Temps today
AM: 97.7
MidDay: 98.6
Seeing a new doctor on Monday. Hoping he either will treat me correctly or knows someone who can. I’m still doing bi-weekly 200mg shots, but I am feeling very very depressed at the end of the second week. I think it may have something to do with the high e2 but no one seems to care to treat it.
New doctor seems much more with it when it comes to TRT. I’m just happy that I talked to the guy and he knew about SERMs and AI usage with T treatment. My last doc was happy just prescribing bi-weekly doses and telling me I was ok. I also told this doc I was prescribed bi-weekly shots but have been giving the same dosage split up into 2 shots per week. I told him I feel really run down mid-way through the second week. He seems to be ok with me injecting it 2x a week.
Since I’m concerned with fertility and have tested infertile he wants me to stop TRT and do blood work semen analysis. Since I’m trying to have a kid he mentioned clomid/clomiphene as an alternative.
No one is really responding to this thread, but I’ll continue to post updates. Maybe someone will find something beneficial here later.
The last time I posted I was working with a new doctor. I told him I was concerned about fertility, low testosterone levels, high e2, etc. Since I am concerned with fertility he wanted me to stop taking testosterone. I first did a semen analysis that found no sperm. I quit taking T and now I have 0.2 count on sperm. According to the doc that is low and you expect to see something like 2.0. So basically they counted 200,000 and I should have 2,000,000. I had some genetic tests done to check for infertility and they all came back negative.
He also ran some labs. He didn’t run free T.
T: 82 (300-1080)
FSH: 4.1 (1.4 - 18.1)
LH: 1.8 (1.5 - 9.3)
Prolactin: 2.58 (2.1-17.7)
Based on the labs he told me he is unsure why the testosterone is low but my FSH/LH seems to be normal. He also asked about my sense of smell, which is weak. A previous Dr. had asked me about that as it is an indication of Kallman’s Syndrome. However I’m not sure I meet the diagnosis as FSH/LH seems ok. Since I’m concerned with fertility he is starting me on clomiphene (clomid). The insurance is battling with them about it but I have some clomiphene already and started on it. I’m hoping it brings up my T because I feel absolutely awful again. Doc did says that if clomid isn’t working or that if I want to go back on shots we could freeze some sperm and go back to T replacement. I’m still concerned about WHY my T is suppressed.
Temp today: 98.8 @ 11am
[quote]spyderman4g63 wrote:
No one is really responding to this thread, but I’ll continue to post updates. Maybe someone will find something beneficial here later.
The last time I posted I was working with a new doctor. I told him I was concerned about fertility, low testosterone levels, high e2, etc. Since I am concerned with fertility he wanted me to stop taking testosterone. I first did a semen analysis that found no sperm. I quit taking T and now I have 0.2 count on sperm. According to the doc that is low and you expect to see something like 2.0. So basically they counted 200,000 and I should have 2,000,000. I had some genetic tests done to check for infertility and they all came back negative.
He also ran some labs. He didn’t run free T.
T: 82 (300-1080)
FSH: 4.1 (1.4 - 18.1)
LH: 1.8 (1.5 - 9.3)
Prolactin: 2.58 (2.1-17.7)
Based on the labs he told me he is unsure why the testosterone is low but my FSH/LH seems to be normal. He also asked about my sense of smell, which is weak. A previous Dr. had asked me about that as it is an indication of Kallman’s Syndrome. However I’m not sure I meet the diagnosis as FSH/LH seems ok. Since I’m concerned with fertility he is starting me on clomiphene (clomid). The insurance is battling with them about it but I have some clomiphene already and started on it. I’m hoping it brings up my T because I feel absolutely awful again. Doc did says that if clomid isn’t working or that if I want to go back on shots we could freeze some sperm and go back to T replacement. I’m still concerned about WHY my T is suppressed. [/quote]
You are between a rock and a hard place concerning fertility and TRT at the same time. How many kids are you all looking to have? In other words how many years are talking about?
For aromatase inhibitors(AIs)you can google research chemicals and I would look for the one that starts with an m. I wouldn’t know where to tell you to look for hcg as I’ve just recently lost my source.
My wife wants to have children and I’m indifferent so I would like to at least try to maintain my fertility. Ideally we would try to have kids within the next 1-2 years. I’m still contemplating getting some sperm frozen so I can stop feeling completely awful all the time. It’s to the point that I can’t even to my job because I can’t focus. UG AI seems to not be so hard to find, but I’m hoping my insurance co will just cover it. They cover injectable T with no problems.
You can do TRT+clomid, do not take hCG with that. If you feel emotional/moody/depressed with clomid, switch to nolvadex.
There is DNA testing for Kallman’s Syndrome.
[quote]KSman wrote:
You can do TRT+clomid, do not take hCG with that. If you feel emotional/moody/depressed with clomid, switch to nolvadex.
There is DNA testing for Kallman’s Syndrome.[/quote]
Thanks for mentioning the test about Kallman’s. I had some genetic tests but I don’t think any were to rule that out. I’ll have to bring this up with the doc.
I’ve also seen TRT+AI+hCG as something recommended to keep fertility. Are you saying TRT+Clomid could be an alternative to that?
[quote]spyderman4g63 wrote:
[quote]KSman wrote:
You can do TRT+clomid, do not take hCG with that. If you feel emotional/moody/depressed with clomid, switch to nolvadex.
There is DNA testing for Kallman’s Syndrome.[/quote]
Thanks for mentioning the test about Kallman’s. I had some genetic tests but I don’t think any were to rule that out. I’ll have to bring this up with the doc.
I’ve also seen TRT+AI+hCG as something recommended to keep fertility. Are you saying TRT+Clomid could be an alternative to that?[/quote]
Elaboration for clarity’s sake. Are you saying that Testosterone Injections+AI+Clomid is a viable alternative to T+AI+hCG to prevent testicular atrophy?
No. He means to replace HCG for Nolvadex every few months to get FSH and stimulate sertoli receptors.
HCG replaces LH only.
Nolva causes the pituitary to produce FSH and LH, but it can’t be used long term.
FSH Is needed for sperm. Stertoli
LH is for T. Leydig
spyderman4g63,
How are you still liking your doctor? I am not having any luck in our area. Does he test for all the things talked about in the forums? If you don’t mind shooting me a PM with his name if you recommend him, I would be very grateful.
Wel I was doing ok. Feeling good enough to go off my anti-depressants. That went well for a few weeks. Now I don’t want to live but I’m not going back on antidepressants. I’d rather be dead than the walking zombie that those pills make me…
I forgot all about this place. I finally made some progress with my issues. My doc had put me on TRT and I was feeling better but still tired. I finally made him order a sleep study and found out I have sleep apnea. He said that both symptoms can lead to each other. Now I’m on a sleep machine and test injections and feeling pretty damn good. Doc has some hope that once I start actually sleeping then my hormone levels will come back up and I may be able to get off the test.