HCG to combat testicular atrophy and low libido

VeganMan

New Member
Hello,
68 yo male, HIV+ here. I foolishly have been on TRT for over 20 years with never cycling off of it or using HCG with it. Needless to say, my testicular atrophy has gotten very severe. Also, for unknown reasons I have completely lost my libido in the past year. That has never been a problem before and I really miss it. I don't even have the libido to masturbate. My head tells me I want to do it but my body is not interested.
I am hopeful that HCG will help both these issues. I started on it a few days ago, taking 500IU every other day. I continue with my T at 200mgs every 2 weeks.
Does anyone here have any feedback on whether they think that after 20 years, there is a chance for me to reverse some of the TA? Or any feedback on my HCG dose? Or any other suggestions that might help.
Thank you.
 
I’d say you are a pretty unique case so there’s no way to know how the treatment is going to go. I’m interested to hear your results though so I’d appreciate it if you provide updates. I would expect at least some improvement as soon as the letting cells are stimulated, but whether or not that’s the case remains to be seen.
 
I'm 70 still have a great libido and great sex. Twice yesterday I would spit up your testosterone injections at least twice a week. I use a 29g 1/2-in insulin syringe. On TRT for 10 years.

 
Hello,
68 yo male, HIV+ here. I foolishly have been on TRT for over 20 years with never cycling off of it or using HCG with it. Needless to say, my testicular atrophy has gotten very severe. Also, for unknown reasons I have completely lost my libido in the past year. That has never been a problem before and I really miss it. I don't even have the libido to masturbate. My head tells me I want to do it but my body is not interested.
I am hopeful that HCG will help both these issues. I started on it a few days ago, taking 500IU every other day. I continue with my T at 200mgs every 2 weeks.
Does anyone here have any feedback on whether they think that after 20 years, there is a chance for me to reverse some of the TA? Or any feedback on my HCG dose? Or any other suggestions that might help.
Thank you.
I believe @Nelson Vergel was TRT for 20 years without HCG. Then he started using HCG his libido returned. Hopefully he'll chime in.
 
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Hello,
68 yo male, HIV+ here. I foolishly have been on TRT for over 20 years with never cycling off of it or using HCG with it. Needless to say, my testicular atrophy has gotten very severe. Also, for unknown reasons I have completely lost my libido in the past year. That has never been a problem before and I really miss it. I don't even have the libido to masturbate. My head tells me I want to do it but my body is not interested.
I am hopeful that HCG will help both these issues. I started on it a few days ago, taking 500IU every other day. I continue with my T at 200mgs every 2 weeks.
Does anyone here have any feedback on whether they think that after 20 years, there is a chance for me to reverse some of the TA? Or any feedback on my HCG dose? Or any other suggestions that might help.
Thank you.
Yes, there is a chance it will reverse some of the atrophy. It may also help with your libido issues. I am also 68 and am an advocate for HCG for those on TRT. The loss of luteinizing hormone from the HPTA being shut down has other consequences than just testicular atrophy. There are LH receptors all over your body. HCG makes me feel at ease and happy.

That is my experience and opinion.

You really need to rethink your TRT protocol. Every two weeks is not a good option for testosterone injections. As Vince stated, at least once a week, better with biweekly. Your trough is over a week on your current protocol. That is No Bueno Amigo.
 
Hello,
68 yo male, HIV+ here. I foolishly have been on TRT for over 20 years with never cycling off of it or using HCG with it. Needless to say, my testicular atrophy has gotten very severe. Also, for unknown reasons I have completely lost my libido in the past year. That has never been a problem before and I really miss it. I don't even have the libido to masturbate. My head tells me I want to do it but my body is not interested.
I am hopeful that HCG will help both these issues. I started on it a few days ago, taking 500IU every other day. I continue with my T at 200mgs every 2 weeks.
Does anyone here have any feedback on whether they think that after 20 years, there is a chance for me to reverse some of the TA? Or any feedback on my HCG dose? Or any other suggestions that might help.
Thank you.

Yes use of hCG with testosterone may be the missing link when it comes to libido but even then this is not a given as libido is multifactorial.









Regarding testicular atrophy hCG would be the go to here!









When it comes to hCG protocols (dose/injection frequency) pay attention at 1:33:17-1:33:34 as Dr.Khera who is considered one of the top uros in the game breaks down the 3 scenarios when it comes to using hCG.

You may very well need a higher weekly dose to kick start the testes seeing as you have been on testosterone therapy for 2 decades!

Yes you can start out much lower but chances are you will end up needing a higher weekly dose to light the boys backup!

post #39
Dr. Khera
1:31:42-1:34:36 (use of hCG 3 scenarios)










If that outdated 200 mg T/week protocol had been working for you all those years and you truly felt good overall (energy, mood, libido, erectile function and recovery) I would say stick with it with but chances are you will be far better off injecting 100 mg T week or better yet 50 mg T twice-weekly.

When it comes to T-therapy that outdated protocol 200 mg TC/TE every 2 weeks still being pushed by those clueless endos is far from optimal as it would have one being back to hypogonadal before their next injection due to the PKs.

