Restoring Fertility After Stopping TRT
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- เผยแพร่เมื่อ 28 ส.ค. 2024
- Have you been on TRT or testosterone replacement therapy and concern about fertility? Maybe you're wondering what the return of fertility after stopping TRT looks like. In this video, we're gonna look at some of the things in the timeline of the return of your fertility. As you're stopping testosterone replacement therapy.
So in this video, we're gonna talk about the return of fertility. After stopping TRT. I previously made a few videos on this topic, but I wanted to give a little bit more detail on this for those that are interested and still struggling to understand what's going on and how they can optimize their fertility after stopping testosterone replacement therapy. So first, just a quick little recap.
Fertility often decreases when you're on TRT or testosterone replacement therapy, because the testosterone decreases the amount of LH and FSH that your brain is producing. These are the hormones that stimulate the to make testosterone and sperm.
Mataz. So with reduced amount of those, you have decreased sperm production. Typically once you remove the testosterone, the FSH and LH are gonna start going back up. In fact, unless there's something interfering with the production of that organically could be, a brain lesion or something like that.
Typically the FSH is gonna come surging back. And so is the LH. I would expect the amount. FSH and LH to start to increase around day 10 to 14 after your last testosterone injection. . It's probably gonna peak around the three to four week mark, but keep in mind, these are just estimations based on what I've seen when people start to feel better.
And when they're numbers on their actual testosterone labs. Start to go back up. So by the time you're about a month off of taking testosterone replacement therapy a month after your last shot, we would expect to see you're pretty close to being back to where your baseline levels of testosterone were.
And with that, you're gonna be producing around your baseline amount of FSH and LH as it relates to fertility, the FSH is what we're mostly concerned about. So that normal or baseline amount of FSH is going to exert its effect on those CTO cells at this time at the four week mark, and even previously as it's coming back online, it's slowly building, building, building, and having more and more effect on those Ceto cells. And this is where the spermatogenesis process takes place. So let's say you're making 50% of the amount of FSH compared to baseline while you're on your testosterone replacement therapy.
Sometimes, of course it could be less than that, but let's say you're only making 50% of the FSH while you're on testosterone replacement therapy, sometimes it may be less. Sometimes it may be more,
that means you're gonna have that much less of the sperm spermatogenesis process happening. Now, once you stop it, that FSH is coming back online slowly, slowly, and it's building its effect on those CTO cells. But at the one month, mark, you're not outta the wood jet because that full FSH H. Needs to be in place for two months because those sperm matzo take two months to be produced fully.
So if the end goal is back to a hundred percent of your baseline or back to, to whatever your baseline was, it's gonna take probably about full three months to get back to that you need the first month for normal FSH to return and you can give or take one or two weeks off of that. And then you need 60 days for.
Those spermatozoa to fully mature. And so by the end of three months, you should be back to full production of whatever your baseline levels were prior to being on TRT. And of course, that's just a general rule of thumb. Three months is usually a good amount of time to guesstimate. Now, of course you will have some increased fertility.
The further you get away from testosterone. And sometimes people still have plenty of fertility even when they are in testosterone. So. There's a lot of variability from person to person with this depends on your testosterone dose, how often you're taking it, what type of testosterone you're taking and things like this, you may be able to speed up or shorten that timeline to win your back to full production by taking things like HCG Clomid and other things.
Just remember that this is a fairly delicate process. And even though we know a lot about the fertility process, we'll never have the ability to mimic what that natural FSH effect on the testes is going to be. All right. So. Hopefully that gives you a better understanding of the return of fertility after stopping TRT.
I was on trt for a couple of years and had a 0 sperm count when i stopped, started chlomid and restored my soerm count to normal numbers in 6 months and expecting my first child this spring
Congratulations and thanks for sharing
What type of treatment you were advised injections or other
Great
How old ru
Brother I just got my sperm checked after 2 year not being able to get my fiancé pregnant. I’m 31 and she’s 30.
