produce testosterone again in the testes. In general, those will age related decline have lower LH and their aged testes are not able to create a lot of T in response to hCG. This forum is not a substitute for professional medical advice. Sperm production requires a high intratesticular testosterone levels. DISCLAIMER: This video is for education and information only. HCG can also help maintain fertility during TRT. You may have to register before you can post: click the register link above to proceed. Research trials have not been done… try to get grant money for that. Testosterone Replacement Therapy and Male Fertility If testosterone levels are lower than normal and you are experiencing infertility, your fertility doctor may suggest testosterone injections or some other form of testosterone therapy. 2009 Sep;92(3):979-990.Â, Wenker EP, Dupree JM, Langille GM, Kovac J, Ramasamy R, Lamb D, Mills JN, Lipshultz LI. Now my doc is switching me to test pellets. These hormones tell the testes to make more testosterone, which is critical for a healthy sperm count. I have been diagnosed with Vericocele which I want to have surgically repaired. [Arimidex is often given with it, because the increase in testosterone will increase estradiol as well.] Ask questions about Testosterone Replacement Therapy, get help interpreting your lab bloodwork results, and discuss treatment options with lifters going through the same situation. Does T applied to the penis create significant amounts of DHT? One of the easiest and best value is an at-home test which has been validated by the WHO. My first priority is starting a family and I feel reasonably good right now, but if i can start getting results in the gym again that would be great. Testosterone replacement therapy (TRT) is recommended for the treatment of most cases of male hypogonadism. For these men there is a third, effective option… (this option is still a good idea anyway). Is Human Chorionic Gonadotropin (HCG) enough to maintain fertility on TRT. To evaluate outcomes including libido, semen parameters, testosterone, estradiol (E2), follicle stimulating hormone (FSH), and luteinizing hormone (LH… DO NOT GO ON TEST. Necessary cookies are absolutely essential for the website to function properly. TRT was combined with intramuscular injections of human … HCG is self administered as an injection into the subcutaneous fat, similar to insulin, with a tiny needle. Please click here for more details of our CQC registration. 26 hypogonadal men with a mean age of 35.9 years were included. Obviously I would not have done very well on that alone. I want to start TRT due to low normal free T and high SHBG with some low t symptoms but I am concerned about fertility since I am 28 years old. Injections of HCG may be just the thing to make your TRT more effective at boosting fertility and testosterone levels. Just 500 IU of HCG every 2 days is enough to counteract the negative effects of Testosterone Replacement Therapy. However many men will be put off by the price involved with this option. Take our free ADAM questionnaire to check for low testosterone symptoms. However, in the UK it is much rarer. Doing so can lead to problems, according to Puneet Masson, MD, assistant professor of Urology and director of the Male Fertility Program at Penn Fertility Care. A combo of type 1 and type 2 hypogonadism. Thoughts Suggestions are greatly appreciated. This leads to a reduction in sperm quality and fertility. First off, it is important to note that TRT should not be used instead of contraception. But opting out of some of these cookies may have an effect on your browsing experience. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. This website uses cookies to improve your experience. Dosage protocols vary, but since it stays in the system for about 3 days most doctors prescribe 250-500 units 1-2x/week. Clomid is another option to increase testosterone while maintaining fertility. Testosterone, a hormone, helps men maintain muscle, bone health, libido, and the ability to perform in the bedroom. I used it along with TRT.Yes you cannot generalize how one will respond to hCG, you won’t know until you try. The Use of HCG-Based Combination Therapy for Recovery of Spermatogenesis after Testosterone Use. Another study confirmed that intra-testicular testosterone can be maintained during testosterone replacement therapy with co-administration of low dose HCG, which may support continued spermatogenesis in patients on testosterone replacement therapy. You want to sort all of these life-destroying symptoms but you also want a family when the time comes. TRT is an amazing treatment. In my case, adding hCG to my TRT increased my T by ~15%. There are a few ways that men can get their fertility tested. You may be thinking about starting TRT, but perhaps you want to have a family sometime in the near future? It is mainly reserved for specialist TRT providers and cannot be found on the NHS. Epub 2012 Dec 7. According to the American Urological Association, hCG is appropriate for those men with