Got My LH to .7, Any Hope?

Pharma / TRT Testosterone Replacement
1

Long back story, but gist is that I had low T because of a vericocele (TT 388 at age 29)… 41 now.
had it fixed but never really rechecked and years later a hrt clinic doc prescribed trt cause I felt tired and miserable and he said I had no hope going to good natural levels.

I stopped back in 2014, gold turkey and my TT was 144 after 10 weeks.

So I’ve been on trt ever since. I tried so many restarts with different methods, scaly pct, etc. my TT never got above 40 and LH been zero.

I tried one last restart using enclomiphene 25 daily x 30 days and lupron 1 mg x 2 doses spaced a week apart (day 22 and day 30). My LH went to .7! (Checked day 31, range 1.5-9). My TT values I think were wrong, said 1700 (using immunoassay not LC/ms) but I had no hcg or test, and I felt like shit. Anyway, think there’s any hope at regaining natural levels?

2

It sounds like your pituitary gland is broken and isn’t even responding to stimulation, this is pituitary failure on a level I don’t see often, you are almost completely shut down even with stimulation.

I think this trend will continue and at some point LH will reach zero. You’re 41 and even if everything was working correctly you would still be dealing with a natural decline and seeking TRT anyway.

Any further restarts is pointless.

3

Appreciate the advice! Love having you on the forum!

Honest and straight forward.

4

Do you think short bursts with lupron over a month with more enclomiphene would be worth it? Not a good sign it went from zero to .7? I was really optimistic

5

Your pituitary wants to go to sleep, in other words it doesn’t want to function. If your HPTA doesn’t respond to clomid, then your pituitary is done.

Most people with a typical dysfunctional HPTA will see very high LH when stimulated using clomid, you see almost no increase at all.

6

Thanks again. I’ll stick with trt! Really appreciate the help!!

7

@systemlord
Sorry to bother, but you are the smartest person re trt.
I hear your advice clearly but when I stop trt I feel like shit/death. Then when I get back on I feel soo good and my balls feel full (hcg plus trt) and I’m like I can do this without trt. Then I start thinking maybe if I high dose the enclomiphene and do EOD lupron I can do it.
Can you talk some sense into how stupid I am for thinking this?
I just looked up my labs from 2010, TT was 388. That was pre-vericocele surgery. I sound crazy but I’m fixated on this. Again thanks for the help! Really appreciate it.