I found out this morning I have zero sperm. So Im coming off the test.
I have to come off the test.
HCG 5000IU per week
Clomid.
Then I need to go back in 4 weeks so see any changes.
Wish me luck
I'm 60 days off test after 8 years. My testosterone levels today were 58. Lol...been on clomid for 2.5 weeks 50mg per day. I'm very athletic, cardio everyday, eating well, water and hopefully we can get this going.
Good luck. sounds like you should be seeing some changes happen soon.
Update?
@Bignellyloc need an update brother. I'd freakin love to talk to you man im a few months in on the quit after over 4 years on trt. I'd love to hear if your side effects are similar etc.
Alright so update. After 4 months off and taking clomid for 2.5 months. My test never got over 55. The longer I went the worse I felt. I had heart palpatations and low iron as well. They did heart monitor, echo cardiogram, colonoscopy and endoscopy during the past 5 months . I was having horrible anxiety, panic attacks. My Dr wanted me to go 6 mo ths but I couldn't make it. It's crazy how important testosterone is. I started testosterone cypionate 4 weeks ago and since then I feel way better. Palpitations have almost gone away completely and I'm motivated and feeling so.much better.
@@Bignellyloc Certainly interesting. How low was your testosterone before you started TRT to begin with?
This has always interested me specially after having my son 4 years ago, used testosterone and other anabolic from age 18- 27 and was on test and deca when my wife got pregnant . Have had a few friends with the same outcomes even though they have been on for 10 years plus
That is interesting! I have had that happen with my patients too. Not the base case for most people but good for you?
@@swintegrative yes very interesting topic . Recently got blood work as the last time I did any testosterone was almost over 4 years ago and my levels came back at 327 total and free was at 10, reason for getting blood work was the fact that I was feeling sluggish and fatigued all day. According to doctor all levels are “normal “
Hello Dr. Taranella,
This was a great video / tutorial, value your efforts.
Now that compound pharmacies are going to be restricted from producing HCG and prices are extremely high.
What are your thoughts on Enclomiphine as a TRT replacement protocol?
Thank you for your time!.
If I were you or anyone else for that matter who may be looking to maintain your testicular size and function while on TRT I'd use one of the online clinics like TRT Nation that still offers HCG instead of taking a much less effective drug in enclomiphene. They charge $100 per month if test and AI is all you need and $150 to add the HCG into your protocol. There are other online TRT clinics out there as well that have aquired the new DEA licensing needed to compound HCG and it's all around the same price. You can also go with a UGL (underground lab) if you can source it or you know a guy etc. Just don't settle for less when it's absolutely still available.
@@Jimbo-fv4ekby AI do you mean arimidex or anastrozole?
@@scal7122 anastrozole.
Stopped trt 5 months ago to try get wife pregnant, initial sperm 0, gonna take new sperm analysis next month (month 6 off). Felt bad the firt 2-3 months of quitting then gradualy a little better every day but now as of last two weeks it feels like im declining again and i feel so depressed and lethargic, i do nothing, i dont want to do anything, feels like i just want to sit and stare and just cry, also a bit suicidal thoughts. But im hanging in there, hope wife get pregnant soon, fortunately we have 1 child already.... 34 years old, been on trt 4 years.
Did it work
Have you been focusing using on optimizing your diet, exercise and sleep?
Hcg and clomid ? Have you tried those
Take hcg
@@udontkno4215HCG is suppressive. Please stop giving terrible advice
Hello I was on trt for a good 4-5 months maybe less I bought Enclomiphene I thought I got the pill form but ig I got the liquid instead I’m not sure how much I’m suppose to take.. my trt cycle was 100 two times a week for a total of 200 a week nothing crazy but if anyone can help I’d be appreciative
Can clomid and HCG restore fertility while on TRT?
