NOTE: none of the men in the study were indicated to be using exogenous testosterone.
I’m not claiming to know anything about your sperm production actually. I could be entirely wrong. I’m saying a simple semen analysis could be done to eliminate any doubt. Maybe men here are too afraid to find out but I have seen everything BUT semen analysis done on pretty much every report.
I have a child, was low-normal pre-HRT but on virtually the same protocol as you am azoospermic.
Irreversibly? No. However many consider TRT to be permanent. After only 6 weeks (I didn’t gather this information from your history) you at least have a better chance of being fertile.
I looked into hMG and FSH(follistim) and these drugs are in the 750-1500 dollar range so clearly not an option unless I became dead set on having another child.
[quote]dez6485 wrote:
everything I’ve read on here suggests that T + HCG will keep you fertile, or even restore fertility for the guys that began TRT with just TestCyp.[/quote]
It’s important to be able to decipher information and determine fact from fiction. I find some of what i read quite frustrating. I noticed your desire to have children and can relate so I thought I’d stop biting my tongue.
[quote]dez6485 wrote:
you do understand the labs I posted with FSH and LH <.2 was while I was on 100mg Test Cyp and 250iu HCG EOD, right? [/quote]
Of course. Unlike most here, I have a thorough knowledge of all disease processes and lab findings etc., not just hormone replacement. To quote KSman, there is often “T-tunnel vision” on here.
When taking a SERM with TRT, LH and FSH will be there. Otherwise with T or T+hCG LH/FSH–>0
Fertility is not damaged so easily.
SERM taper: There are different objectives, if trying to restart HPTA, you are trying to avoid estrogen rebound from shutting things down from the start. AI can help during the taper and cruise om 0.5mg/week anastrozole. If on TRT, you are not worried about shutdown and you are only trying to have E2 levels that feel OK and/or do not cause other estrogen side effects. If on TRT, and using anastrozole, you can stop SERM and start hCG two days later.
Total T: 992ng/DL range 250-1100
Free T: 212pg/mL range 35.0-155
Estradiol: 24pg/mL range 10-29 I believe? (Ultrasensitive, Quest)
SHBG: 24nmol/L range 10-50
I am happy to see these numbers, especially the E2.
I’m not sure if that Free T being “high” is potentially an issue or not.