Doc said absolutely no to hCG!

[ASaxon]

Talked to my endo today after my MRI came back negative. He recommended TRT and gave me the option of gels or injections.

I asked him about hCG to preserve my fertility and he said he would absolutely NOT prescribe that. He said that TRT might make me temporarily infertile but he added that as long as there was no further damage to the testicles that if I were to stop TRT then sperm production would begin again but it could take up to a year. He compared it to a woman on birth control hormones, same basic thing. He did say that theres no guarantee that fertility will come back but since we think my hypogonadism is due to injury from my surgeries that if Im fertile now then he would think that fertility would be restored in the future by stopping TRT. He also said that hCG could be used later to restore fertility at such time as I wanted to come off of TRT.

He called me back later after talking to one of his Urologist associates that deals with fertility in men and they told him that hCG would not be recommended in my situation. Well, at least my endo got a second opinion on his opinion which means at least hes questioning himself.

He finally recommended that if I wanted some insurance about future fertility that I should consider banking some sperm just incase I loose fertility permanently.

My impression...

I know a lot of people do straight Testosterone Replacement without hCG and are successfully treated so I dont mind this approach to start with. I may have problems getting this guy to look at E2 and manage it so I might have to go OTC and do the tests myself, at least until I get a more experienced doc involved.

Ill be banking some sperm for insurance. I dont want to find myself in a situation five years form now where I want children but cant because I wasnt smart enough to bank some sperm when I could.

I will probably try to find another doctor to get a second opinion while I start Testosterone but I doubt that I will find one that has experience with male HRT so itll probably just be a waist of time. Im gonna ask my primary care physician what they think, hes pretty progressive but might not feel he has the knowledge to manage my HRT. Ill see if hes open to being consulted by another doc (HRT specialist...Swale?)

Well, Im starting down the road you all seem to have been dealing with for years. Im not looking forward to the trouble Ill likely find but Im hoping that I will see results even with the treatment that I will get in my current situation.

 

[SWALE]

Well, it's just that neither one of them have any real knowledge of TRT.

 

[masterpp]

thats exactly what my endo said to me

my endo said that their is nothing which preserves fertility (which we all know is false).
mate if HCG works, use it is the impression im getting. testicular damage can be degenerative, so either dont use trt of use it with hcg is my impression.

 

[thefantom1]

Print this out and ask your endo to read it.. maybe he can do a consult with Swale... its the second post where the .doc file is attached..

https://thinksteroids.com/community/threads/19856

 

[pmgamer18]

Well, it's just that neither one of them have any real knowledge of TRT.

I feel like a broken record when I say this but here it goes. Your Endo getting a second opinion from a Uro is like a blind man asking a blind man to help him accorss the street. I have seen 7 Endo's in the last 21 yrs. and not one of them was worth his salt on Low T. Find a new Dr. or ask your primary care Dr. to read Dr. John's TRT: A Recipe for Success and his Hgc Update. I did this and it helped. Or get your Dr. to do a consult with Dr. John and this way he will learn how you treat you.
Any Dr. that will not think E2 is a problem is useless for Low T.
Phil

 

[Stump]

I feel like a broken record when I say this but here it goes. Your Endo getting a second opinion from a Uro is like a blind man asking a blind man to help him accorss the street. I have seen 7 Endo's in the last 21 yrs. and not one of them was worth his salt on Low T. Find a new Dr. or ask your primary care Dr. to read Dr. John's TRT: A Recipe for Success and his Hgc Update. I did this and it helped. Or get your Dr. to do a consult with Dr. John and this way he will learn how you treat you.
Any Dr. that will not think E2 is a problem is useless for Low T.
Phil

Phil, where can I get the HCG update you mentioned. I have printed out the Recipe for Success for my Doc but would like the HCG update as well. Thanks.

 

[ASaxon]

Its at Dr. Crislers website (www.allthingsmale.com) at the bottom of the page...its titled HCG Update

 

[ASaxon]

Pmgamer,

and Ive heard you say it over and over and youre right overall. Unfortunately, getting a doctor willing to do the latest in TRT is easier said than done. I am going to talk to my PCP before starting with this endo doc and see what hes willing to do but if hes not willing to do anything then I think its better to be on TRT w/o hCG and argue with him about E2 and hCG than spending a year or two without TRT trying to find a local doctor that will treat me under Swales protocol. :-( Its not a win-win but at least its something, I may not feel absolutely the best I can but I think that since Im not totally relying on the doc for my care (i.e. Im going to do my own tests if I have to) then I think Ill make progress over my current state.

I do hear you though, Im looking...but Im not willing to wait to find that special doc before starting treatment and I cant afford to go across the US to see Swale. So my best options are what are in my hand rather than whats in that bush.

 

[RitchieC]

Just buy the stuff yourself and follow Swale's protocol....the stuff isn't that hard to find, and it's downright cheap.

 

[cpeil2]

getting a doctor willing to do the latest in TRT is easier said than done.

Primary care docs, e.g. family practice and internal medicine, tend to be more open-minded than uros and endos. Anti-aging docs are good also if they're experienced. In addition to there being an awful lot of inexperienced anti-aging docs around, another drawback to anti-aging docs is that a lot of them target affluent patients so that they're ungodly expensive.

 

[prot]

Just buy the stuff yourself and follow Swale's protocol....the stuff isn't that hard to find, and it's downright cheap.

my thoughts exactly

 

[pmgamer18]

Phil, where can I get the HCG update you mentioned. I have printed out the Recipe for Success for my Doc but would like the HCG update as well. Thanks.

It is here at SWALES site.
http://www.allthingsmale.com/
Phil

 

[Stump]

Got it. Thanks.

 

[SWALE]

"...another drawback to anti-aging docs is that a lot of them target affluent patients so that they're ungodly expensive."

Is that how they do it? Dang! I need to raise my fees.

 

[mranak]

"...another drawback to anti-aging docs is that a lot of them target affluent patients so that they're ungodly expensive."

Is that how they do it? Dang! I need to raise my fees.

I'm sure that if you moved to some big liberal city, then you could charge very large amounts of money. But there are obvious drawbacks.

I see you are quoting people the old fashioned way now. Oh well. We're just happy when you find some time to post to the board and get a little bit more knowledge out of you.