Not likely, maybe if you’re on a really low dose
Very helpful video, thank you. I had a recent sperm count, following five months of TRT (gel application), this revealed a sperm count of practically zero . I have stopped taking the medication, however, I have a small non-functioning pituitary tumour, will this affect the restoration now that I am off testosterone replacement? For context my sperm count was very high prior to testosterone replacement therapy, despite the fact that my LH and FSH was low ( pre TRT). Thank you
If the FSH and LH are normal then you should go back to previous levels.
@@swintegrative my LHS was 1.8 unit/L (just in range), my LH was 0.8 unit/L, out of range. Thus, I was pleasantly surprised my sperm count was so good pre TRT. Would you expect this to generate a positive sperm count after stopping TRT?
Hi doc, have you ever known levels to come back after 3 years of supprssion? My age is 35 years old
The last time I went on HCG, I felt great. However, once I stopped HCG, a month later I felt terrible so I'm guessing my test levels dropped.
What is the point on going on HCG if your levels will drop to zero once stop taking
Assuming you are not taking trt…? The point would be like priming the pump but you may have more luck w clomid and that depends on your pituitary output.
Hi Dr. T.,
I was on Cypionate, dropping off about 6 weeks ago. I was not on it very long (a few months). Over the course of the last six weeks I have felt progressively worse (fatigue all day, muscle tiredness, pain sensitivity, testicular pain, etc). I really feel the muscle fatigue in my back muscle and core. Is this a normal response? If so, when should I expect to level out? I was on the max recommended dose (100mg x2 a week).
Thanks in advance,
N.
Yeah I think that is normal and you might want to look at some of my videos around stopping TrT what happens week by week and similar videos to get a better idea.
Thank you. I appreciate your insight!
Hello from GREECE...i was on trt for 4 years and i stop it 6 months now and i start PCT after 5 months i stop my last trt injection,i run up pct with clomid 50mg for a month and after that i start hcg 2.500 iu every week for 4 weeks...my sperm level is up to 15millions and free testosterone level 300...do i need to do something else ? i want my wife to get pregnat again..cause i had already a child before 12 years without use any steroids.
Thanks for the video
You bet
28 years old. Been on Dr. prescribed TRT mono therapy for a year, now I’m concerned about fertility. I feel so much better but eventually want kids. What should I do?
Brother , I have been on TRT for only about 3 months and also want to have kids. It just in that short amount of time killed my sperm count . I would recommend getting off if asap if you want kids than maybe get back on afterwards . I’m now on clomid
use hcg while you’re on trt. when you want kids increase the hcg dose and add HMG for about 3 months at least then check your sperm count.
@@mikahstewart6597 your recommendation is worth nothing, you’re not a medical professional
Relax brother I’d been using heavy steroids for 20 years. I came off last year an used 2000iu HCG Monday, Wednesday and Friday. 75iu of HMG Tuesday, Thursday and Saturday and my levels went from 35,000 per ml to 25 million per million within a year. You’ll be fine
@@defaultname7685 you get real defensive when someone points out negatives of trt
I have been debating on getting on TRT for the past year and half. My biggest concern is, does this increase chances of birth defects. If I was to get on it I will take Enclomiphene. Since Enclomiphene helps raise sperm count would you still have to get off of TRT to get your misses pregnant?
It’s hard to say because everyone’s different some people don’t have to take anything when they’re on TRT and they’re still fertile but that’s not typical. Most do have to stop.
Question. What if you were already on an HCG? I was on 200mg a week of test C. Along with an HCG and an estrogen blocker for 7 weeks. is 200 mg too much to where is shut my LH off completely? And while everything returned back to normal quitting this cold turkey I haven’t taken anything for a week now. My hematocrit was way too high so I had to get off of it
Yes that much would likely shut off LH but all those things would generally return to your normal or baseline, including hematocrit.
As far as I know TRT is around 120mg per week and people usually don't need estrogen blockers/aromatase inhibitors. Your dose was high and can be considered as enhancement not as replacement therapy.
