Trt,varicocele,hcg and clomid

[Wade91]

So I'll start from the top last year like an idiot im 26 a buddy got me to inject 250 iu of hcg eod for about 2 to 3 weeks not knowingly was suppressive or dangerous I went along and felt pretty great on it to but then it all went down hill about 2 to 3 weeks after stopping the hcg I got a bad testicle pain and went into the hospital and was told I had a grade 3 varicocele during that time I started feeling lethargic peeing alot and being depressed and anxious so my doctor tested my total t it came back at 400 then 385 then 355 and 338 over the course of 3 months so I scheduled microsurgery and got the veins fixed and I still don't feel better (it's been 3 months) I've been on clomid now for exactly 1 month to the day and I still don't feel better. Some important facts and questions I have 1. Did I damage myself with the hcg? 2. Is it to early to feel anything on clomid? The doctor said it takes between 4 and 6 months to normalize levels? 3. I also am scheduled for another surgery in the winter because he missed some veins so I still have a varicocele that needs to be operated on.
On a side note I've never done steroids , my lh is consistently 3.5 to 4.5 even came back at 8.5 on the top end once my fsh has been 5.5 every time and my e2 has been 11 and 19 the two times I had it tested.
I went to a knowledgeable doctor who manages trt alot and steroid users and he said varicoceles can effect the leydig cells and his advice was to tough out the year get the second surgery to finish off the veins and then he would reccomend running 250 to 500 iu of hcg eod for about 30 to 60 days with labs and e2 control to stimulate the leydigs into working again then finish off with nolvadex and an ai to take care of any e2 conversion.....I'm a little scared to touch hcg again and the doc claims hcg had nothing to do with my varicocele or my low t condition And even though I'm scared he said the hcg would test my testicular function and promote inter testicular t which is what is being affected by the varicocele i asked about hcg desnsitization and he said you wpuld have to run a large amount for a long time to do any kind of significant damage hes seen fertility doses at 1500 iu a day for months and the same t level always returned also my t is 350 after surgery

To whoever reads this and helps me thank you from my heart

[kelkel]

In short. Your doctor is absolutely correct. Only thing I would consider doing differently would be an HCG Stimulation Test (google it) post surgery instead of the longer run with HCG. This way you'd know in a few days whether your testicals respond to the stimuli from HCG and not have to drag it out. That said, there's nothing wrong with your doc's conservative approach. Just a thought!

But seriously, your doc is way ahead of most docs when it comes to this area of expertise.

[Wade91]

In short. Your doctor is absolutely correct. Only thing I would consider doing differently would be an HCG Stimulation Test (google it) post surgery instead of the longer run with HCG. This way you'd know in a few days whether your testicals respond to the stimuli from HCG and not have to drag it out. That said, there's nothing wrong with your doc's conservative approach. Just a thought!

But seriously, your doc is way ahead of most docs when it comes to this area of expertise.

He did say labs after 3 weeks for sure to check....he said we could try before the next surgery but the effects may not last.....all in all at 26 I'm really nervous about the possibility of trt...he mentioned it and said even in his eyes it be a heartbreak to have to put me on so ypung it's not unheard of he says but he hates seeing young guys on t for life

[kelkel]

He did say labs after 3 weeks for sure to check....he said we could try before the next surgery but the effects may not last.....all in all at 26 I'm really nervous about the possibility of trt...he mentioned it and said even in his eyes it be a heartbreak to have to put me on so ypung it's not unheard of he says but he hates seeing young guys on t for life

Just stick with the doc. He's on the correct path. Cross the TRT bridge if and when you get to it.

[Wade91]

Ok man....just sucks having to live like this for another 9 months before surgery...=(

[Wade91]

Just stick with the doc. He's on the correct path. Cross the TRT bridge if and when you get to it.

Honestly what are my chances man

[kelkel]

Honestly what are my chances man

Don't know but it's worth taking this path. Plenty of studies show the success of varococele surgery. Also remember to try to base your T levels on your free T, not total T. Free is what actually works for you.

[Wade91]

Free is on the lower side but actually in range I have no morning or night erections like I used to or sex drive..plus depressed...I'm hoping the second surgery gets an all and works....Well here's to 9 months of low t hopefully this works....at least the clomid is helping some.

[Wade91]

Don't know but it's worth taking this path. Plenty of studies show the success of varococele surgery. Also remember to try to base your T levels on your free T, not total T. Free is what actually works for you.

It's just I got one surgery and it didn't work now granted I have a persistent varicocele but damn.....just wanna feel good and get this done and do something the waiting game plays on my psych really bad

[Wade91]

Don't know but it's worth taking this path. Plenty of studies show the success of varococele surgery. Also remember to try to base your T levels on your free T, not total T. Free is what actually works for you.

Thanks for the confidence even though I don't have any...everywhere I look I see a few people get their t back and everyone else is on trt young and old....

[kelkel]

You'll be fine. Keep this thread going if you don't mind and update it with your progress please. We can all learn from it.

[Wade91]

I will and I hope your right and I am fine

[ozraelised]

Good luck

[fastman9]

What was your original desire for the HCG ?

[Wade91]

What was your original desire for the HCG?

Idk man I just made a dumb choice and now I'm facing trt for life I believe it's hcg abuse induced primary hypogonadism

[Jekin2196]

good luck