Long time competitor in BB and currently trying to conceive. I’m doing self-administered therapy, post self administered years of ped use. This therapy consists of:
1500iu HCG MWF
50iu HMG TTHSa
50iu rFSH TTHSa
25mg Enclomiphene ED
I had an SA done about 6-8 weeks ago, and it came back with signs of oligospermia (<9M motile). I recently had blood test results back on my hormone panel - without surprise my test is in the gutter and my estrogen was through the roof:
I’m not sure where I am currently with my sperm levels, but I can tell you I feel awful. I’ve read that coming off test is not necessarily required to regain fertility, but I’ve managed 4-5 months so far and my symptoms are not improving. I’m practically a walking anxiety attack. Should I restart a low dose trt or would that hinder my progress? Has anyone else had a similar experience, or advice?
When did you start the fertility protocol? That protocol is very solid and cover most bases. It is really similar to what my friend Alex Kikel recommends (he doesn’t use enclomiphene or clomiphene and he uses 400-500mg of injectable L-carnitine).
If it’s only been 1-2 months, then I wouldn’t worry. If you have been on that protocol for longer there might be other issues.
One thing you might look into adding is kisspeptin. Essentially it tells the body to produce more LH, but through a different mechanism with clomid and it has been shown to increase sperm production.
As for testosterone, if you are using HMG and HCG, TRT levels of testosterone will not hurt, it might even help.
Thanks, Christian! I started HCG + EC pretty quick out of the gate, maybe two weeks after coming off test. I’ve sprinkled in HMG over that same time frame, so the current protocol has been steady for a month. The HCG + EC I was doing for 2 months prior to that. I do have some L-Carnitine on hand too as recommended from the EvilGSP guys, but how often? Is that 400-500mg once a week sufficient?
If TRT levels wouldn’t hurt at all, I’ll hop back on in a heartbeat. My test levels are damn near castrated values.
As anyone who has been through the difficulties of TTC with their significant other, it has had its challenges. Last month we had high hopes with some recent good news from the urologist, but unfortunately we weren’t able to make it happen.
That being said, my last SA (about 4 weeks ago) had me comfortably above the minimum sperm levels for fertility. If I recall correctly I was around 25m/ML with 70% motile.
I’ve maintained the following since posting here:
~180mg test C split twice per week
500mg L-Carnitine twice per week
50iu HMG MWF
50iu rFSH MWF
1000iu HCG TTHSa