@@infamousX200 mg is the TOP level of TRT . Anywhere between 100-200 mg depending on blood work.
200 ow left me at 23-25 mnol ISH ..1ml 250 week takes me to around 36-38 ..that's low doses to me I'm normally used to 350 PW long term trt if you can call it that 👀 then up it to 500 with other steroids like deca but ive cold turkied now ..my t level is 26 mnol at week 11 ..clomid should elevate it slightly I hope
I was on 400mg of test weekly for 12 weeks. I came off that and went on yet now for around 8 weeks.
For some reason the side affects is much more serious whilst I’m on trt and looking to come of. What should I do?
I am 37 years old, I have been on TRT for about 9 years. I have been 6 weeks off TRT and been taking 50mg of Clomiphene every day. My free testosterone was 25 when I started. After 4 weeks it was down to 0,7. It then increased to 1 after 5 weeks and it is now 1.7 after 6 weeks. I have stopped taking Clomiphene because I can’t get it in my country. I only had for six weeks. How does my prognosis look in the future? I am suffering from severe symptoms and anxiety. I really want to quit now and start back on TRT, but is there any chance that it will continue to increase and return my original baseline?
That's the lowest dose of Clomid that my mens clinic provides. You can't get Clomid where you live??? HCG is your best bet. Back before the state of CA got strict with HCG, many men were taking 500iu (50 units) Three times per week. It sucks being off T if you really need it. You have to find a way to get Clomid or HCG and your dose of Clomid was very low. Many men take 4x that.
Cold turkey clomid gives me bad experience as well. It's a complete mess
Yeah bro. HCG 1000-2000mg every other day and 75mg hmg twice per week seems to be the golden ticket after 3-5 months, depending on your response. It costs a good bit, but hmg is becoming more affordable. there are a lot of anecdotal reports of enclomiphene being better for bringing endogenous test test production back online. These are the 3 compounds that I would use to get myself back into range.
9 years? It’s going to take at least a year of recovery for you…
I took clomid and it wrecked me. My emotions were as extreme as the ocean waves. I stopped clomid after 2 weeks and have been cold Turkey for about 6 weeks now. I have been focusing tremendously on my sleep diet and training. I will be getting my blood work done in the next couple weeks to see where I’m at. But last time I quit, I was at my lowest of about 150 and my free was around 26.
I’m hoping to be at least in the 2-300s right now with optimizing all areas of my life.
Anecdotally I feel better than ever and my stiffies are back so 🤷🏽♂️
I found out that with hormonal deficiency, you gotta augment what is deficient.
Testosterone and estradiol is an end product of DHEA and Pregnenolone
Try these 2 first before testosterone therapy, and make sure it's legit
Hi Dr. Thanks for another great video. I have one question that might apply to majority of the audience:
- Do starting test levels affect probability of succesful fertility recovery?
For example, all things being equal, would someone who had high 500s test levels prior trt have a better chances of restoring fertility than someone who was in low 200s?
Thanks!
hard to say for sure but that is reasonable thing to say. Yet sperm production and testosterone production are not always congruent.
@@swintegrative I understand. It just seemed logical to me that someone with "functioning levels" would have a higher chance of recovery compared to someone with life-long "issues" in that area, but i haven't read any research on that particular subject. Thanks for taking the time to reply Doctor.
Hi Dr. Are you more likely to conceive a girl after using trt? Or does trt not affect tye x chromosome??
I don’t think that is a known thing
Sir if someone tested azospermia for taking TRT for 6 months , What is fastest way to get back normal sperm count? Or can it be naturally restored if he stopes taking TRT? Plz explain in details.
Hey Doc, I’ve been on Coleman for four months and it didn’t raise my testosterone or increase my sperm count. What should I take an next step? I have fruit good news about testosterone and HG together
But the problem is my Urology provider doesn’t think so how can I convince him?