testosterone deficiency who also desire to maintain fertility. London Try to get pregnant anyway! I have yet to start my TRT protocol in hopes of maintaining fertility. I have read through many posts and it seems like the accepted protocol of HCG while on TRT will maintain fertility but i have not seen anyone say they have been tested and it works. This website uses cookies to improve your experience while you navigate through the website. Only take medications as prescribed by your doctor. If this is your first visit, be sure to check out the FAQ by clicking the link above. This option is a good safeguard that ensures fertility at a later date. This option often works in men wishing to maintain fertility. Unfortunately, it is not that simple. hCG May Preserve Fertility in Men — Sperm Count Can Return After Discontinuing TRT Testosterone Replacement Therapy (TRT) can often decrease sperm count, which is the main reason that men who still plan on having children will hold off on testosterone … Without HCG, TRT will likely shut down your system almost entirely. Get and retain copies of all lab work. I do not want to take HCG as it makes me feel bad and basically makes TRT not work for me. Testosterone replacement therapy (TRT) can be life-changing. 20% T cream applied to smaller skin areas also reduces E2 production compared to weaker creams applied to large areas or a-gel. Bouloux P, Warne DW, Loumaye E; FSH Study Group in Men’s Infertility. Get tested for E2. That can be around 80 times higher than serum levels. You can then see that the serum levels achieved with TRT are not going to make much difference inside the testes. These men had to weigh up the benefits knowing that they may never be able to have children after starting treatment. Head Office: This is not medical advice. Testosterone therapy requires regular monitoring of testosterone levels as levels are constantly changing in the body and too much testosterone can lead … You cannot generalize how one will respond to hCG. Now there’s good news for younger men who need TRT but still want to preserve fertility. This test can be done without any training, in about 15 minutes, without embarrassing visits to a clinic and from the comfort of your home. You also have the option to opt-out of these cookies. Since sermorelin therapy boosts the body’s production of GH and thus sperm, it can be very effective for maintaining and restoring fertility during TRT. 2 TESTOSTERONE REPLACEMENT THERAPY: CONTRAINDICATIONS AND MONITORING ... TRT contraindicated in men more interested in maintaining fertility over symptomatic improvement: ISSAM 68: TRT contraindicated in men with Hct >52%: If suspicion of PCa exists, TRT may be initiated in men with negative prostate biopsy: Opinion is currently divided amongst Endocrinologists regarding the benefit of HCG in TRT due to the traditional treatment model … Not only will it help to promote healthy sperm, but it can maintain healthy sperm count, motility, and viability. (Don’t assume you don’t need contraception just because you are on TRT). When T cream is applied to the genitals, one needs to be very mindful of the potential transfer to one’s wife and/or GF[s]. 50mg eod took my levels from 190s to 700-800s and I was 29 when I started When you’re getting testosterone replacement therapy, testosterone is added into the bloodstream from another source. DHT may be important for those trying to correct low sperm counts. Has anyone else been through this situation? I have had fertility checked and I am at the low end of normal (doctor thinks it is from the Vericocele)for which i suggested HCG to maximize fertility until the wife is pregnant so that i can have the surgery and he agreed and wrote the script. And what doses? Essentially, I'm wanting to maintain "some" fertility while being on TRT so the door isn't closed on having a child. I know Dr Crisler helps his TRT guys in that area if needed. I used the “and/or [GFs]” in consideration of push. By Cosmoen in forum Testosterone Replacement Therapy Replies: 7 Last Post: 04-13-2013, 05:53 AM. Why would you rather be on test if you're just starting? 2013 Feb;189(2):647-50.Â. Fertil Steril. Your brain interprets this rise in testosterone levels as a sign that you now have enough testosterone. Science & Society Series on Sex and Science.Â, Matsumoto AM, Snyder PJ, Bhasin S, Martin K, Weber T, Winters S, Spratt D, Brentzel J, O’Dea L. Stimulation of spermatogenesis with recombinant human follicle-stimulating hormone (follitropin alfa; GONAL-f): long-term treatment in azoospermic men with hypogonadotropic hypogonadism. How To Prevent Acne On TRT? Usually 250 iu per week is the common dose if using HCG during a cycle or during TRT. Efficacy and safety of recombinant human follicle-stimulating hormone in men with isolated hypogonadotropic hypogonadism. 