question from a user
How often do you see HCG doing nothing to preserve fertility? I had to completely quit all TRT for 6+ months to regain my fertility. I was on 250iu twice a week along with my testosterone cypionate from the start and had essentially zero spermatogenesis. I had even tried doubling the HCG for a couple months, and then a few months of HCG only. Only stopping everything worked.
AlphaMD's Answer
Very rarely.
Many times, we have men who didn't do a semenalysis prior to starting TRT, so we cannot always be sure they were not already infertile prior to starting therapy. So without a baseline, it is hard to say.
500 to even 1000 units weekly are moderate maintenance doses, with 1000 typically being high enough some men can obtain enough fertility for conception. What is more common though is having a man on 1500 units weekly while trying to conceive.
It should be noted that it does take some time for things to spin back up, as it takes about 90 days for a sperm to mature. We typically advise starting 3-6 months with a higher dose prior to the anticipated time you're wanting high fertility.
Overall though, each man does respond differently & some may be able to have great results with less while other may need far more.
Make sure you have hCG from a reputable source and are dosed appropriately.
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