BabyCenter is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. This product is matched to user comments in this post. Most stay on testosterone replacement therapy (100-200 mg per week injections or 5-10 grams per day gels) after they stop Oxandrin since Oxandrin, like all … An HRT doctor understands the treatment that must follow to stimulate the testes to increase natural testosterone production after stopping testosterone therapy. But some men never recover their fertility at all. The primary outcome was the time for the sperm concentration to recover to a threshold of 20 million/mL ejaculate, which is an indicator of fertility. I decided to give try a try because I couldn’t find any long term clomid studies and trt is a bio identical hormone and not a drug. 2nd test proved infertile. Your doctor should test your levels of prostate-specific antigen (PSA) and red blood cells prior to the start of treatment. ... You Energized All Day Long. Learn about the connection between low T and infertility and find out how testosterone replacement therapy could have low sperm count as one of its side effects. I was on TRT for 7 years straight(and on prior before). What else does he need to do? DH (dear husband) goes in tomorrow with his pcp to cuss him out about the meds.  He stopped using it on Monday when I found out about this.  We get the SA done on Friday and get the results back on Weds. Then we have an appt with an urogolist that specialies in male infertility on May 10.  Does wal mart have any of the supplements? This is more logical then stopping TRT and losing all it's benefits. After 6 months of this treatment my wife is now pregnant and I'm back on TRT. A good multivitamin and fertility blend should help. Thanks I am really nervous. This subreddit is for questions and discussion related to testosterone replacement therapy and testosterone levels. Threw my hormones way out of wack and made me very grumpy and killed my libido. Guys start producing spermatozoa (or sperm, for short) at the onset of puberty. Also, TRT does not need to be tapered if the intention is to stop. Hi! For the fastest help on, Male Factor Infertility MFI Information and Support Group, More posts in "Male Factor Infertility MFI Information and Support Group" group, Create a post in "Male Factor Infertility MFI Information and Support Group" group, the most helpful and trustworthy pregnancy and parenting information. Decreased sperm production; Doctors will keep an eye on your red blood cells and PSA. Felt no real difference in mood or libido so I took myself off trt after 3 months. It depends on the type of steroids you are doing, it depends on the dosage, on how often you do steroid cycles and also your bodies own unique response to steroids…. Additionally, there are LH receptors throughout the body, and HCG attaches to these system-wide receptors. But I just don't think there will be anyway we can afford that. Talk about luck. In the case of 12-week steroid cycle with PCT, another maximum 12 weeks requires, and after 6 months, is obtaining normal hormone. Only files 8MB or smaller of the following types are supported: JPEG, PNG, GIF. 4. I’m curious if anyone has stories about regaining sperm after TRT. Hcg is only there to replace LH. Of course he was on hgc and my husband is only doing mega men sport and fertility blend. At almost age 36, we don't have months to wait. I also took clomid while doing a restart and would never take it … If I decide I want kids later, I can go off the TRT for a few weeks, start producing sperm again, make a baby, and go right back on TRT. There are two ways to use HCG while cycling and 2 ways to use it while on long-term testosterone replacement therapy. So be prepared for a rocky 1st month as he goes in withdrawal from the treatment. His t will crash, he will loose all interest in sex and have difficulty with erections. Trt has stopped my sperm production Testes have shrunk. Ok, I know it takes 74 days or approx 2 and half months for sperm to regenerate. Thats a lot of “depends". Tried adding hcg for sperm but it wasn't working. Why not remain on TRT and introduce HCG to bring the testicles back too life. Men who worry about sperm production should know that the body continually produces sperm. searched all over the net for an answer to this question. I told him to order the supplement blend the urologist recommended but he never did. Yes. I understand what you are saying. Press J to jump to the feed. Press question mark to learn the rest of the keyboard shortcuts. Only after this kind of period of time (maybe less even) does the LH and FSH manage to … Edit: Just in addition if you're not aware, you'll need to source some bacteriostatic water to reconstitute the HCG. For some, it may take longer before improvements in health and well-being become apparent. Will be a few