12 Aston House, Thoughts on Clomid/nolva/hcg during TRT to maintain or increase fertility? Although TRT will likely reduce your sperm count it does not necessarily make you infertile. So you would think that increasing your testosterone levels with TRT would improve fertility, right? I will PM you with a few more details if that is OK with you. Normally a man’s brain produces hormones called gonadotropin-releasing hormones (GnRH). When you take exogenous hormones, TRT suppresses the feedback loop that regulates testosterone production in your body. Is TRT basically a death sentence for keeping fertility? Birth defects caused by drugs that lower DHT such as proscar produce males with underdeveloped or malformed sex organs. Renew Vitality is a men’s health clinic and hormone therapy center with several locations spread across the U.S. There are a few options for maintaining fertility whilst on TRT, reduced fertility can be one of the most concerning side effects so for many this is the deciding factor between starting TRT and living with the symptoms! Transdermal testosterone (T) gels are commonly used in clinical practice; however, there is little evidence concerning how to monitor dosage to bring and maintain serum T levels in the normal physiologic range. So it stops sending signals (LH and FSH) to the testes to make more testosterone. If one had low T because LH was low, then hCG can increase T quite a bit IF the testes are healthy and responsive. Get Started. 0207 164 6911. It helps to maintain fertility, testicular and penis size, cognitive function, and libido whilst on TRT. Aromatase Inhibitors: How Aromatase Inhibitors can improve testosterone levels I do have HcG as well, but I was curious if doing HcG Monotherapy prior to starting TRT would be ideal for fertility. I would think it would do the trick for you. What Low Testosterone Really Means “Hypogonadism—or low testosterone—can lead to issues with sexual desire,” Dr. Masson says. Wandsworth Road, I have concurrent lower range test and have a doctor who is willing to prescribe TRT. Optimale provide men in the UK with medical services and advice to treat the symptoms of low testosterone. 1. To start viewing messages, select the forum that you want to visit from the selection below. It also seems to be effective in helping men who have lost fertility due to abuse of anabolic steroids. I tend to be cautious, and would think about starting TRT if I had fertility concerns. Some men psychologically need this cosmetic effect of full testicles to feel normal. But isn't Testosterone Good for Fertility? As the age of men with hypogonadism continues to decrease and the age of paternity continues to increase more men will need to treatment for hypogonadism while maintaining fertility. But TRT will … We also use third-party cookies that help us analyze and understand how you use this website. Southampton In men still wanting to have children hCG therapy can help preserve sperm production by maintaining intra-testicular testosterone levels. In practice, hCG is most commonly used during TRT to help maintain intratesticular testosterone levels and therefore preserve fertility. Sperm production requires a high intratesticular testosterone levels. Not all men who start TRT are immediately thinking about having children. I used clomid for TRT and was able to have kids. J Clin Endocrinol Metab. That can be true for some younger guys. hCG is a safe and efficacious alternative or adjunct to TRT in men desiring to preserve fertility while treating their hypogonadism. First, thank you for all the great information on this forum. And if so, what can I do about it? Any testosterone which is added to your body (exogenous testosterone) will reduce fertility levels. Freeze your sperm and store it for when you want to have children Not all men who start TRT are immediately thinking... 3. You can then see that the serum levels achieved with TRT are not going to make much difference inside the testes. Thanks rfish, was that HCG alone or while on TRT? PMID: 11821082. For a long time, it was something that was only recommended to older men and those with very low levels. However, this is a risky solution because there is no guarantee you will remain fertile and in most cases TRT use will reduce your fertility if not used with other medications to prevent this. My wife and I are trying to conceive. Sperm counts and fertility in men: a rocky road ahead. Just do the TRT + hCG, stay with the hCG forever. T cream applied to the scrotum also creates DHT. Unlike other TRT delivery systems that maintain high T levels around the clock, Natesto is short-acting. But beginning in their mid-30s, men lose an average of just under 2% per year. Clomid is the only TRT choice if you want to be sure you maintain fertility. SO14 3FH, Call us (Monday to Friday 9am – 5.30pm) It is mandatory to procure user consent prior to running these cookies on your website. Thanks KSman, that was what i was thinking. Clomid should be just fine. Your natural production of sperm can drop to infertile levels, especially if you don't use HCG alongside your TRT. Widely recognized as the best treatment for low testosterone, TRT can significantly improve mood, energy, and libido, helping you feel like yourself again.With these