I use to use testosterone heavily on and off for 6+ years that is my history and during my testosterone use I might have big time to do my post cycle therapy.
I hope you find this comment if there’s any news, I will comment back thank you so much.
See my video on testosterone and fertility there is a study referenced there you can show
It might help good luck
@@swintegrative thanks a lot doc I’m definite gonna push for the HCG. I just need him to understand if not I might need second opinion.
If you doing trt for years can stop and use only clomid and nolva without hcg??
Yes just takes longer to recover.
I was prescribed clomid and hcg to help with fertility and my test and estradiol went up super high while my LH AND FSH dropped tremendously in one month. I thought those two were supposed to help my fertility? Should i continue or stop? Thank you
since HCG mimicks FSH and LH it can reduce the output from the brain somewhat. But that is often why you have infertility to being with. Clomid only increases these hormones. hope that makes sense.
@@swintegrative oh man i guess i gotta stop the hcg then
@@scal7122 please consult your doctor
@@swintegrative whats better to improve fertility in your opinion. Hcg hmg or enclomiphene?
So to recap we can see a return in about 4 weeks? Then it takes another 2 months after that to be fully normal? So a total of 90 days 100% baseline. Can you talk about using hcg to speed this up?
There is another video on this coming.
Would it be a good idea to take clomid and hgc together?
It’s ok to do both but not always needed
I’m reading that DNA Fragmentation is a big issue with TRT that is not shown on a basic sperm analysis. Can you comment on this? I’m worried my husband’s count looks “ok” because he’s also taking HCG when in reality the DNA is the problem not the count (he’s in 200 a week of TRT after abusing anabolic steroids for years) but we’ve been trying for 5 years, 2 failed IVF and 3 chemical miscarriages. My doctor thinks his sperm genetics are an issue but he hasn’t done the test yet.
That’s interesting I have not seen much on this.
IMO he should get off TRT entirely
He should come off TRT, taking Clomid, HMB, and HCG. Can take up to a year. But the TRT isn't going to help his natural sperm production.
Really good video man. What are your thoughts on adding Hmg with clomid and hcg?
Clomid isnt needed as u will have lh activation from hcg and fsh from hmg
What about with no hmg? Just hcg or clomid too?
@@williambowne7522yeah im wondering too
@@DarkoFitCoachwhat about just clomid and hcg?
@@scal7122 thats great. Clomid will raise fsh and hcg will raise lh so its perfect
Hello doctor
I am 18 years old i am suffering from hypogonadotropic hypogonadism.
I am unable to produce testosterone so i am on trt for 1 year now i feel good.
At first i have not beard but now i have .
Now i am very nervous about my future that will i will be able to marry ?
Or should i stop my trt or not ? Please reply
Talk to your doctor about HCG
I'm 58 years old, TRT for a decade because I was morbidly obese until 54 yrs old since 4 years old. My last testosterone shot in July 2022. February 2023, my free testosterone was 56. I then started hGC. As of July 2023 my testosterone levels are now at 613 with my testicles anecdotally appear 400% heavier and larger.
I am also no longer on any other medications as I no longer have medical issues, except for this topic.
My question is what happens when I stop the taking the HGC shots?
I can't find an answer, just speculations. Thank you!
Unfortunately you will likely end up where you stared before the hcg
@@swintegrative Thank you! Since that is the general consensus that I'm interpreting people from saying, I have got really nothing to lose, If I try, to beat the odds. I think the issue that I'm fighting is communications.
Wish me luck!
@@masterep3576hey did you stop talking hcg, if you stopped how are your levels now?
@@jaaaaa31-n5h I'm in the process of changing the HCG shots from three times per week to every three days. So far, its been good. I have noticed a connection using my Apple watch's VO2 max rating as a surrogate for my testosterone levels. And so far it's been holding after consistent days of running.
