Too Much HCG / Clomid? What to Use Instead for Fertility on TRT - Ask The Doc
Summary
TLDRIn this Q&A session, a man shares his struggles with mood changes, fatigue, and testicular atrophy after 7 months of HCG and Clomid treatment for testosterone restoration. Despite initially feeling improvements, the treatment stopped working, causing mental health challenges and no sexual drive. The doctor explains that prolonged high doses of HCG can lead to downregulation, rendering the treatment ineffective. The recommendation is to switch to more effective fertility treatments involving LH analogs. The doctor urges the patient to consult with a fertility expert and undergo further tests for a proper solution.
Takeaways
- 😀 The patient has been on HCG (10,000 IUs per week) for 7 months, along with Clomid, to address testosterone-related issues.
- 😀 Recently, the patient has experienced mood changes, fatigue, loss of libido, and mental health struggles, which the doctor attributes to prolonged HCG use.
- 😀 The patient's testicles have atrophied due to long-term testosterone and HCG treatment, which is a common side effect.
- 😀 High doses of HCG for extended periods can lead to downregulation of the body’s testosterone-producing cells, reducing the effectiveness of treatment.
- 😀 Despite being on 10,000 IUs of HCG per week, the patient’s testosterone levels remain normal, suggesting that the body has stopped responding to this treatment.
- 😀 The doctor suggests stopping HCG treatment entirely and switching to testosterone replacement therapy for better results.
- 😀 The patient is concerned about fertility, and the doctor recommends consulting a fertility urologist or endocrinologist to explore options for preserving fertility.
- 😀 The doctor advises using advanced treatments, such as recumbent LH (luteinizing hormone) analogs, to improve results, as the current medications are not effective.
- 😀 A sperm analysis is recommended to assess the patient's fertility before proceeding with other treatments.
- 😀 The doctor emphasizes the importance of getting a second opinion from a specialist in fertility or endocrinology to determine the most effective course of action for the patient’s health.
- 😀 The doctor warns against using simple, inexpensive HCG treatments for long periods, as they may eventually lead to downregulation and loss of effectiveness.
Q & A
What is the primary reason the participant is using HCG and Clomid?
-The participant is using HCG and Clomid as part of a post-steroid therapy regimen. They had been using testosterone for 18 months, which caused testicular atrophy. HCG is used to stimulate the testes, and Clomid is used to help with hormone regulation.
What symptoms is the participant experiencing after being on the HCG regimen for seven months?
-The participant reports mood changes, feelings of depression, fatigue, loss of libido, and the disappearance of their muscles. They also mention struggling with mental health due to these side effects.
How does HCG affect the body when used for an extended period?
-HCG can initially stimulate the testes and restore testosterone production. However, if used for too long or at high doses, it can cause downregulation of the body's natural systems, leading to diminished effectiveness and possible testicular atrophy.
What are the typical doses of HCG that people use, and how does the participant's dose compare?
-The typical dose for HCG in post-cycle therapy is around 500 IU to 1,000 IU per week, split into smaller doses. The participant, however, is using 10,000 IU per week, which is significantly higher than the usual amount.
What is the participant's testosterone level, and how does it relate to their HCG use?
-The participant's testosterone level is reported to be between 7.6 and 31.4, which is within the normal range. However, despite the high dose of HCG, the testosterone levels are not as high as expected, suggesting that the body is becoming resistant to the treatment.
Why does the doctor suggest getting off all HCG and using testosterone therapy instead?
-The doctor recommends stopping HCG use because it has led to downregulation of the body's natural systems. The testes have become unresponsive, and the focus should shift to testosterone therapy, as it may be more effective for restoring hormonal balance.
What is the significance of the participant's prolactin levels?
-The participant's prolactin level is reported as 241, which falls within the normal range of 86 to 324. This suggests that prolactin is not a contributing factor to their symptoms, and the issue lies more with the long-term use of HCG and testosterone therapy.
What alternative treatments does the doctor suggest the participant explore?
-The doctor suggests consulting with a fertility or endocrinology specialist to explore the use of recombinant LH and FSH analogs, which are more effective and potent than the current HCG regimen. These drugs can better stimulate the testes and support fertility.
How does the doctor explain the body's response to prolonged high doses of HCG?
-The doctor explains that while HCG works initially by stimulating the testes, prolonged use at high doses can cause the body's receptors to become downregulated, leading to reduced effectiveness. This is why the participant's body is no longer responding as it did at the start of the treatment.
What advice does the doctor give regarding fertility and sperm preservation?
-The doctor advises the participant to consult with a fertility specialist, and if fertility is a concern, to consider sperm preservation before continuing with any further hormonal treatments. This ensures that fertility options are available in case the prolonged hormone therapy leads to long-term infertility.
Outlines

Cette section est réservée aux utilisateurs payants. Améliorez votre compte pour accéder à cette section.
Améliorer maintenantMindmap

Cette section est réservée aux utilisateurs payants. Améliorez votre compte pour accéder à cette section.
Améliorer maintenantKeywords

Cette section est réservée aux utilisateurs payants. Améliorez votre compte pour accéder à cette section.
Améliorer maintenantHighlights

Cette section est réservée aux utilisateurs payants. Améliorez votre compte pour accéder à cette section.
Améliorer maintenantTranscripts

Cette section est réservée aux utilisateurs payants. Améliorez votre compte pour accéder à cette section.
Améliorer maintenantVoir Plus de Vidéos Connexes

HCG Injection Log Final Update #7 and Post Finasteride Syndrome (PFS), did it Cure me?

7 Ways to Boost Your Testosterone Naturally

QNA With Jaice!

Can Men Really Test Positive on a Pregnancy Test?

11 warning signs low Testosterone|बिना टेस्ट कैसे मालूम करें - लो टेस्टोस्टेरॉन |Dr. Sunil Jindal

Selling my 2024 integra Type S?!
5.0 / 5 (0 votes)