I donated sperm to a clinic almost 20 years ago and they told me I was infertile. I have used testosterone cream in the past but all it did for me was increase my PSA numbers high in a short period of time. I have used clomid and proviron and my sperm quantity increased but I never got tested for quality to see if I was still infertile. I came here for advice because I believe using clomid HCG and HMG would increase my chances for fertility
Increasing Fertility with Clomid, HCG and HMG. What Lab Tests To Get?
Generally you'd use a SERM such as Clomid by itself. HCG and hMG work well togther. These two options are first and second on Dr. Saya's fertility list:
Enclomiphene is preferred over Clomid if you can get it. It is essentially Clomid without the estrogenic zuclomiphene isomer. You want to at least measure things like LH, FSH, SHBG, testosterone and estradiol. You can order these yourself in many states through Discounted Labs
A *very* generalized ranking of relative fertilities (with top being most fertile):
1. Clomid/SERM treatment
2(A). HCG + HMG (or lyophilized FSH)
2(B). Baseline no treatment (no HPTA suppression via TRT, AAS, HCG mono, etc) - assuming no significant degree of primary/secondary/tertiary dysfunction.
3(A). HCG monotherapy (does in fact result in HPTA suppression, especially at higher doses, but *may* move up to #2 in select cases of SECONDARY/TERTIARY hypogonadism)
3(B). TRT + HCG (as we know many men are still able to maintain adequate fertility to conceive)
4. TRT/AAS with no concurrent HCG.
[R]Enclomiphene is preferred over Clomid if you can get it. It is essentially Clomid without the estrogenic zuclomiphene isomer. You want to at least measure things like LH, FSH, SHBG, testosterone and estradiol. You can order these yourself in many states through Discounted Labs
Last edited:
madman
Super Moderator
You need to look into this deeper and have a thorough evaluation before jumping on anything!
Male infertility due to testicular disorders
Male infertility due to testicular disorders Aditi Sharma, Suks Minhas, Waljit S Dhillo, and Channa N Jayasena Abstract Context: Male infertility is defined as the inability to conceive following 1 year of regular unprotected intercourse. It is the causative factor in 50% of couples and a...
www.excelmale.com
Diagnosis and Treatment of Infertility in Men
Diagnosis and Treatment of Infertility in Men: AUA/ASRM Guideline Part I Peter N. Schlegel, MD, et al Purpose: The summary presented herein represents Part I of the two-part series dedicated to the Diagnosis and Treatment of Infertility in Men: AUA/ ASRM Guideline. Part I outlines the...
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Diagnosis and Treatment of Infertility in Men
Diagnosis and Treatment of Infertility in Men: AUA/ASRM Guideline Part I Peter N. Schlegel, MD, et al Purpose: The summary presented herein represents Part I of the two-part series dedicated to the Diagnosis and Treatment of Infertility in Men: AUA/ ASRM Guideline. Part I outlines the...
www.excelmale.com
Cutting-Edge Evaluation of Male Infertility
Cutting-Edge Evaluation of Male Infertility Ujval Ishu Pathak, MPH, Joseph Scott Gabrielsen, MD, Ph.D., Larry I. Lipshultz, MD KEY POINTS *A male factor contributes to 50% of cases of infertility, yet only 7.5% of men are referred for urologic evaluation. *The male infertility evaluation...
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New frontiers in fertility preservation: a hypothesis on fertility optimization in men with hypergonadotrophic hypogonadism
Abstract: Strategies exist that can mitigate the risk of causing iatrogenic infertility when men require testosterone replacement therapy (TRT). This article reviews the current medical therapies that preserve spermatogenesis when TRT is indicated. Furthermore, we highlight the re-emerging...
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madman
Super Moderator
Male infertility is the main factor in 50% of couples: Causes
It is estimated that infertility affects 8–12% of couples globally, with a male factor being a primary or contributing cause in approximately 50% of couples. Causes of male subfertility vary highly, but can be related to congenital, acquired, or idiopathic factors that impair spermatogenesis...
www.excelmale.com
*Causes
*Evaluation
-Medical history
-Semen analysis
-Physical examination
-Hormonal evaluation
-Genetic testing
-Imaging
-Specialized tests
Nelson Vergel
Founder, ExcelMale.com
I would get a semen test now and one 8 weeks into your TRT plus hCG or clomiphene protocol.
LabCorp has limited locations that have semen testing you can buy yourself.
This test has also been shown to be predictive of semen production
LabCorp has limited locations that have semen testing you can buy yourself.
This test has also been shown to be predictive of semen production
Buy an affordable 17 hydroxyprogesterone Test- Discounted Labs
Explore the 17 hydroxyprogesterone test at DiscountedLabs.com, and take a proactive step towards understanding and managing fertility. Our state-of-the-art testing methods offer accurate insights, providing a clear path to optimize reproductive well-being
Nelson Vergel
Founder, ExcelMale.com
Non-obstructive azoospermia: current and future perspectives - PMC
Infertility affects 1 in 6 couples, and male factor infertility has been implicated as a cause in 50% of cases. Azoospermia is defined as the absence of spermatozoa in the ejaculate and is considered the most extreme form of male factor infertility. ...
www.ncbi.nlm.nih.gov
i have my results and I want to thank discounted labs for their help..my FSH is 13.7,LH is 4.6 Free Test is 23.9 Test Bioavailable is 45.00 and SHBG is 50 and my Estradiol is 17
I will order the semen test today. I posted my FSH/LH,Free Test and Bioavailable numbers along with SHBG/Estradiol numbers and attached my lab results....13.7.,4.6,23.9, 45.0,50 and 17. how should i read these numbers?I would get a semen test now and one 8 weeks into your TRT plus hCG or clomiphene protocol.
LabCorp has limited locations that have semen testing you can buy yourself.
This test has also been shown to be predictive of semen production
Buy an affordable 17 hydroxyprogesterone Test- Discounted Labs
Explore the 17 hydroxyprogesterone test at DiscountedLabs.com, and take a proactive step towards understanding and managing fertility. Our state-of-the-art testing methods offer accurate insights, providing a clear path to optimize reproductive well-being
Nelson Vergel I am embarassed to say that I would have trouble doing the semen testI would get a semen test now and one 8 weeks into your TRT plus hCG or clomiphene protocol.
LabCorp has limited locations that have semen testing you can buy yourself.
This test has also been shown to be predictive of semen production
Buy an affordable 17 hydroxyprogesterone Test- Discounted Labs
Explore the 17 hydroxyprogesterone test at DiscountedLabs.com, and take a proactive step towards understanding and managing fertility. Our state-of-the-art testing methods offer accurate insights, providing a clear path to optimize reproductive well-being
Nelson Vergel
Founder, ExcelMale.com
Effectiveness of Exercise Training on Male Factor Infertility: A Systematic Review and Network Meta-analysis - PubMed
The review recommends that the intervention with the highest probability of being the best approach out of all available options for improving the male factor infertility was for CET.
pubmed.ncbi.nlm.nih.gov
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