Sure some men may still fare well on such but it is far from optimal not only due to the rollercoaster effect where T levels are sky-high off the hop only to be followed by much lower levels come day 10-14 which can easily have a negative impact on ones mood, energy, libido and erectile function let alone you will not be getting/taking advantage of the full anabolic benefits of T (increase muscle, strength, enhanced recovery).

 
Yes use of hCG with testosterone may be the missing link when it comes to libido but even then this is not a given as libido is multifactorial.









Regarding testicular atrophy hCG would be the go to here!









When it comes to hCG protocols (dose/injection frequency) pay attention at 1:33:17-1:33:34 as Dr.Khera who is considered one of the top uros in the game breaks down the 3 scenarios when it comes to using hCG.

You may very well need a higher weekly dose to kick start the testes seeing as you have been on testosterone therapy for 2 decades!

Yes you can start out much lower but chances are you will end up needing a higher weekly dose to light the boys backup!

post #39
Dr. Khera
1:31:42-1:34:36 (use of hCG 3 scenarios)










If that outdated 200 mg T/week protocol had been working for you all those years and you truly felt good overall (energy, mood, libido, erectile function and recovery) I would say stick with it with but chances are you will be far better off injecting 100 mg T week or better yet 50 mg T twice-weekly.

When it comes to T-therapy that outdated protocol 200 mg TC/TE every 2 weeks still being pushed by those clueless endos is far from optimal as it would have one being back to hypogonadal before their next injection due to the PKs.

Sure some men may still fare well on such but it is far from optimal not only due to the rollercoaster effect where T levels are sky-high off the hop only to be followed by much lower levels come day 10-14 which can easily have a negative impact on ones mood, energy, libido and erectile function let alone you will not be getting/taking advantage of the full anabolic benefits of T (increase muscle, strength, enhanced recovery).

Thank you for your response. I appreciate it. Instead of my outdated stone-age T protocol I think I will now inject 50 mgs of T with combined with 500 IU of HCG twice a week and then for a 3rd injection I will just inject 500 IU of HCG. That will equal the same weekly dosages as I am prescribed. I will see if I notice any improvement from the HCG dose in the next few week. If not, I'll discuss raising the dose with my doc. Thanks again.
 
Thank you for your response. I appreciate it. Instead of my outdated stone-age T protocol I think I will now inject 50 mgs of T with combined with 500 IU of HCG twice a week and then for a 3rd injection I will just inject 500 IU of HCG. That will equal the same weekly dosages as I am prescribed. I will see if I notice any improvement from the HCG dose in the next few week. If not, I'll discuss raising the dose with my doc. Thanks again.
One thing to note is that HCG will not result in changes as quickly as testosterone, especially starting out. When you take your testosterone injection your body immediately starts using the hormone across the body, with peak bloods being achieved around the 24 hour mark with cypionate. Then they slowly decline to about half of that level around the one week mark. HCG is being administered to bring the testicles back online, so the process and timeline will be different. Activation will begin shortly after administration, but if you think of it more along the lines of working out to cause hypertrophy(muscle growth) then it’s easier to understand that the full state won’t be immediately reached. Consider it as your balls starting to exercise again. It will take a few weeks of working out to see some gains, normally noticeable within 3-4 weeks. I say that so you realize that not seeing great results after a few injections is not an indication of where you may end up with consistent application. Take note of size and feel now, then compare after four weeks of your new protocol. That will give you a better idea of how well you’re responding. Keep in mind though that it may take longer, or a different dose, because everyone is different and also because of the amount of time spent with no stimulation.
 
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One thing to note is that HCG will result in changes as quickly as testosterone, especially starting out. When you take your testosterone injection your body immediately starts tiling the hormone across the body, with peak bloods being achieved around the 24 hour mark with cypionate. Then they slowly decline to about half of that level around the one week mark. HCG is being administered to bring the testicles back online, so the process and timeline will be different. Activation will begin shortly after administration, but if you think of it more along the lines of working out to cause hypertrophy(muscle growth) then it’s easier to understand that the full state won’t be immediately reached. Consider it as your balls starting to exercise again. It will take a few weeks of working out to see some gains, normally noticeable within 3-4 weeks. I say that so you realize that not seeing great results after a few injections is not an indication of where you may end up with consistent application. Take note of size and feel now, then compare after four weeks of your new protocol. That will give you a better idea of how well you’re responding. Keep in mind though that it may take longer, or a different dose, because everyone is different and also because of the amount of time spent with no stimulation.
What he^ said, plus 500 IU's is a fairly big dose, get your labs done before and after about 6-8 weeks to see where your levels have shifted. Watch for symptoms of elevated E2. That will be a major change all at once with the HCG and changing your TRT protocol.

I will tell you this, and I apologize if it's TMI, but I have had zero testicular shrinkage after 20 years of TRT and HCG. If you can remember your youth when your testicles would churn and roll like a factory churning out that testosterone... mine still do that. Definitely not to extent they did back in the early days of my youth, but the boys are still working. My urologist actually noticed and was surprised enough to comment that I had a "youthful appearance"... her exact words...lol.
 

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