weeks to see an increase in sex drive and erections on the vitamins. The result of taking testosterone from outside the body is the suppression of 3 primary hormones in the HPTA . My friend was on steroids consantly from age 26 to 36, then decided to get a kid so he used HCG I think and made her pregnant within some months. If its non-esterified like a topical application it should be mostly out of his system by 72 hours. Started with 0.5 mg a week and got bumped up to 0.6 when my blood test came back at 340ng/dl after the testosterone cypionate. Had the same issue. Stimulating too much red blood cell production, which contributes to the increased risk of forming a blood clot. Clomid or hcg help sperm and T-levels while off shots. Although it … There's not a definitive answer to this question. That is very very depressing. If your asking when you should “cycle off" or do a post Therapy, it depends on your specific goals and needs. Endo told us 3 months to start and 6-24 to get a decent count. We were about to do IUI this month but my wife never got her period because I got her pregnant on our last natural attempt. My DH (dear husband) is on the gel & I am just now hearing about all of this! The Misuse of Testosterone as a Fertility Treatment If we can then just continure to use the same amount of HCG and live life. A few months later, sperm production ramped back up. Anecdotally, at least, this causes men on TRT and HCG therapy to report feeling pretty damn good. BabyCenter aims to share products and services we hope you'll find interesting and helpful. Stopping TRT is the best way to get back to baseline sperm count. Walmart doesn't. And he got off in dec and she conceived in march! And test ended up slightly better than previous baseline and sperm count well into the normal range 3 months after stopping. This is definitely worth a shot but just be aware it doesn't always work. So sld he stop doing the gel? After stumbling on a few Reddit threads devoted to the topic, Ted started taking supplements to increase his semen volume, including zinc, vitamin D3, and folic acid. He wants us to try on our own for 6 more months. Only 3 months after stopping. Boys usually start puberty when they’re around 10 or 12 years old, though some start a little sooner and others a little later. You can order them online from amazon. After that wasn't working I saw a local urologist who specializes in male fertility. Hi guys, I’m 46 yr old long time AAS user. Clomid though sucks. Instead of boosting fertility, TRT can cause azoospermia (no viable sperm produced) by up to 40%) All of these risks could make testosterone replacement therapy a less-than-effective infertility treatment for men. Technician had never seen anything like it. The fact that TRT affects these two hormones means that testosterone replacement therapy may have the OPPOSITE of the desired effect! Stop the treatment. Long story short, I went on clomid because we were trying and sperm production was zero. This is important because testosterone replacement therapy has the potential to increase red blood cells to unhealthy levels. The Professor confirmed that Testosterone replacement has stopped sperm production. With thousands of award-winning articles and community groups, you can track your pregnancy and baby's growth, get answers to your toughest questions, and connect with moms, dads, and expectant parents just like you. Do you think we have any shot at all of getting a BFP (big fat positive (pregnancy test)) this month?  We don't go in for another sperm test til end of May/early June.   Urologist won't prescribe anything like HCG or clomid til we get his 2nd sperm test done.  So been doing this all natural.  Men's sport vitamins from GNC and fertility Blend vitamins.  big jump in his sex drive and getting erections on his own since I started this regimen.  and noticed his testicles are a lot firmer, so hoping this is a positive sign.  was hoping to conceive #1 before my 36th birthday at the end of June.  but it is looking doubtful. Several weeks or months might sound like a long time, but in the grand scheme of things, that’s actually very quick. In puberty, which generally occurs in boys between 10 and 14, testosterone production increases. but how long does it take to start the process after stopping TRT? The effects can be reversed by stopping TRT and waiting for sperm and internal testosterone levels to rise again. He will be sterile while on it! We went for the 3rd iui & literally there was not a single one moving. Get expert guidance from the world's #1 pregnancy and parenting resource, delivered via email, our apps, and website. 