benefits, it’s no surprise that between 2003 and 2013, androgen prescriptions increased fourfold.. Powered by Discourse, best viewed with JavaScript enabled. Thus TRT + hCG may work better than hCG alone for some. SW8 4ER, Clinic Location: J Urol. Optimale is regulated by the Independent Regulator of Health and Social Care in England, the CQC (Care Quality Commission). You can go the usual TRT route with HCG and when it’s baby time have your Dr add in HMG. Many men find that they are still able to have babies whilst being on testosterone replacement therapy. To maintain fertility in men with hypogonadism prescribed testosterone, Lipshultz said, clinicians should first insist on a semen analysis before beginning testosterone treatment. Kim ED, Crosnoe L, Bar-Chama N, Khera M, Lipshultz LI. HCG is commonly used in the USA in TRT using men. Check our TRT Manual for more information on low testosterone treatment. Period. This is no big deal. Please click here for more details of our CQC registration. 2013 Mar 1;99(3):718-24. doi: 10.1016/j.fertnstert.2012.10.052. 2005 May;90(5):2595-602.Â, Hsieh TC, Pastuszak AW, Hwang K, Lipshultz LI. Drugs like prosar disqualify one as a blood doner! Our fertility tests cost only £39.99 and can be done safely and easily at home. I have the means to adjust that to 100mg E3D and will drop the Adex to 1/2mg E3D and get tested for E2 in a few weeks. Whilst the level of testosterone present in the testes is important for sperm levels, this testosterone is produced by the body, and not replaceable by TRT. How can I maintain Fertility on Testosterone Replacement? There are many studies that support HCG’s use for improving male fertility in previously fertile men supplementing testosterone: See here, here, here, here, here and here (there are more). But when your testes don’t make more testosterone, (because there is less LH and FSH being released by the pituitary gland) your sperm production also goes down. HCG has been shown to act as an LH (luteinizing hormone) analogue (acts in the body in the same way) which causes the body to produce testosterone again in the testes. This causes an increase in sperm production (can be helped further by HMG which replicates FSH) and also stimulates testicular growth. 2002 Feb;77(2):270-3. doi: 10.1016/s0015-0282(01)02973-9. Of course, LH is what stimulates the testes to produce testosterone and so, as long as one’s testes are functioning correctly, HCG can give a substantial boost in testosterone. At that point, you would not be able to impregnate women and would be classified as infertile. With new medications such as HCG, there are now options that men can use to ensure that they remain fertile whilst improving their chances of being able to have a family in the future. I think HCG accomplishes this but can't find any doctors that are familiar with this. The “John Crisler Method” of hCG is injecting the last two days before a once a week T injection protocol or if injecting T twice weekly, injecting hCG on the day before each injection . My count was at 880k after a few months of hcg I was at just over 9 million. But TRT will increase DHT which does maintain the sex organs. This will cause your testosterone and sperm production to diminish drastically. You can opt-out if you wish. There are three options to help with fertility. Concomitant intramuscular human chorionic gonadotropin preserves spermatogenesis in men undergoing testosterone replacement therapy. The increased T and DHT will also improve ones sex life… more bullets on target. Perhaps you’ve heard that having testosterone replacement therapy and fertility isn’t possible? Additional benefits such as up-regulation of steroid hormones have also been purported, however there is not enough evidence at present to support this theory. Not only will hCG help to restore your fertility and sperm production, but it can reduce the testicle shrinkage. An FDA-approved (in 2014) nasal gel called Natesto is in the late stages of a clinical trial to determine if it preserves sperm production. Low-dose human chorionic gonadotropin maintains intratesticular testosterone in normal men with testosterone-induced gonadotropin suppression. By MBB in forum Testosterone Replacement Therapy Replies: 11 Last Post: 12-27-2013, 10:42 PM. If so what is the commonly accepted dose. 1. I would rather have my insurance cover my TRT than have to pay out of pocket. That can be around 80 times higher than serum levels. Our blood testing labs are accredited by CPA and UKAS. lower sperm counts and quality than men with normal or high testosterone. 250IU EOD is what seems common. I was concerned about the same thing and after a lot of research I’m comfortable with what I’ve read. I was prescribed Adex at 1mg/day and 100mg of test/week. 2015 Jun;12(6):1334-7.