fertility

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  1. D

    Putting TRT on hold to regain fertility. Should I Keep using hCG + Clomid/Torem?

    Hey guys! If I go off TRT for a couple of months (hopefully not more than 4) to induce spermatogenesis, should I then remain on hCG (using 500iu 3x/week now) and add in a serm (Clomid/torem) for the duration while off testosterone? Obviously people are treated with both types of medications...
  2. J

    Fertility questions - how is my protocol?

    Hello all. Long time lurker. First time poster. I never had any questions as Nelson's book covered all my questions in detail. That being said I have a serious question for you. I am in asia and doctors here are hit or miss. I was on trt (150mg of testosterone per week) with 500iu HCG every 3...
  3. D

    Clomid, Nolvadex or Toremifene on TRT to boost FSH levels in combination with hCG for fertility?

    It seems to be a debatable topic whether or not there are any benefits to using Clomid or other serms on TRT. We typically use hCG to retain fertility (or restore). The problem is that hCG does nothing for FSH. Can we use Clomid, Nolvadex or Toremifene to solve this issue? I know hMG can take...
  4. C

    HCG + Testosterone Fertility Question

    Dear Excel Male community, First off, thank you to Nelson and the whole ExcelMale community. This is a great forum with a lot of strong information and I thank you all for that. My question today is about HCG's ability while on testosterone to preserve fertility and a strong sperm count. I am...
  5. L

    Fertility experts please help... What to do next??

    Hey all, after doing lots and lots of research on the subject i thought I'd join this forum and seek help and advice as there seems to be lots of knowledgeable people around. I'm 26 and have been on TRT for 3 1/2 years. I already have a child with a previous partner and I'm now in a serious...
  6. H

    Fertility: Sperm count up after adding HCG to TRT

    Long story short i was on TRT for a few months without HCG and after doing a sperm analysis results came up as ZERO count (before TRT my sperm count was normal and i had a child). Since then i changed doctors and I am using 400ui HCG 2x a week. After 9 weeks i did the sperm analysis again and...
  7. H

    SERM instead of HCG for TRT

    I have read some posts about the possibility of using a SERM like clomid or tamoxifen instead of HCG in order to keep tests functioning while on TRT. I did an experiment and just wanted to post my results (take the information as is and hopefully it helps to answer some questions you might...
  8. H

    Clomid only for secondary hypogonadism

    My understanding is that clomid works by blocking estrogen at the pituitary. I am secondary that had "normal" LH and FSH levels (a touch above the low end of the normal range) before TRT. However my estrogen levels were extremely low close to undetectable prior to TRT. So if i quite TRT and use...
  9. Nelson Vergel

    Medical Treatment of Male Infertility

    Infertility is a major medical problem in the United States, affecting approximately 2.4 million, or an estimated 1 in 6, couples.1 Infertility is described as the inability to conceive after 1 year of unprotected, adequately timed intercourse. An individual who has never conceived before has...
  10. Nelson Vergel

    Time on TRT and Age Predict HCG Response

    Abstract from AUA2016.org Duration of Testosterone Therapy and Male Age Predict Time to Return of Normal Total Motile Sperm Count after Human Chorionic Gonadotropin Therapy Authors: Taylor P. Kohn*, Matthew R. Louis, Stephen M. Pickett, Mark C. Lindgren, Alexander W. Pastuszak, Larry I...
  11. Nelson Vergel

    Adverse effects of common medications on male fertility.

    Nat Rev Urol. 2015 Jul;12(7):401-13. doi: 10.1038/nrurol.2015.145. Epub 2015 Jun 23. Adverse effects of common medications on male fertility. Samplaski MK, Nangia AK. Abstract An increasing number of patients require long-term medication regimens at a young age, but the adverse effects of...
  12. N

    getting fertile on t with hcg.