I this past Friday I swam for an hour and a half then on Saturday ran 8 miles and then on Sunday I ran 10 miles. No loss of power or "push" to run! Which is great because I have a 20 K coming up on August 1, 2023.
I wish there was someway I could show my photo at 400+ pounds the few years ago - 2019. As I never ran my whole life, only to the buffet line.
After you stop your levels will go bk down
I've been taking testosterone for the past 18 months or so. About 200 mg per week without taking any HCG. I'm in a relationship now and want to have kids so what's my best option for getting off trt I'm getting my fertility back to where it was? Thank you!
Thanks for sharing. More to come on this soon but best best is to get off using hcg or clomid. Talk to your doctor
Not even think about taking HCG off cycle! You need to make your pituitary gland, hypothalamus, testes work!
Clomiphene + anastrozole are perfect PCT and restore spermatogenesis therapy. But you need check your luteinizing hormone, follicle-stimulating hormone, sex hormone binding globulin, prolactin, estradiol and total testosterone at least once in a month.
If you would use HCG off cycle then forget about that your hypothalamus would ever work.
Dosages of clomiphene and anastrozole are individual. Smh about HCG as PCT therapy. Run from doctor who would tell you that. HCG is a same cycle as roids usage.
You can run HCG at 1,000iu EOD while lowering your test to 100mg/wk. This protocol has worked twice for me while being on trt
high amounts of hcg did not restore my fertility unfortunately so i had to get off of trt, 3 years @ 200 mg. i spent a month going down to 100mg. i stopped 6 weeks ago. started enclomiphene and hcg (stopped hcg after 3 weeks) and i still dont feel like testicles have grown? is it normal for their to be no growth? and is it possible that im still producing testesterone and sperm, without noticing enlargment yet? i still feel sluggish and sometimes depressed. was going to get bloods at 2 months. was fertile before trt
yes it does take time for that transition to take place and 6 weeks is no quite long enough to see a noticeable change. I would expect more change to come in the next mo or two.
@@swintegrative extremely helpful to know Thank you for replying Helps me to tough out some side effects
Can TRT cause plaque psoriasis or seborrheic dermatitis?
Never seen that… not that I know of.
Trt makes my beard flake like crazy
Does your LH drop after stop taking HCG?
Typically would be expected
@@swintegrative how can you increase LH without HCG then?
@@adeelahmed8641 well that is not always easy to do but physical and psychological stress are typical causes.
What if ur off trt for a while and lh and fsh go back to normal but your testosterone free and total drop to 33/122? Like lower than its ever been? Would suggest iust stick with the hcg to regain fertility?
It would depend how long you you were off it but for fertility you are looking for high normal levels of LH and FSH clomid stimulates your body to make both. this video may be more useful th-cam.com/video/GXt16U1KgvI/w-d-xo.html&lc=UgxBVERgirvXGfEz0hh4AaABAg
@@swintegrative off for 9 months and ran out of hcg for a month. Thank you for the video
Hey doc, I was on TRT for 2 years and come off in November to try and improve my fertility. I feel like my testicle size and sperm volume is not where I would hope. I did a pct of Hcg and Clomid for a month and then let my body try and recover. I’m going for bloods in a couple of weeks. Any advice on what I should do to help this along quicker?
you already did hcg and clomid so youve done a good job, if your fsh levels arent as high as youd like just tell your doctor to put you on hcg for a few months.
My boyfriend came off TRT in June last year but was taking anavar 50mg daily. Then stopped in October and did a 45 day pct cycle which included clomid, tamoxifen and HCG. Now in march we still haven’t conceived and he has started taking HCG again, I know it can take a while to conceive but I’m worried his sperm count won’t come back? is it worth him taking HCG still? And how long is normal for sperm count to come back to normal levels?
It may be on your side also, he can do everything good. But what if you are the one with issues.
Best for him to get tested
Does this apply to higher doses of testosterone and does it change if you were to be cycling testosterone?