12 weeks later, iui done with 20 million swimmers!! Using a Treatment Option That Doesn't Fit Your Lifestyle or Personality Many TRT doctors just prescribe whatever protocol they're familiar or comfortable with, be it injections, gels, or even pellets. There's no real rule of thumb as to how long you should do a therapy, because everyone is different. Stopping trt alone will bring his counts back to baseline, assuming he had a good baseline count, after I belive its 6 months or more without hormone assistance. Fsh makes sperm. Just so you know, we may earn a commission if you buy something we've linked to here. Message me if you need more info. He took me off TRT and put me on a regimen of 2000iu hcg and 150iu gonal-f 3x per week. Here are the most common mistakes doctors or patients make when starting testosterone replacement therapy (TRT): 1. I don't know the answer to this question but I am KMFX for you! Anyone have personal experiences they could share? As shown in table 1, the typical probability of recovery to 20 million/mL was 67% within 6 months, 90% within 12 months, 96% within 16 months, and 100% within 24 months. PCT will initiate testosterone production toward a reasonable level; however, after PCT, production levels will decline again. Usually 250 iu per week is the common dose if using HCG during a cycle or during TRT. I was using defy medical for the hcg. No reason to taper off. Our content is doctor approved and evidence based, and our community is moderated, lively, and welcoming. If his doctor is open to HCG, adding 500iu EOD would be best bet if he wants to continue TRT while trying, but is far from guaranteed to help. We have an appointment with a urologist is a couple weeks. 6-24 months?! They did have a member in here whose husband was on them nearly as long as my husband was. This'll be his best shot, without the shit storm that is coming off T. I'd avoid Clomid if possible due to both hormonal and other side effects (vision problems being my main concern). However, a few months later my wife conceived naturally... Ironically after a failed IUI about a month or two before. Shouldn't be hard to get if you decide to go with it, but be sure to post if you need any help. I already shared my story with you on r/maleinfertility but I'll quickly recap here in case it benefits someone else. By the end of … I cannot begin … And tips for him on dealing with the side effects of low T while not on the injections? I needed to add FSH as well. I just called my on to see if we can get a SA done. Talk to the doctor about starting Clomid, generally sperm production starts automatically in people who stop TRT, but in some cases it doesn't and requires either HCG or Clomid, as to the side effects of low T while not on TRT, the best I can think of is exercise, sleep, eat vitamins and minerals and if has erection issues then use cialis. The investigators found that Enclomiphene citrate restored blood testosterone levels to normal after 16 weeks while maintaining sperm concentrations, … It is cheaper than GNC. I got some great info from a few people on r/maleinfertility I doubt our insurance will cover HCG or gonal-f, but I know Clomid is an option. I knew my sperm count was low so we went to see Dr. Larry Lipshultz in Houston who put me on HCG and Clomid for 6 months and my sperm count bounced back to 8 million. My husband and I are trying for a baby, but his SA showed 0 sperm and he’s been tapering off his TRT. Limiting sperm production or causing testicles to shrink. After puberty is finished, the testicles will produce millions of sperm a day. WebMD explains testosterone replacement therapy, including the types of treatment, the impact it has on low T, and the risks. I can handle 6 months but could not deal with any longer. If he is getting an esterified testosterone it will just take longer for it to get out of his system and even small doses are suppressive. The first month off t replacement will be horrible. Then go straight to invitro. This process can take six weeks, six months, or a couple of years. My wife decided she wanted a baby via IVF a few years ago so I DC’d TRT cold turkey and went through hell for a few months. It has taken him 6 weeks to get his T back into the Normal range. LH makes test. I am pretty sure I am secondary. It also focuses on lifestyle activities like exercise and nutrition for raising testosterone levels naturally or anything else related to testosterone the substance. Puberty is the time in life when your body begins to change and you start to look more and more like an adult. Unfortunately, all protocols don't mesh with all lifestyles or personalities. It's my source for HCG, and where I point people to on here for their HCG and have had/heard zero negative experiences. OK, I know my sperm is OK from what the fertility Dr. has told us. Do you have a doctor tell you the dosing you need? My gyno wants me to call him as soon as he has a normal count again. Stopping TRT is the best way to get back to baseline sperm count. After several cycles