So quick update on progress. Been using subQ daily test p at 10mg and things seem to be going well. Emotions are stable, cognitive function is stable, erection quality has improved but still need vardenafil for full erection. (Believe now this isn’t related to TRT but think the previous issues were worsened with high E2 followed by crashes with AI). Feel good in the gym and energy levels are constant. All looking like the best results so far. Only issue I’m having is poor penile sensitivity and ejaculation issues both in terms of volume and overall feeling. Libido has been pretty strong since using this protocol which is also a first for this length of time as before usually crashed after 2-3weeks. Can’t get bloods until second week in January due to holiday closures but looking for suggestions on sensitivity issues. Would this be the time to start adding hcg? Testes are completely atrophied which is pretty standard for the last few years but the lack of sensitivity is causing problems with the other half. Pretty much can’t climax during sex and need to finish other ways. Same with oral. Obviously she has taken this as her fault as all the other boxes are progressing well. Little worried about adding the hcg incase I end up with E2 rises which need managing and starts that negative cycle again. Also hcg advice seems to vary greatly so should I try little regular dose or higher single dose to get things feeling better? You guys have been great so far so would welcome any input
Glad to hear things are looking on the up so far!
Again smart move starting low and the key here now is going slow as there will always be time to increase the dose if need be!
Just keep in mind that although steady-state will be reached much quicker on TP than TC/TE you still need to give it a few months before claiming whether it was a success or failure especially when it comes to libido and erectile function.
Need to wait on labs to see where said protocol (dose of T/injection frequency) has your trough TT and more importantly FT let alone estradiol.
If you are hitting a descent trough FT then ride it out for a few months before deciding whether or not you need to increase the dose otherwise you will end up chasing your tail indefinitely if you jump the gun to soon!
As you should know the only way to minimize/prevent testicular atrophy let alone maintain fertility when on exogenous T would be through the use of hCG or hCG + FSH unless you plan on using T formulations which will have the least impact such as nasal T-gel or you could throw oral TU (
Kyzatrex) in there too!
Catch 22 here is when adding hCG to TTh depending on the dose used not only will it drive up your TT and more importantly FT but also drive up estradiol and in some cases much more than expected depending on how the individual responds to said protocol (dose/injection frequency).
Some men experience a big jump in estradiol which can cause issues for some especially when it comes to libido and erectile function/penile sensitivity.
It is pretty much a given that in most cases use of hCG or better yet hCG + FSH will minimize/prevent testicular atrophy and maintain fertility.
Far from a given that it is going to have a positive impact on your mood, libido and erectile function/sensitivity!
Some feel great when using hCG whereas others may struggle!
Only time will tell through trial and error.
My reply from a previous thread:
If you are just starting TTh then in order to minimize/prevent testicular atrophy 1500 IU once weekly should suffice or better yet 500 IU 2-3X weekly.
The sweet spot would most likely be 250-500 IU 2-3X weekly in order to stimulate maximum ITT (intratesticular testosterone) production which should have a strong impact on minimizing/preventing testicular atrophy and maintaining fertility.
In some cases especially when it comes to fertility the addition of FSH may be needed
If you have been on TTh solo for a long time (years) then you will most likely need much higher doses then 1500 IU once weekly/500 IU twice weekly as your leydig cells will have been dormant for so long and they are more prone to being what we call stubborn to the LH signal.
Is there any data on what the minimal dosage of hcg is to keep 'the guys' working while on TRT? I'm asking this because hcg seems to rise estrogen and I'd like to keep that to a minimum. Also, I might want to have kids later but not exactly now, so I'm looking for a guideline for the minimal...
www.excelmale.com
I would wait on labs before throwing in the hCG so you can see where your trough TT, FT and estradiol sit otherwise you will have no clue what impact hCG is going to have on your TT, FT and estradiol!