It does not apply to higher doses only to replacement therapy
Excuse me doctor, if I don't want to interrupt my TRT because maybe I suffer from hypogonaidism and therefore I would have psychological and body composition worsenings, could I make her fertile again using hcg and clomid for the time necessary to conceive a child with my wife?
Yes it’s possible with HCG but not certain.
@@swintegrative Is there a way to make conception even easier?
use HMG. and r-FSH
Yes you can, you could also stop test injections because HCG and Clomid will restore and raise your test higher then you were when you were natural. So as long as you stay on both you are pretty much at your trt range anyway. Ask your doctor if I am right then thank me later.
please help me doc can i recover my natty after taking test for 2 years i wanna be my old self if that possible i used hcg every 3 months ?
I’m in the same boat. Long time gear use and now my test levels are low and my sperm count is zero. I just need to find a doctor who has the same mindset as this doc.
Should one stop the hcg as well after stopping the trt or keep on with the hcg to regain fertility?
In other words will staying on hcg after stopping test raise the lh and fsh or just stop hcg and let it come up naturally
Clomid has spiked my estradiol levels and my lh and fsh dropped in one month.
hello I am currently taking 100 MG clomid every day and have been for the last 3 months. I have been off testosterone for about 4 months now. I have noticed that my testicular volume has increased however i am still experiencing dry ejaculation (meaning i do not have any ejaculate upon climaxing) is this normal? and does this provide any indication as to where i am in the restoration process? I am working to produce sperm so my partner and I can do IVF. we are looking for ANY sperm production (not even needing to get back to baseline) I have read so many studies that say it can take 3 months to 1 year and I am feeling discouraged at this point. also, i am wondering, can HCG in combination with Clomid speed up this process at all? Just for context I am a 41 year old, and I was on testosterone for 5+ years.
Been on TRT for the past 10 years (age 21 to 31) at anywhere from 400mg (earlier on) to now closer to about 150mg per week. I usually take a break off TRT for a month every few years which includes stopping TRT and taking HCG for 4 weeks. At age 25 I purposely cycled off for 3 months and took HCG while being off so my wife and I could get pregnant with our first kid. 5 years later we decided we wanted another child so I cylced off with the same protocol and it took another 3 months for us to get pregnant. Both kids are healthy and normal. Cycling off now so we can start trying for our third child!
nice thanks for sharing
Add HCG at 500iu Eod and drop the clomid to 50 daily that's what I'd be doing ..good luck
@@doctorprotein2807TRT at 21? Crazy
I just want to feel better. Trt is messing up my mental health bad.
Check out my video on what happens when you stop TRT
Same here man, I feel like I’ve been a lunatic the last 3 years.
Does masterbation put effect on fsh while on recovery
I am not sure
@@swintegrative i got 240mg of testosterone by pills without doctor suggestion but i dropped my sprem count will a recover it full please my age is 22
Will testicles return to normal size after stopping trt ?
Yes they should
@@swintegrative would you know approximately how long that would take?
@@user-xt1yk6pl9p when you stop testosterone replacement it may take 2 mo plus for that to return to normal on average. I made a video on stoppingTRT and what happens week by week if you want to get a more granular idea
Dr I have my first dose trt 1000mg .
Now i want to stop my trt
My body start naturally testosterone production or not
Please reply
Update
Can infertility be irreversible from trt
Yes probably in some cases
Hey doc .
My lh is 10
My fsh is 3.98
My test is 697
I’m only 7 weeks off trt . Is my fertility screwed ????
I’m on clomid … could it be this elavted from the clomid ? I’m really anxious
I was very fertile before trt, had a kid and got on trt. I had zero sperm and I’m off trt for 5 weeks hoping for another.
Good luck that usually does the trick
Update?
