question from a user
32 years old, not done having kids. T level at 294 with no energy, depressive tendencies and up and down libido. Doctor has prescribed me Clomid. I've done some reading and the side-effects scare the shit out of me. Doctor said this is the only thing he can prescribe me before moving to Natesto if this doesn't work. Is this accurate? Are there no other options to try for someone my age who still wants to have more kids?
AlphaMD's Answer
Many men still produce enough sperm while on TRT and hCG to get a woman pregnant.
However, you should never count on pregnancy while on TRT, with or without hCG. Exogenous Testosterone should always be considered a form of birth control.
If you are actively trying to get your SO pregnant, then the highest chance of pregnancy will be with Clomid.
But, if you are not actively trying to get someone pregnant, and just plan on having kids in the future, then TRT will be your best option.
Studies have proven that most men have return of their normal sperm count within 4-5 months of their last T shot. That timeline shortens with the use of Clomid.
TL;DR - Basically take TRT + hCG now to maintain testicular function, and then hop off TRT and use Clomid when you and your partner are ready to start trying to get pregnant.
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