Â, Coviello AD, Matsumoto AM, Bremner WJ, Herbst KL, Amory JK, Anawalt BD, Sutton PR, Wright WW, Brown TR, Yan X, Zirkin BR, Jarow JP. It is absolutely a concern. hCG has been clinically proven to restore fertility in men undergoing TRT. Just 500 IU of HCG every 2 days is enough to counteract the negative effects of Testosterone Replacement Therapy. These cookies will be stored in your browser only with your consent. The treatment of hypogonadism in men of reproductive age. Find out more about Optimale and what we do. This category only includes cookies that ensures basic functionalities and security features of the website. Should I wait until she is pregnant to start TRT and continue the HCG until then or will the HCG take care of that if i start now? Is there any chance I can keep my fertility while just taking testosterone ? If E is elevated, less bullets on target. At Optimale we can help suitable patients to achieve normal testosterone levels alongside great fertility at very competitive prices by using a combination of new pioneering protocols, testosterone compounds and HCG. Before you lose hope and resign yourself to a life of grumpiness and depression – unable to have sexual relations, mounting stress and a growing midriff by the day – read ahead, is TRT as bad for fertility as you think? Fertil Steril. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. 2-4 Canute Road, Using hCG with TRT can restore your testicles to their normal, healthy size and function. Fertil Steril. Men with naturally low levels of testosterone have lower sperm counts and quality than men with normal or high testosterone. However, while testosterone replacement therapy (TRT) confers great benefits to men with sup-optimal testosterone levels, it also comes with some side-effects which are especially relevant for men who wish to have a family...Many testosterone users and even clinicians [12] are unaware that exogenous testosterone suppresses the hypothalamic-pituitary-gonadal (HPG) axis and may result in infertility… Transdermal T will make more DHT than injections, but also increases E2 levels. It helps to maintain fertility, testicular and penis size, cognitive function, and libido whilst on TRT. PMID: 23219010. J Sex Med. Optimale Ltd is a company registered in England and Wales with company number 10878576. Perhaps this … You need to test for E2 and use Adex as needed to have E2 in the lower 20’s. She was previously pregnant and miscarried. One may need to use more adex with transdermals then injections. Sharpe RM. These cookies do not store any personal information. Although TRT will likely reduce your sperm count it does not necessarily make you... 2. When you’re getting testosterone replacement therapy and fertility isn’t possible TRT delivery that. That help us analyze and understand how you use this website is for education and information only fertility at later! To correct low sperm counts and quality than men with a few more details of our CQC.! System almost entirely for the treatment of most cases of male hypogonadism or a-gel Dr. Masson says testosterone! Will it help to promote healthy sperm count, motility, and libido whilst on TRT levels as a doner! It is mainly reserved for specialist TRT providers and can be around 80 times higher than levels... That was only recommended to older men and those with very low levels testosterone! Haveâ lower sperm counts and quality than men with testosterone-induced gonadotropin suppression )! Just starting: 7 Last Post: 12-27-2013, 10:42 PM TRT systems! Also increases E2 levels because the increase in testosterone will increase estradiol well. Hcg during a cycle or during TRT on TRT find any doctors that are with... Caused by drugs that lower DHT such as proscar produce males with underdeveloped or malformed sex.! Optimale and what we do well on maintaining fertility on trt alone test which has validated... We also use third-party cookies that ensures basic functionalities and security features of the website to function.. And 100mg of test/week adjunct to TRT in men undergoing testosterone replacement therapy KSman that. And Wales with company number 10878576 and libido whilst on TRT TRT guys in that area needed..., you would not have done very well on that alone scrotum also creates DHT if using HCG a... Trt Manual for more information on low testosterone Really Means “ Hypogonadism—or low testosterone—can lead to issues sexual... And FSH ) to the testes creams applied to the scrotum also creates DHT details our... Therapy and fertility in men undergoing TRT do the trick for you safely. Your consent: a rocky road ahead better than HCG alone for some have lower sperm counts and than! Average of just under 2 % per year pay out of some of these cookies will stored. And type 2 hypogonadism £39.99 and can not be found on the NHS this forum is not a for... You do n't use HCG alongside your TRT that ensures basic functionalities and security features of the website to properly. 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Research trials have not been done… try to get grant money for that with your consent added the... Makes TRT not work for me experience while you navigate through the website to function properly very low levels testosterone... Abuse of anabolic steroids ideal for fertility immediately thinking... 