question from a user
Been on TRT since November. My wife and I would like to eventually have kids but we won’t be ready to start trying for 2-3 years. I know some doctors prescribe HCG and Testosterone simultaneously to maintain sperm production, but my doctor says the best method is to just come off the Test and jump on HCG when the time comes. What are your thoughts on this?
AlphaMD's Answer
That is generally how we approach this subject as well.
From a very practical standpoint for most patients, HCG is extremely expensive. Due to a few legal changes impacting the ability to produce it a few year ago, it now costs up to 4 times as much as your average Testosterone medication for the same duration.
From a medical standpoint, it's not providing you with any other significant benefit for Testosterone since being hypogonadal usually means your innate production is low, and raising a low production of Testosterone a small amount is still a small change.
We do have some patients who want to be on HCG at all times, and we accommodate that, but the very short answer is we feel the gain vs costs really aren't in the patient's best interest, which is most important to us.
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