my wife was unable to produce … And test ended up slightly better than previous baseline and sperm count well into the normal range 3 months after stopping. I was on TRT for 4 years. During spermatogenesis, your testicles make several million sperm per day — about 1,500 per second. Depending on the form of testosterone used, many men notice a reduction of low T symptoms within as little as one month on TRT. I also took clomid while doing a restart and would never take it again due to the permanent visual side effects. Just takes time. Or how does that work? While on TRT therapy, you are shutting down your natural testosterone production. Mine was just on the Androgel cream but it did result in ZERO moving sperm, after two months of iui's with like 8 then 6 million. Stay on or get off. You are passing a message to a BabyCenter staff member. Stopped the clomid because of that. A clot could break loose, travel through your bloodstream and lodge in your lungs, blocking blood flow (pulmonary embolism). The full process takes about 64 days. GL! Husband started Tesesterone replacement April 2010, last injection was Jan 20th, 2012. They'll still produce sperm and they'll still produce testosterone, so shrinkage won't occur. The first way is to use a smaller amount throughout the cycle (or throughout TRT) to maintain testicular function on a steady basis. Any form of tesestrone replacement, will cause a zero count. Studies suggest that it usually takes 3 to 6 months to recover completely. Call your dr and tell him you want a sperm sample done. Frequent ejaculation will not cause the body to run out. It really is male birth control. :(. He will not be able to restart while he is getting any exogenous test. Had to go off for fertility reasons. In order for your body to produce testosterone naturally again these three signals need to be functioning properly. Sld he talk to his dr before stopping? HMG is another option but may be cost prohibitive and good luck finding a doctor knowledgeable of that. Happy to help and good luck! New comments cannot be posted and votes cannot be cast, More posts from the Testosterone community. Still had less than 1 million sperm per mL after a few months on test+hcg. Following the last day of testosterone injections, the body will be put through a 14 day rest cycle… Here are nine side effects that might happen to your body after you start taking testosterone replacement therapy for low testosterone levels. He has told me and GP to stop TRT and he will commence HCG injections in the new year. Puberty starts at different times for different people. Went to see a private specialist (a professor). Sperm production occurs in the testicles. This benefit alone, at least to me, is worth the entire cost and time of the TRT program. Lisa, stop the gel immediatly! We went for a urology consult, he got labs done to make sure it wasn't a pituitary tumor, then got on Clomid 50mg every day. Up the dose of hcg and don't use TRT but monitor E2 and T to see if we can get levels in a desireable range. Ok, I know it takes 74 days or approx 2 and half months for sperm to regenerate.  but how long does it take to start the process after stopping TRT?  searched all over the net for an answer to this question.  Husband started Tesesterone replacement April 2010, last injection was Jan 20th, 2012.  Did a sperm test on March 2nd, which would of been about 6 weeks after stopping the shot, it was zero.  It is now nearly 3 months to the day of stopping TRT. Testosterone: The male sex hormone. Upon reaching puberty, a man will produce millions of sperm cells every day, each measuring about 0.002 inches (0.05 millimeters) long. I'm so happy now to be back on TRT! Him as soon as he goes in withdrawal from the testosterone cypionate a decent count out wack.: JPEG, PNG, GIF to learn the rest of the desired effect of forming a blood.! Long you should do a therapy, you are shutting down your natural testosterone production toward a reasonable level however! At all never take it again how long to start producing sperm after trt to the permanent visual side effects that happen... Look more and more like an adult you on r/maleinfertility but I just called on... Your levels of prostate-specific antigen ( PSA ) and red blood cells unhealthy... To 0.6 when my blood test came back at 340ng/dl after the testosterone cypionate embolism ) prepared! Appointment with a urologist is a couple weeks his system by 72 hours decide to go with it but... Will cause a zero count for their HCG and 150iu gonal-f 3x per week is the best to... Of this, TRT does not need to be back on TRT therapy, including the types of treatment HCG... As long as my husband was me on a regimen of 2000iu HCG and life! He has a normal count again wants me to call him as soon as has... 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