always depending on what my doctor would agree to prescribe (initially he refused to prescribe HMG or FSH), and what I could find access to on the black market that he...

I've been on testosterone for over 27 years, and I was able to bring back my fertility over the course of a year, from zero sperm count (azoospermia) to 31 million/ml, using HCG and later HMG and FSH, without ever coming off of testosterone. My wife is currently 6 months pregnant and we are...

That's very kind of you, and good advice, thanks. I am also from the Natick/Framingham area (the tiny town of Millis, actually), so not too far from you. I'm 51, and like you I research everything obsessively, which drives most of my doctors crazy LOL. Most of them seem to prefer to have...

I have no doubt that in my case, overtraining (to the point of obsession) and HPA dysfunction is a major part of the puzzle. As an old washed-up bodybuilder, I've taken way too many androgens and stimulants over the decades and done a lot of damage to my body. Nutritional deficiencies are...

I read your post and I do appreciate your well-intended concern, thank you. Dependency has certainly taken hold, as I have been taking Valium every night since 2015 (with a doctor's prescription, and under a doctor's care.) This does indeed worry me. Yet for those of us with serious anxiety...

With all due respect, gyno only occurs when guys go on PCT? I'm sure you would agree there are a lot of different reasons why men get gyno, mostly involving changes in the androgen/estrogen ratio (and IGF1 is involved as well.) And many men get gyno for a variety of different reasons...

As the article mentioned above states, transdermal tamoxifen cream applied locally to the breast shouldn't work, as tamoxifen is a pro-drug and it's beneficial effects depend on conversion in the liver into it's active metabolites like 4-OHT. However, if someone were to make a transdermal cream...

For me, Valium has been a life-saver, although I do understand the potential problems with the benzodiazepines. I try to keep it to 10mg at night before sleep, and there's no way I can go to sleep without it. But when things get too stressful I have gone to 20 or 30mg, I try very hard to avoid...

My own fertility doctor, a well-regarded "expert", bumped me up from 500iu HCG every other day to 3000iu every other day. When I complained that caused me gynecomastia, erectile dysfunction, and anxiety from high E2, he prescribed me 2.5mg letrozole per day, which crushed my libido into the...

Sometimes real science doesn't have the answers yet, but all we can do is try. IVF worked for me and my wife, and I hope it works for you as well.

I understand what you are saying, but I honestly don't have an answer for you. I shut my testicles down through many years of testosterone use, but was able to get them restarted again and producing sperm through the use of HCG and HMG/FSH. In your case, you already have high LH and FSH, but...

@luckyg as you say, the semen analysis is everything. But if your HMG is real, it should definitely be showing up on the lab test, depending on when you last injected it. My FSH and LH were zero when I started, but taking the Merional HMG at 60iu per day (I did twice-daily injections because...

The right dosage will depend on the individual; different people react to different drugs in different ways. You can check Table 1 in the study quoted above for some examples of approaches that have worked for different people. For me, although it changed throughout my protocol, it boiled down...

TRT and FSH by itself is NOT enough to maintain fertility. You need HCG to maintain high levels of intra-testicular testosterone. Use all three for maximum fertility, TRT + HCG + FSH. Quoted from the following study: Recovery of spermatogenesis following testosterone replacement therapy or...

Also especially look at the following thread in the stickies section of this forum: Semen analysis results after adding FSH to TRT and hCG

If you are committed to using test, most experts will agree that Clomid doesn't work very well to maintain fertility levels for men on TRT. Use HCG to maintain fertility, and HCG in combination with HMG or preferentially FSH to increase sperm count. There are quite a few threads in this forum...

Great study on using HCG, HMG, and FSH to treat azoospermia due to male hypogonadotropic hypogonadism: A total of 137 MHH patients (congenital in 79 patients, acquired in 42 patients and adult‐onset in 16 patients) were collected from 16 clinical centers in Japan. A total of 33 of these patients...

I wouldn't try to lower DHT by taking saw palmetto, Finasteride or anything similar, because you may end up just wrecking your libido and causing gynecomastia and more heart and health problems for yourself. DHT is nothing to play around with lightly. I messed up my natural DHT by taking...

Thanks, happy to help and offer hope to others. After my 27 years of testosterone use, my wife is pregnant and we are due to deliver a healthy baby in November. One note to my previous post: don't use Proviron or other DHT-based compounds to try to increase sperm count. Long term use of...

Thanks, happy to help and offer hope to others. After my 27 years of testosterone use, my wife is pregnant and we are due to deliver a healthy baby in November. One note to my previous post: don't use Proviron or other DHT-based compounds to try to increase sperm count. Long term use of...