Will 'restart' meds do anything if you have hypogonadal symptoms, but ...

[kelkel]

Well, low LH = low T without question. Glad you ruled out adenomas with your MRI. Accutane lowers LH but I'm not sure how long-term deleterious it is. Haven't read on it in some time. That said, Clomid would be my choice in your shoes as well to stimulate LH production to a desired level. After a period of time you'd need to come off to see if your endogenous production holds to a higher level or not.

Both Clomid and HCG Mono are forms of TRT. Clomid is stimulatory to your pituitary whereas HCG over time is suppressive, which you do not need.

[mikzsan]

Well, low LH = low T without question. Glad you ruled out adenomas with your MRI. Accutane lowers LH but I'm not sure how long-term deleterious it is. Haven't read on it in some time. That said, Clomid would be my choice in your shoes as well to stimulate LH production to a desired level. After a period of time you'd need to come off to see if your endogenous production holds to a higher level or not.

Both Clomid and HCG Mono are forms of TRT. Clomid is stimulatory to your pituitary whereas HCG over time is suppressive, which you do not need.

Thanks,
Ill try Clomid at a minimum dose such as 12.5 E3D. I agree with HCG...even if I did have access to it again , its not ideal at all being suppressive, unless Clomid failed?

[kelkel]

Thanks,
Ill try Clomid at a minimum dose such as 12.5 E3D. I agree with HCG...even if I did have access to it again , its not ideal at all being suppressive, unless Clomid failed?

Did you rule out thyroid issues, prolactin and cortisol as well? If clomid were to fail and you were diagnosed as secondary hypogonadal then TRT is in your future. At that point HCG Mono would not be my choice at all. It's used very minimally as the subjective benefits (anecdotally) just don't seem to be there as compared to actual T replacement.

[Mr.BB]

Thanks,
Ill try Clomid at a minimum dose such as 12.5 E3D. I agree with HCG...even if I did have access to it again , its not ideal at all being suppressive, unless Clomid failed?

Your bloodwork doesnt show hypogonadism, so dont know if the slight increase in testosterone clomid can give you would do anything.

Accutane is a strong drug, and some ppl report severe depression on it... Would think it would be more likely to cause you those problems.