Failed PCT - Getting Off TRT for Fertility Purposes

[rimseb]

Hey guys,

I’ll try to keep this short not to overwhelm with a lot of info. I can add more if anyone asks otherwise it would be a wall of text.

I started TRT in July 2019 because of low T ( varying from lowest 2.1 to 4.1 ng / ml the highest tested during the course of 3 years ) and low libido / ED / lack of energy.

Before getting on it, I did a sperm freeze ( 21 million ) since I want to have kids in the future.

Started at 100mg / week just T enanthate . Symptoms improved mostly apart from ED which was better but not totally cured.

Fast forward, I changed doctors since the one following me was unavailable and I found a very good doctor in Greece specialising in TRT ( and being on it himself for years ).

When he saw the semen analysis of the frozen sample he said it wasn’t optimal so suggested we add HCG to the protocol to raise it and do a better freeze. He saw a previous one from a couple years ago which was at 65 million so thought we should be able to reach that.

In the next three months we tweaked it constantly by increasing HCG up to 1500 IU 3x a week plus later for one month adding HMG 75IU 3x a week in addition to zinc / proviron and dhea.

After 3 months the best we could get was 11 million ( still not enough ). So then I made the decision to try to get off TRT for a while till I get a decent sample frozen and then back on it for life.

At that point we started the following protocol:

After the last T shot, for the first two weeks , 1500 IU HCG 3x a week and 75IU HMG.
The third and forth week, 25mg Clomid along with 10mg Nolvadex every day.

So after one month I went in and did the hormones lab tests and spermiogram again. While the spermiogram improved ( 14 mill compared to 11 mill two weeks before ) the HPTA recovery was pretty bad , posting numbers below :



Needless to say with a total T of 1.1 I feel like shit but still down to sacrifice a few months of misery is there is any chance of fertility recovering and test going up by a bit.

My doctor suggested if I want to keep trying, I should switch now for the next 2 weeks to clomid alone EOD 25mgs, add proviron 50mg / day. Re-test in 2 weeks and act based on results.

So what do you think of the protocol so far and from your experience, is there any real chance of recovery.

Thanks!

[Bjorg89]

Welcome,

I can't give any advice, but I'm sure the more knowledgeable guys here will help.

I was just wondering if this Greek doctor is helping you remotely? Could you by any chance PM his contact?

I'm also myself on the edge of the big decision, what to do about my Low T and don't want to jump on TRT just yet, because I still have no kids.

All the best

[rimseb]

Hey, yes he can help you remotely.

I did my first consultation remote and then I saw him physically in Athens.

I think he's really good so I will PM you his info.

[rimseb]

If you suffer from secondary hypogonadism, clomid therapy is a viable alternative to testosterone while you are trying to conceive. Clomid will not move the needle if you are primary, though.

I think for best blood test results you need to wait 4 to 6 weeks after your last pct drug dose. Clomid and nolva are a sort of standard for cycle pct, though maybe at trt doses one or the other will do.

Note that I use clomid as hrt (doc prescribed and monitored), not for fertility reasons, though. My reasons are a) it works for me very well and b) when I marry the needle, there will be blasts involved and I'm not ready for that.

Just some thoughts from a random dude on the internet.

I tried Clomid before and it worked really well to increase my total T.

However it made my libido and erections way worse that's why I went the TRT route.

Will keep it for some more now that I stopped TRT and see how things go.