New here -- Clomid & HCG & Thyroid – Fertility!! What next?

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weasel0303

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Beyond Testosterone Book by Nelson Vergel
New to the forum but have been lurking for a while. I’m looking for advice.
I had low T so started taking Clomid because I did not want to risk fertility. Testosterone rose to the 400 range, at that point I did a semen analysis that came back 0.

I’ve been to multiple doctors that last few years treating mostly Thyroid. I do feel a lot better now than a few years ago with the Thyroid medication but I’m still lacking energy, libido… My blood work is listed below. I’m trying to get advice. I live 3-4 hours from Devry, they seem to be highly recommended on this site.

My 1st priority is fertility as I would like to have kids but I also want to improve libido. Fertility doctors want to do a MESA / TESE to cut open the testicle and try to retrieve sperm but I’m trying to hold off. Not sure if I should try TRT, HCG…? Sorry for all the lab work, like I said this has been going on for a while. I can’t remember what I was taking during each blood work. Typically it would have been nothing or Clomid. The most recent labs were Clomid & HCG. Have not tried TRT.

34 Years old - No kids.

Most recent Thyroid labs:

3/1/19: taking 180MG NDT (NP Thyroid) split up between 2 doses
TSH: = .006 (.40-4.50)
T3, Free = 5.7 (2.3 -4.2)
T3 Reverse = 15 (8-25)
T4 = 1.1 (4.9-10.5)
T4, Free = 1.1 (.8-1.8)


TRT labs:
3/16/19: Taking Clomid 25MG EOD & HCG 1,000 IU once a week
17 Hydroxprogesterone = 231 (42-196)
FSH = 15.2 (1.6-8.0)
Estradiol = 45 (<39)
LH = 7.3 (1.5-9.3)
Testosterone = 406 (250-827)

5/25/18: FSH = 18.1 (1.6-8.0)
Estradiol = 28 (<39)
LH = 4.9 (1.5-9.3)
Testosterone = 205 (250-827)

4/17/18: Dihydrotestosterone = 20 (16-79)
Vitamin D 25 OH = 38 (30-100)
Estradiol = 24 (<39)
Estrone = 39 (< or = 68)
Estriol = <.010
Testosterone = 219 (250-827)
Free Testosterone = 37.4 (35.0 – 155.0)

2/11/17: FSH = 12.3 (1.6-8.0)
Testosterone = 229 (250-827)
LH = 3.7 (1.5-9.3)

5/12/16: FSH = 22.5 (1.6-8.0)
Testosterone = 443 (250-827)
LH = 10.2 (1.5-9.3)
10/2/15: FSH = 19.8 (1.6-8.0)
Testosterone = 798 (250-827)
LH = 18.7 (1.5-9.3)
Estradiol = 66 (<39)

6/27/15: FSH = 19.1 (1.6-8.0)
Testosterone = 579 (250-827)
Free Testosterone = 96.1 (35.0 – 155.0)
LH = 9.3 (1.5-9.3)
Estradiol = 57 (<39)
4/25/15: FSH = 13.8 (1.6-8.0)
LH = 3.6 (1.5-9.3)


3/7/15: Testosterone = 167 (250-827)
 
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