Need Some Help

[Jb3291]

28yo low test. Was seen by endo who then sent me to another specialist for hcg until done having family. I have now been on hcg for over a year and still not feeling the best. My last labs a month ago are as follows

serum test.- 974 ng/DL free test.- 28.5 pg/ml estradiol- 52.8 pg/ml and prolactin- 19.8 ng/ml

I was on arimidex 1/2 mg EOD at the time of the labs. Since the labs, was placed on 1/2mg ed. Also was prescribed caber but decided not to take it due to possibility of messing with heart valves. I did research and have been taking prolactrone by black lion to reduce prolactin. I'm still having gyno symptoms, puffy nips and small lumps. I'm just lost on what else to do I feel tired most of the time, no morning wood barely, low sex drive, and feeling anxious. What else can I do? Is it possible I'm too low on estrogen now?

Hcg dose is 10,000 vial of hcg mixed with 1cc of water. I inject 200iu EOD. Which only last me about 4 or 5 inj. I keep asking doc about being on just hcg for a long time and always am reassured that I will be fine until finished having kids.

[OingoBoingo]

If you have a 10,000IU vial of hCG and are injecting 200IU, you should get 50 shots out of the vial. Sounds like you're taking 10 times the hCG that you want to.

200IU every other day is a sensible dose for TRT purposes, 2,000IU every other day is asking for problems.

Sort that out and it'll go a long way helping you with your E2 issue. And this is something you should address ASAP!

[Jb3291]

Im sorry I guess it would be a 2000iu injection. I inject with 3ml syringe, two small lines up from the bottom.

[OingoBoingo]

Have you had problems with sperm count/mobility?

[Jb3291]

When my test was low yes poor mobility

[OingoBoingo]

As you didn't mention Testosterone, it sounds like your doctor is trying hCG mono-therapy.

HCG mono-therapy works for some men, but not all are happy on it.

If this is the case, it might be the time to start thinking about Testosterone based TRT; however, it's important to also include hCG to maintain your fertility, "backfill" hormone pathways and keep Pregnenolone production going, and ensure the testes don't atrophy. Check out the hCG and Pregnenolone sticky for more information.

With Testosterone, start low and titrate up to find the dose that's right for you. IMO, Testosterone 70mg weekly is a good place to start. Check levels in 6 to 8 weeks. The hCG should be lowered to around 700IU per week. Some guys like to inject 350IU two days before and again one day before the Testosterone injection. I prefer to inject hCG daily (start with 100IU) because I want to keep the boys stimulated every day.

You may notice E2 will drop. Once your E2 gets between 20 and 30 (on the standard scale), you may be able to stop AI completely or only take it when needed (pay attention to your body for high E2 symptoms).

If you are on Testosterone already, IMO you are taking too much hCG. Lower it as above and you should be feeling much better.