
Originally Posted by
Youthful55guy
My two cents worth if you want it. If you haven't started TRT already and you believe you are secondary hypogonadal, I would probably start with enclomiphene (not clomiphene) if it were available to me. The research I've seen published looks good for maintaining testosterone, fertility, and testicular size in an easy to take oral tablet. Side-effects (from what I've read) are minimal and not much different than placebo.
However, it does have limitations in how high it will boost your T levels, so if you have high SHBG (as I do), it probably will not be sufficient to overcome the problem. Then again, high SHBG only affects about 7-10% of men, so it's not a hugely prevalent problem (it just sucks for those of us that do have it).
What I'm more interested in is whether enclomiphene will bring back some endogenous gonadotropin production for guys on TRT. HCG works well, but it mainly has LH activity with only some FSH activity. Since the sperm-producing tissues in the testicles account for about 60% of the testicular volume, I theorize that adding endogenous FSH back in will help to increase testicular size back to a more normal state.
We know that estradiol is the predominate negative feedback component of the hypothalamic-pituitary-gonadal-axis in both men and women, so will this new SERM bring back some (any) FSH production? If I could secure a trusted supplier, I would be willing to try and run the appropriate labs to find out.