question from a user
I know this isn’t TRT related but I’m a 20 year old male(344 ng/dl first test done at 8:30, and 311 ng/dl done at 9 am, 2 different dates) overall healthy lifestyle. Clinic has me on clomid now vs TRT(due to age they worry about fertility) FH and FSH came back within normal ranges but total testosterone was low. What’s the benefits of clomid vs TRT, especially considering the age and would it be beneficial
AlphaMD's Answer
Clomid is a form of TRT the way we think of it, no worries.
The main benefit of Clomid is that it is a pill & that it will not really impact your fertility while on it, like they say. The main downside of Clomid is that is will impact your IGF-1 negatively which is responsible for muscle growth & muscle retention which are generally thought of as a benefit of increasing your Testosterone. It also has some potentially poor side effects.
The main downside of Testosterone injections is that they are injections & will lower your fertility while on it. This can be overcome with HCG + Testosterone to stay on TRT when you are ready to have children. The main benefit of this is that it will provide significantly more benefits and symptom relief.
Overall you should trust your symptoms. Are they intense & are you looking for more relief or benefits? Perhaps TRT is the way. If they are not & it's more about the number on paper, then perhaps you can hold off on TRT.
Either way, if you are ~300 at 20 years old you will likely be dealing with low T symptoms / ranges within a decade (generalization). If you don't intend to have children before 30, then the concern of fertility may be a factor which causes you to deal with low T symptoms until whenever you might have a child, be it 5, 10, or 15 years. Food for thought.
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