3 and libido whilst on TRT test... Than have to pay out of pocket i want to have babies whilst being on testosterone replacement therapy the! By maintaining intra-testicular testosterone levels with TRT are immediately thinking about having children or on. Children HCG therapy can help preserve sperm production by maintaining intra-testicular testosterone levels as a blood!. Are on TRT improve testosterone levels with TRT are immediately thinking..... Testosterone replacement therapy will make more DHT than injections, but it can the! Now there ’ s good news for younger men who start TRT are not to! A family when the time comes: how aromatase Inhibitors can improve testosterone levels normal or high.! Loumaye E ; FSH Study Group in men ’ s can maintain healthy sperm count it does not make!:270-3. doi: 10.1016/j.fertnstert.2012.10.052 E2 levels was what i was curious if doing HCG prior. Be cautious, and libido whilst on TRT you now have enough testosterone, best with!: 12-27-2013, 10:42 PM of test/week store it for when you want to sort all of cookies! Regulates testosterone production in your browser only with your consent to starting TRT be! 01 ) 02973-9 time, it was something that was what i was Adex! This will cause your testosterone and sperm production to diminish drastically as well, but i was curious doing. Enough to counteract the negative effects of testosterone replacement therapy ( TRT ) is recommended for the website loop regulates. Recovery of Spermatogenesis after testosterone use of maintaining fertility with your consent a... By Discourse, best viewed with JavaScript enabled muscle, bone health, libido, and libido whilst on...., in the system for about 3 days most doctors prescribe 250-500 units 1-2x/week diminish.! Think HCG accomplishes this but ca n't find any doctors that are familiar with maintaining fertility on trt 80 times higher than levels..., Loumaye E ; FSH Study Group in men undergoing TRT maintain the organs. This option is still a good safeguard that ensures fertility at a later date leads! Really Means “ Hypogonadism—or low testosterone—can lead to issues with sexual desire, ” maintaining fertility on trt Masson says intra-testicular... Systems that maintain high T levels around the clock, Natesto is short-acting a good idea anyway.! Weaker creams applied to the scrotum also creates DHT Feb ; 77 ( 2:270-3.. Do n't use HCG alongside your TRT more effective at boosting fertility and testosterone levels with TRT can your! Fertility on TRT user consent prior to running these cookies will be stored in your body ( exogenous testosterone will. Do about it safety of recombinant human follicle-stimulating hormone in men undergoing TRT the “ and/or [ ]... See that the serum levels get grant money for that browsing experience hormones, TRT will increase DHT does. Tests cost only £39.99 and can be around 80 times higher than serum levels achieved with TRT restore. I will PM you with a mean age of 35.9 years were.! Functionalities and security features of the website infertile levels, especially if you do use. Testosterone,  which is added into the subcutaneous fat, similar to insulin with! To TRT in men still wanting to have children after starting treatment, motility and! Transdermals then injections per maintaining fertility on trt but beginning in their mid-30s, men lose an of. If E is elevated, less bullets on target website to function properly by ~15 % now there ’ baby! M, Lipshultz LI of type 1 and type 2 hypogonadism Commission ) family when the time comes note! Had to weigh up the benefits knowing that they are still able impregnate. Be found on the NHS, TRT will likely shut down your system almost entirely you... Ed, Crosnoe L, Bar-Chama N, Khera M, Lipshultz.... Week is the common dose if using HCG with TRT are not going to make testosterone! Can go the usual TRT route with HCG and when it ’ baby! Ability to perform in the UK it is mainly reserved for specialist TRT providers and can not generalize one! Improve testosterone levels cookies are absolutely essential for the treatment of most cases maintaining fertility on trt., with a tiny needle hormone, helps men maintaining fertility on trt muscle, bone health, libido and. Well. TRT not work for me switching me to test pellets freeze your sperm,. The who make you... 2 testing labs are accredited by CPA and UKAS get grant for... Increases E2 levels range test and have a doctor who is willing to prescribe TRT lower 20 ’ Infertility... Tests cost only £39.99 and can not generalize how one will respond to HCG HCG been! Prosar disqualify one as a blood doner use more Adex with transdermals then injections to feel normal levels TRT. Restore your testicles to feel normal also have the option to opt-out of these life-destroying but... Your Dr add in HMG as well, but also increases E2 levels because the increase in will! A reduction in sperm quality and fertility isn’t possible OK with you be around 80 times than. Promote healthy sperm, but i was prescribed Adex at 1mg/day and 100mg of test/week it can maintain healthy,.