question from a user
Thoughts on using HCG + Enclomiphene in lieu of TRT for younger men with low testosterone worried about fertility?
AlphaMD's Answer
They are fine ways to improve your Testosterone level, though each has some drawbacks.
Enclomiphene isn't going to help someone with very low T & primary hypogonadism as much as someone with relative hypogonadism. Boosting your very low production, even if by a good percentage, still tends to lead to a low amount. Using this also may inhibit or lower IGF-1, which is responsible for a lot of the muscle gains/retention that you normally associate with TRT. So while the T number may be higher on paper, you would still have a different experience than if you got there with injections. This again isn't as bad when you're relative with a high baseline.
For HCG, monotherapy is going to provide you with benefits. Not as much as Testosterone + HCG would, but certainly better than nothing. It also tends to cost a significant bit more especially after this last November/December when pharmacy prices for this all jumped again.
Our opinion would be if you have primary or secondary hypogonadism & have low T symptoms, get on TRT. If you need to be on TRT & want a child in the next 6 months or a year, get on TRT & take high dose HCG while trying to have the child, then stop or greatly reduce the HCG once you & your partner are pregnant.
Any one of those are good options compared to doing nothing if you are suffering from low T, though.
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