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Old 04-26-2006, 02:25 AM
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Unhappy Question about TRT and Clomid

The last time I posted ASaxon said that taking Testosterone injections alone could prevent fertility, Today I seen a new Urologist and he still wants me to take the testosterone injections but added Clomid 50mg, He gave me a Script for 25 tablets and I take one a day for 25 days untill I run out, then stay off of the Clomid for one week and then do the clomid again for 25 days and he wants this done for the next 3 months, so I was wondering will the clomid 50mg and the testosterone injections raise my sperm count. I mentioned to him about putting me on HCG while taking the injections but he said he wanted to do the Clomid with the injections first, So Please tell me will the Injections of Testosterone Cyp and Clomid 50mg help raise my sperm count? Brian

PS Here is the last post from ASaxon: (It was posted One Week ago)

You'd probably need a fertility expert to answer that question.

I don’t think taking T injections will make you fertile, in fact, Testosterone injections alone could prevent fertility. You need to incorporate a little HCG into your TRT if you want to try to induce spermogenesis. External T injections will not induce sperm creation as, I believe, research has shown that for whatever reason the testicles need to produce their own internal Testosterone at least in minimal quantities for spermogenesis to occur. In fact, because T injections cause LH and FSH to decrease because of the negative HPTA feedback loop the reduced LH causes your testicles to not produce as much, if any, internal Testosterone. This in and of itself can cause infertility. Taking a small amount of HCG which, from what I understand is an LH equivalent hormone, will cause your testicles to produce enough internal Testosterone to allow for the sperm generation process to occur.

I don’t know if this is really common knowledge outside of an endocrinologist specialty or perhaps only with a fertility specalist. If the doc that is prescribing TRT for you isn’t an endo doc then he may not know this. In fact, I only know about it from posts made by Dr. John Crisler here on this boards in the past. You can read his TRT protocol and HCG recommendations from his website at www.allthingsmale.com.

Before I went on TRT I had a sperm count of around 35 million (avg is almost 70 million) now that I’m on TRT I am infertile. If I were to take HCG I would imagine my fertility would return but you never know for sure.

Finally, if you want children someday I would recommend that if that 1 million sperm count was pre-TRT then you may want to do a fertility treatment with HCG before, or perhaps while, injecting Testosterone and then have your sperm frozen. If you are able to achieve decent fertility with a fertility treatment then at least having some frozen sperm would be a good insurance policy just in case you loose total fertility in the future. That’s what I did as it’s better to be safe than sorry, especially when it comes to fertility.

Last edited by brian25503; 04-26-2006 at 02:28 AM. Reason: mistakes in post
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Old 04-26-2006, 02:48 PM
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Default Re: Question about TRT and Clomid

I know there have been some posts of men that Dr. John was treating that stopped TRT and took Clomid to get there wife pregnant. I have no Idea what this Uro is doing maybe he just trying to bring up your t levels. I tell all guys before you go on TRT have your sperm checked and if it is good have some frozen first then go on TRT after all testing was done to find out why your low. I feel if you take t your will stop your Testis form making T and the will lower your sperm count.
Do like ASaxon said find a good dam good Fertility Expert.
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