Need advice please...

[EZ E]

The use of Clomid for primary hypogonadism and HCG for secondary is well documented in medical literature. Your endo should be well aware of the uses in men for Clomid and HCG. If not, you need a new endo. Nolvadex, as far as I understand it, isn't prescribed in the US for anything related to hormone levels in men so you probably won't be able to get this prescribed.

Good luck.

[Vettester]

Man this is a tough thread for me. I've had to go back and forth a few times on this. It's real sad to here someone who's 18 going through this type of mess.

I'm torn on this one my friend. If there's an underlying condition, then it's got to be discovered and dealt with before we go telling you to do some sort of PCT. On the other hand, your Endo sounds like a real winner if he is discounting your stint with PH's. You say he is open minded, but I stand to disagree if he's overlooking an obvious clue to why this is happening to you. Unless he's working on some genetic/hereditary trail or some other signal, I don't quite get why he's hooked on the enzyme diagnosis, then leaving it at a partial; meaning "unknown". I don't know your situation, but if you can get another doctor in the loop please consider doing so right away.

Yes, you can be shutdown this long and all your life. When you're shut down, well ... You're shut down. IMO, the pituitary can't be running optimal if your test score is 250, you have adrenal issues, + thyroid conditions. On your lab work, did they check your LH, FSH, & TSH? If so can you share the results?

Breaks my heart man. I've got a son that's a few years older than you, so it touches close to home. Let us know.

[a21547895]

I'll post up labs later on when I get the chance...

But I just wanted to ask another question...

My endo says I am primary, and this is another thing that confuses me because from my knowledge if someone responds to hcg than they are not primary, am I correct or no?

Before I was just put on hcg monotherapy by another doc and for the first couple blood tests my test levels were good, they went up to 700 and I felt good and then they dropped back to the 250 range, apparently I became immune to the hcg or something?

Since I did respond to the hcg, that rules out primary right?

Still trying to learn about all this....

[a21547895]

I'll post up labs later on when I get the chance...

But I just wanted to ask another question...

My endo says I am primary, and this is another thing that confuses me because from my knowledge if someone responds to hcg than they are not primary, am I correct or no?

Before I was just put on hcg monotherapy by another doc and for the first couple blood tests my test levels were good, they went up to 700 and I felt good and then they dropped back to the 250 range, apparently I became immune to the hcg or something?

Since I did respond to the hcg, that rules out primary right?

Still trying to learn about all this....

Can anyone comment on the secondary vs primary thing in my situation?

[Vettester]

Primary is in the testicles, secondary in the pituitary. That's why I was asking for your LH & FSH score.

When you were taking the HCG, how much and how often were you taking it?

Also, what leads this doctor to think you're primary. Did you get kicked in the nuts by a bull or something? Did he check to see if you had a low sperm count or leydig cell issues? There's got to be a reason. The obvious trail of evidence is your previous cycle of PH's. You need a doctor who has a handle on this!

[a21547895]

Primary is in the testicles, secondary in the pituitary. That's why I was asking for your LH & FSH score.

When you were taking the HCG, how much and how often were you taking it?

Also, what leads this doctor to think you're primary. Did you get kicked in the nuts by a bull or something? Did he check to see if you had a low sperm count or leydig cell issues? There's got to be a reason. The obvious trail of evidence is your previous cycle of PH's. You need a doctor who has a handle on this!

Congenital adrenal hyperplasia is what he thinks.

I did get hit in the nuts, well nut actually. My left nut got smoked by a 90+mph fastball lol.....kid foul tipped it and it went straight down and kinda pinched my cup on my nut, couldn't walk for a week lol.

I guess I could be partially primary, left nut doesn't work to well and right one works fine?

But again I'm just confused because if someone is primary they won't respond at all to hcg and I did.

I'm just desperate right now, I have zero energy and feel extremely fatigued, can't concentrate on anything and I am just so tempted to go on testosterone just so I can get my life back but I don't want to if there is a chance I can succeed on a reset protocol.

I'll try to look for the LH/FSH tomorrow, can't seem to find it.

[EZ E]

If you are primary, the issue is with the testes and you WILL respond to HCG. If it is secondary, it is with the pituitary and you will resond to clomid/nolvadex.

I had is backwards in my post.

[pittbulldad]

The use of Clomid for primary hypogonadism and HCG for secondary is well documented in medical literature. Your endo should be well aware of the uses in men for Clomid and HCG. If not, you need a new endo. Nolvadex, as far as I understand it, isn't prescribed in the US for anything related to hormone levels in men so you probably won't be able to get this prescribed.

Good luck.

I have a scrip for nolvadex.. but i'm old and my balls were shriveling up