We finally decided to start trying to have a baby. This are the recommendations from my doctor:
We're cutting your T dose in half, adding Clomid 3 days per week with HCG for fertility. Anastrazole would be the same dose as well, .5mg. HCG is great and works quick to elevate LH/FSH levels
Is that a good protocol? Any suggestions?
Thank you
How has this been working for you? Have you gotten your blood or sperm tested yet? Just got put into the same prescriptions. Trying to conceive as well
Hello doctor,
I was using testosterone gels everyday for 3 months. I'm 33. I haven't taken sperm analyses yet but i'm scared. I want to have children. Do you think it will be ok?
Sorry I can't answer this but you should discuss with your doctor. I have another video on fertility with TRT that may be helpful.
@@swintegrative I saw that you said that in most cases after you stop TRT the sperm will eventually go back to normal? especially if it was just 3 months TRT right?
@@HomeKitIsrael likely yes
@@swintegrative If i'm 33 and my TRT was 3 months, my odds are good? currently sperm check was bad :(
0.139 million in amount, 0% in mobility...
performed 1 week after stopping TRT
Would you not recommend using PCT coming off TRT?
I don’t see any reason not to use. I have patients that don’t use and are fine though.
You'd be fine it would just depend how long you were on. Typically PCT helps get things moving a little faster if you've been on a long time.
Will I loose the muscle I gain on TRT after I stop it?
Probably some, it all depends on things like, your dose protein intake and workout routine.
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Thanks for feedback. I plan to do this.
I am 47 year old male , been on testosterone for 10 plus years , my sperm count is at zero right now , haven't taken any trt in about 2 months, is there any possibility that I will become fertile again?
Ask your doctor after labs. But you’re like 50 man are you seriously trying to have a kid?
Yes I believe you will (more than zero) check at 3 -4 mo.
@@defaultname7685 yes , my wife is 10 years younger ,, she just finished school last year, wanted to in a good financial position if we ever had kids, isn't 50 the new 40?
@@danbrown7224 i guess if you take really good care of yourself, keep in mind you'll be 70 when he's in college. which may be a lot considering our frame of reference for baby boomers but then again their diets/preventative care were way shittier than the ones we have today
You sound like my twin, but I'm 40 and my lady is 30. I'm also on TRT and juice for 10 years. Sperm also 0 😅 Ok my friend, you need to get on Enclomiphene and then HCG. Use for 3 months, see where you at. Continue if boosting. If not, gotta use HMG. Expensive shit, but it should get you back. I'll be doing this journey in a few months with ya.
How quickly do the testicles stop natural production of testosterone once on TRT?
There is Down-regulation after the first shot/ usage.
good day! i was on trt without hcg which gave me severe azoospermia. After a year without testosterone, my spermatozoa are 200 million per Ml, but only 2% in a normal way, the minimum is 4%. if i add HCG at 500 iu x 4 a week will it improve sperm shape?
not sure but I would not expect that to do it.
probably not. try lowering oxidative stress with healthy diet/ antioxidants. shilajit, carnitine, ubiquinol
My husband is 29 and was on test for 2 years but he'd inject small doses and like twice a month. He has stopped now for a month. We both take chlomid , folic and he hcg because he has the issue. How long till healthy sperm restores after 2 year use of test
Something else is going on. Two injections a month, big or small shouldn't inhibit fertility much at all. The half life of Test is very short. His 2yrs of test use, if it really was 2x a month, did virtually nothing good or bad
Will my LH levels return to normal after coming off HCG?
It should be depends how long you have been on it and current life factors that can influence LH
@@swintegrativeCurios why time on TRT matters... once the T is flushed out of the body, and when the body detects the right signals it will start production again. How do you suppose the body keeps a clock for how long on TRT?
@@the42nd Yeah, I don't think anyone has a good answer for that question but it is more so that the tissues become more dormant and the question is do they wake up. Also we know that with age the tissues no longer respond to the signal regardless of if it is there (this is primary hypogonadism). So it is not always if the signal is there.