question from a user
If a person would take HCGs the preserve fertility, how many injections can he expect to do weekly on a combo of TRT and HCGs Also, regarding libido, a TRT clinic in my city offers apomorphine and PT-141 to treat low libido. In your expert opinions, how effective are these at treating reduced sex drive in combination with daily cialis? Would it be advisable to try these out first (under a doc's supervision naturally) before injectable TRT if the main thing one is looking to fix is low libido/ED?
AlphaMD's Answer
Someone looking to maintain fertility by using hCG while on TRT would typically dose at a minimum of 500 IUs/wk, with improving sperm levels with increasing doses up to 1000-1500IUs/wk.
PT-141 increases libido through the melanocortin pathway and apomorphine increases libido through the activation of dopaminergic and oxytocinergic neurons. Cialis increases blood flow to the genitals. So each one works differently in improved sexual function. They do each have an additive effect, so adding each additional medication would conceivably increases libido further.
If someone's primary concern is to resolve libido, it wouldn't be unreasonable to try either PT-141 or apomorphine first. Though, treatment of hypogonadism (which as we discussed earlier you meet the diagnostic criteria for) would have greater improvement on libido than PT-141 or apomorphine.
Either way, you should start with one medicine at a time. Don't start them all at once, otherwise how will you know which one actually resolved your symptoms?
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