I have tried to do a little research here and on WEBMD, and I have gleaned so far that someone can be primary hypogonadic or secondary hypogonadic. WEBMD was useless. I have found several posts here discussing primary and secondary hypogonadism.
In my very short reading on primary hypogonadism here is my understanding:
Clomid increases the LH level, which would then increase the
testosterone level in men whose testes are working. However, where the testes are slow to start or not working
clomid alone won't increase natural
testosterone.
This makes sense with my experience, because in my first visit to discuss the results of my first blood
test the doctor mentioned that my LH levels where high (perhaps a result of my PCT which included only
clomid) compared to my testosterone levels. He saw this as a reason to be optimistic, and he indicated that my testicles would likely start producing testosterone at a greater rate in the future, as the testes would seek to be in proportion with my LH levels. That is to say, he indicated that the LH levels I had would almost require an increase in testosterone, as my LH level was over 9 in my second visit while my total
test. was still below 400!
If I am primary hypogonadic, then it means I need to treat this with something that will cause my testes to start working, i.e. HCG. The post I read suggested reading
TRT: A recipe for success with an
HCG update. I located allthingsmale, but I did not locate the recipe for succes or the
HCG update.
In reading these other posts, I realized that I forgot to mention that between my second and third blood samples which were a year apart (approx. 360ng/dl and 550ng/dl respectively) I took a course of Tibestan using the dosages recommended on the box. I definitely felt a difference while using the Tribestan, but this left after I stopped. However, it was in that year that I had my biggest increase in total and free testosterone. Is another 8wks of Tribestan an advisible course?
That is to say, will the Tribestan work on my nuts and not just my LH levels?
Is HCG more advisible? If so, it will suppress my natural
test levels while I am on it right? So I should run nolva, and perhaps clomid after the HCG cycle? Many of the old posts seem to suggest that HCG at 500iu's 3 times a week for 5 wks might be a good course of action.
Any comments?
muscleslab