If you are under age of 25 and if you pass the clomid challege test then 6 weeks on clomid is given at specify dosage at every 3 days then blood is drawn on 3 weeks in to see where levels are at. After 6 weeks it is stopped and 3 weeks blood is drawn and tested. If it holds great and retest in 8 weeks again. If it does not hold then HCG is given while proper nutrients are given to help produce hormones increases their chances of being successful. While this is going on thyroid and adrenals should be addressed as well because these are essential in proper hormone production.
Age dependent then TRT may be commenced as well as supporting other hormones at same time.
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I’m 30. I can see that he is trying to do things the natural way. Since the insurance won’t cover it for being a fertility drug, what other option is there.
I’m 30. I can see that he is trying to do things the natural way. Since the insurance won’t cover it for being a fertility drug, what other option is there.[/quote]
Doc need to use diagnostic codes for hypogonadism and pituitary insufficiency. These codes are then refined as needed based on labs and symptom changes. SERMs have a few different uses and are not strictly fertility drugs. If these are used as a challenge to the HPTA, this use is diagnostic and might be therapeutic if recovery is achieved.
If the SERM challenge does not work, that indicates that the hypothalamus might not stimulating the pituitary or the pituitary cannot respond to the hypothalamus. If there are such problems in younger men, something other than age related decline is going on and the head should be scanned for damage to or growths on or pressing on the pituitary gland. If there are problems of this nature, labs should also be run to look for other pituitary hormone disorders. One really needs to evaluate the response by looking at LH and FSH changes.
hCG can also be used as a challenge to see if the testes are LH responsive.
Another symptom of things going wrong with the pituitary can be vision disturbances to one or both eyes. The optic nerves run right by the pituitary gland. Growths can press on the optic nerves. While many men do not realize that they are loosing T levels, thinking that they are just getting old, doctors need to regard unexplained vision disturbances as a possible symptom of hypogonadism in general and specifically pituitary problems.
The gonadotropin [LS, FSH] functions of the pituitary and thyroid [TSH] are somewhat linked. If one side is weak, the other can be too.