Infertility after 3 years of heavy blasting

[mac34]

Thanks to everyone for the tips.

So if I understood right, he should drop the T completely, stay on HCG + Clomid, then just Clomid and be patient?

@Obs - I'm not sure what are you disagreeing here. Are you saying he can stay on TRT, or are you saying he should drop TRT?

About Deca, so even if he only took a few shots 1.5-2 years ago, it's so nasty it can still have an effect?

@Youthful - a bit off topic, I saw in the other thread you mentioned that E2 can mess with SHBG. If you remember, I had very high E2 and very low SHBG for my TRT. Could that be related to E2 by chance?

[Youthful55guy]

Thanks to everyone for the tips.

So if I understood right, he should drop the T completely, stay on HCG + Clomid, then just Clomid and be patient?
I think his first course of action should be to completely stop the steroids (even legitimate TRT) and give PCT a change to normalize his hormonal system. If that fails, then HCG + Clomid would be the most economical rout to attempt to restore fertility at least until the goal of conception is reached and then he can reconsider use of AAS if that's important to him. There are other protocol discussed in the other thread that also incorporate HMG and have had much success with guys with secondary hypogonadism. If that is his problem (being secondary), and he's willing to invest the money, that would be his best option. However, before going down that road, he needs to be truly diagnosed as secondary. If he his primary, all the HCG and clomid in the world won't help him.

About Deca, so even if he only took a few shots 1.5-2 years ago, it's so nasty it can still have an effect?
Probably not. After ~2 years it should all be gone from his system. With Deca, the nasty side effects come from the progesterone-like activity. It has a very strong negative feedback potential.

@Youthful - a bit off topic, I saw in the other thread you mentioned that E2 can mess with SHBG. If you remember, I had very high E2 and very low SHBG for my TRT. Could that be related to E2 by chance?

No, high E2 tends to drive SHBG up, not down. I suspect that your low SHBG is might be genetic in origin. Some guys are just normally low. I think I mentioned before that thyroid hormones are well documented to drive up SHBG. It might be something for you to consider in low does (e.g., 30 mg Armour) to see if it has any benefit for you.

See above in bold/blue text.

[CaptainCurious]

My .02

Yes, dropping T is preferable.

Yes, HCG and clomid. HCG is to get the balls working. Clomid brings the pituitary back online.

Run a lot of tests to see where you're at. After a few months, check Total and free/bioavailable (which can both be approximately calculated from total and shbg). The higher these are the better the gonads are working. Check fsh/lh to see if the pituitary is working and get a sperm test every so often.

If T is high and fsh/lh are high on clomid/hcg, then you could consider removing the hcg but some may have differing opinions. If you do, retest again to make sure everything stays high and sperm is adequate. If everything is high still, then you could consider lowering clomid dose to the minimum required to sustain TT >400 and fT > 15.

There are other nuances but that's the short algorithm. Go slow and check everything every few months. Best of luck to you.