Advice needed on TRT / Treatment options

[strife2981]

There are treatment plans that will not hamper your fertility , in fact a proper trt regimen will include hCG which if I remember correctly many guys on this forum have gotten their wives pregnant while on trt . You are on the right track as far as ruling out possibilities . The more knowledgeable members can look at your blood work and give you more info. Your fsh and lh are at the border low, estradiol and shbg were not tested.

Thanks Beethoven. Is there a lot of information out there to support the HCG / TRT method for maintaining fertility? Is it successful in a high percent of people or is it a hit and miss kind of thing?

Im surprised that SHBG and estradiol were not on the bloodwork order. Im assuming that we'd be interested to see if the SBHG level is high? What impact does estradiol have? Do either of these measures (sbgh / estradiol) tie into the low FSH and LH?

Last question... could relationship, work and life stress lead to such low FSH, LH and subsequently testosterone? I've had a lot of all three for the past half year. I'm assuming the answer is that it can have an affect, but to this degree?

[2Sox]

Thanks Beethoven. Is there a lot of information out there to support the HCG / TRT method for maintaining fertility? Is it successful in a high percent of people or is it a hit and miss kind of thing?

Im surprised that SHBG and estradiol were not on the bloodwork order. Im assuming that we'd be interested to see if the SBHG level is high? What impact does estradiol have? Do either of these measures (sbgh / estradiol) tie into the low FSH and LH?

Last question... could relationship, work and life stress lead to such low FSH, LH and subsequently testosterone? I've had a lot of all three for the past half year. I'm assuming the answer is that it can have an affect, but to this degree?

To be brief, high estradiol can make you feel as crappy as low T. Good to keep tabs on it.

As far as I know, reports of the success of hCG treatment on fertility has been anecdotal - at least from what I have observed on this forum. You'd have to do further research on this yourself. But there is also hMG - which has FSH and LH in it (along with a little hCG). This directly stimulates the Sertoli cells in the testes responsible for sperm production. But because it's much more expensive than hCG, most take it short term - when you're going for pregnancy. This is commonly used in fertility clinics and would be something to consider down the line - if you need it. But you have nothing to lose by taking hCG and everything to gain. My position is this: You want to have the best life possible. If you need TRT, go for it. The worry about pregnancy may not even be a reality. When the time comes, just keep on trying - and enjoy the experience.

You're taking the right action to find out what is causing your symptoms. If you decide to start on TRT, the best option is to treat with hCG - not only to maintain fertility but to have a better quality of life. You WILL feel much better taking it.