Britman, my beginning pre-treatment levels some 2 years ago (when my problems started) were roughly the same as they are now...generally upper 400s to about 550. However, I had at the time experienced some loss of testicular volume as well as testicular softness. This is still my main issue and I'm not sure what the mechanism is other than a possible link to suspected lyme disease and co-infections or simply suppressed spermatogenesis due to my consistently meager 1.9 FSH level. I've been treating hypothyroidism for about 15 yrs and have always felt good up until 2 years ago. My thyroid numbers usually look OK so I don't think it's thyroid influenced although I'm tempted to add in more as an experiment.
Fortunately, I have had a very open-minded female doc well-versed in hormone treatments and she was willing to try me on Clomid
initially despite my low but normal T levels. Clomid
helped over the course of a couple of months. Then she switched me to HCG
(500 IUs 3x week) which bumped up my T to roughly 650-700. However, it did not cause a rebound in testicular volume. Again I'm thinking this might be related to spermatogenesis but can't be sure.
At this point, I'm ready to try HCG/T combo just to see what happens. Libido
there but diminished. Erections OK. Soft testicles are the most annoying aspect....
By the way, the Clomid didn't give me ED issues really because I was only doing about 25mg every other day (if I remember correctly) as suspended release capsules (compounding pharmacy).
Something like Androxal sounds like it would work well for me but I'd like to get a stronger libido back before that comes out if possible.....