    Hello. Im 24y and im from belgium. i have been using cycles since im 18y old. at age of 21 i went 1year off steroids... and i felt depressed... i had to cause of surgery on my shoulder. Im now back on for 2years. cruise and blast. last 2 months i have added hcg... and im now on 250mg test e...
  13. Nelson Vergel

    HPV Can Decrease Sperm Count and Quality

    Med J Islam Repub Iran. 2015 Oct 4;29:272. eCollection 2015. The prevalence of Human Papilloma Virus (HPV) infection in the oligospermic and azoospermic men. Nasseri S1, Monavari SH2, Keyvani H3, Nikkhoo B4, Vahabpour Roudsari R5, Khazeni M6. BACKGROUND: Human papilloma virus (HPV)...
  14. R

    Obesity robs major organs not blood of Vitamin A despite adequate intake

    A new Cornell University study published in Scientific Reports, shows that obesity interferes with the body’s ability to use vitamin A, even with adequate intake. http://www.futurity.org/vitamin-a-obesity-1044622-2/ Liver, kidneys and pancreas in obese mice were found to be deficient in spite...
  15. Nelson Vergel

    Top Supplements That Improve Sperm Quality

    Coenzyme Q-10: Coenzyme Q10 supplementation in infertile men with low-grade varicocele: an open, uncontrolled pilot study. Festa R, et al. Andrologia. 2014. Abstract Many conditions associated with male infertility are inducers of oxidative stress, including varicocele. Antioxidants, such...
  16. Nelson Vergel

    This Man Will Get You Pregnant

    "A Silicon Valley legend, Levchin played a pivotal role in two of the tech world's biggest hits — PayPal and Yelp — and was talking about his newest venture, Glow, a smartphone app that uses deep-data-analysis techniques to help couples conceive. Intrigued, the Spadas downloaded it. Each day...
  17. T

    Fertility - Restart?

    Hey everyone, this is my first post here. I'm 30 and have been on TRT for 5 years, ever since I had a Pituitary Adnoma removed. I'm currently infertile and at the point where I want to have a baby. I'm working with a Dr. on this and after trying Clomid and HCG alongside the T without any...
  18. R

    How to sway my doctor about the use of hCG and Clomiphene?

    Hi Guys, We had a productive meeting with the Medical Director (Fertility Department) from one of our main Hospitals on Friday. He's admitted they are behind on the latest research regarding the use of hCG and Clomifene and it's not an area they are experienced with. My objective is to have...
  19. Nelson Vergel

    Factors affecting spermatogenesis upon gonadotropin-replacement therapy: a meta-analytic study.

    Factors affecting spermatogenesis upon gonadotropin-replacement therapy: a meta-analytic study. Rastrelli G, Corona G, Mannucci E, Maggi M. Andrology. 1 OCT 2014 A meta-analysis was performed to systematically analyse the results of gonadotropin and GnRH therapy in inducing spermatogenesis...
  20. Nelson Vergel

    HCG Use in Men: Main Posts on ExcelMale.com

    Dosing and freq of T and HCG how to use hcg with T Gels First blood work after adding testosterone to HCG solo treatment How to mix my HCG? Hcg ? HCG monotherapy: Good first option for a Secondary case? Now on TRT plus HCG to preserve fertility Human Chorionic Gonadotropin, Pregnenelone...
  21. Nelson Vergel

    Are you killing your fertility with plastics?

    "... studies in the United States have also suggested links between phthalate exposure and apparent sperm damage in men. The findings are supported by a host of animal studies, particularly in rats, which have shown that the compounds can interfere with masculinization of young animals and...
  22. P

    Now on TRT plus HCG to preserve fertility

    Hello, all. I am very excited to report that I started testosterone replacement therapy (TRT) on Saturday. After years of being tired and depressed with poor concentration and low libido, I was diagnosed as secondary hypogonadal about 15 months ago. Under the guidance of doctors, I have had...
  23. Nelson Vergel

    Interview with Dr. Michael Scally about Testosterone and Its Side Effects- Part 2

    Part 1: Here NV: Can you tell us about your experience with prescribing different options for TRT? Have you seen any difference in using gels versus injections? Is there any advantage or disadvantage to using either one? MS: Injectable, transdermal, buccal, and oral testosterone...
  24. Nelson Vergel

    Men: Want to have a baby but can't? Read this paper

    This is probably the best relatively short medical review of male infertility I have read in a long time. A must read for those of you who are having issues in that area. Quotes: About 15% of couples have difficulty conceiving, and in approximately 30% of these couples only the man has...
  25. Michael Scally

    How to Stop Testosterone or Anabolics Safely? What PCT Programs Work?

    It Takes a While for Your Body to Start your Own Testosterone and Sperm Production Some men may want to stop testosterone replacement therapy (TRT) or anabolic androgenic steroids (AAS) due to side effects or the wish to improve fertility. We know that stopping TRT or AAS suddenly can cause...
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