Recovered after 8 years on TRT

Hello gents, here is my update so far little over 4months into recovery. August of this year the wife and i landed at a fertility clinic and began the process. I knew it was going to be bad news for me but was hopeful to an extent. Started TRT/Test cycles at 35-36 and never came off. Never used any AAS before hand. Though naive i ran HCG 250IU 2x/week religiously for those 8 years.Very brief cessation when a source would run dry or get busted but nevertheless pretty consistent use. Set up a semen analysis(SA) and came back with a complete and utter sterile sample. Not a single swimmer. 0.Ziltch. That was a gut punch as i had guessed i'd be in the 2-5millon range but not zero'd out. Off to meet the reproductive urologist i went.

Took my last shot 10/10/22 and met with the urologist. Exam of my sack and ultrasound right off the bat, wasn't ready for that one! He found no issue on ultrasound but thought they looked atrophied a bit on the gross examination. I guess i'd been dealing with them for 8 years at that size and didn't feel they'd shunk, weren't raisins thats for sure. As you can imagine he was also less than thrilled with my 1400ng/dl Total Test count(our first visit i had no idea they'd be drawing blood so i didn't abstain from a shot that week). He had me come off everything and run a clomid/hcg combo. 25mg day/clomid- 2500 i.u of HCG 3x/week.

1 month later i had a total test of 377 and LH and FSH were back online! Didn't feel great and seeing the number kinda made it worse. Its a huge jump to go from 1400 to sub 400 in a months time.Especially as my TRT dose(self rx) was between 150-180mg on average and my blasts were 500-600mg in the summer.

At the 4th month mark i went in for another SA and blood work. Total test 406 and jumps in LH+FSH, E2 17.5 HCT 42, all within range albeit a bit low on the test side. SA came back at 29 million(anything above 20 is idea) 72% motility(42 and above good),morphology good as well. Was pleasantly surprised to get the good news. Have to drop off 1 more SA in a month to compare and got the ok to freeze too! Wife will be doing IVF soon and hopefully once she's on her way and i've got sperm frozen i can get back on TRT!

So for any of you on the fence about coming off after a long time or those in a time constrained situation to have children: It's possible and not very hard. I envisioned some god awful time in my head but i really hasn't been so bad. I'll list some of the sides below just as my experience.

Clomid sides:First month is tough as your body is cleared the esters and total t is in the tank. Overall didn't lose any size or strength the first month and leaned out considerably which was cool. 2nd month i started to notice a dip in strength and a slightly softer appearance. Months 3-4 were basically the same, slight dips in strength and noticing my obliques are definitely softer. Gym motivation still good, still getting 5-6 days in a week and most are good ones. I dont quite push as hard now as i dont have the recovery TRT afforded me. Actual side effects are pretty minor but noticeable. My sleep has been terrible. Very light sleeping that often leads to 2-3 wake ups a night. Researched a women's forum and this one is mentioned a bunch. So i go to bed 1-2 hours early now to offset the sleep deprivation. I also get hot and cold throughout the day and usually the worse while sleeping and waking.That's been a constant the last 2 months. Sex drive is low but my SHBG is high from the clomid and is to be expected as per urologist. Performance wise i never experienced any ED thank god..just the desire isn't there like it was on TRT.

I was offered Natesto which is the intranasal test you apply 2-3x a day but declined so far. I basically feel if i start to feel any benefit from it i'll likely be tempted to needle my ass with the good stuff and then i'd be back to square one! It's very reassuring knowing i've got 15 vials of cyp+enanth waiting for me once this is all over. I'll also have the option of doing true TRT through the urologist once he weans me off the clomid, which would be ideal!

So i know this was a bit long winded but its the story so far. Hope some of you on your own journey to recovery/fertility find this helpful!
 
Congrats!

How long did you run the clomid/HCG combo? You told us how much but not how long it continued.

And HCT 42? Is that hematocrit? Wow. I'd guess most of us are well above 50 from hormone abuse.
 
Congrats!

How long did you run the clomid/HCG combo? You told us how much but not how long it continued.

And HCT 42? Is that hematocrit? Wow. I'd guess most of us are well above 50 from hormone abuse.
Thank you sir. I started the clomid/hcg combo about 2-3 weeks after my last shot. I had some Clomid from a failed restart when the pandemic began so i used that up first. Im still on the clomid/hcg combo as per the urologist orders. I believe they'll keep me on it until the mrs. is into the 2nd trimester. She has a telehealth apt tomorrow so well get more info then.

Yes, HCT is an abbreviation for Hematocrit. During my TRT run i usually sat at 50-52 and donated blood 1-2x a year. However this last year i was at 54.9 on the first blood draw before quitting the TRT. Immediately did a double red donation as soon as i got those results! Next panel i was at 50, then 45, and finally 42. That was my only real side effect from the TRT was the elevated hematocrit and hemoglobin. Im going to have to be very mindful of that once i return to TRT. Im hoping the urologist will take my case on and monitor me. Some say elevated H&H isn't that serious and others make it seem like impending doom is near!
 
Hello gents, here is my update so far little over 4months into recovery. August of this year the wife and i landed at a fertility clinic and began the process. I knew it was going to be bad news for me but was hopeful to an extent. Started TRT/Test cycles at 35-36 and never came off. Never used any AAS before hand. Though naive i ran HCG 250IU 2x/week religiously for those 8 years.Very brief cessation when a source would run dry or get busted but nevertheless pretty consistent use. Set up a semen analysis(SA) and came back with a complete and utter sterile sample. Not a single swimmer. 0.Ziltch. That was a gut punch as i had guessed i'd be in the 2-5millon range but not zero'd out. Off to meet the reproductive urologist i went.

Took my last shot 10/10/22 and met with the urologist. Exam of my sack and ultrasound right off the bat, wasn't ready for that one! He found no issue on ultrasound but thought they looked atrophied a bit on the gross examination. I guess i'd been dealing with them for 8 years at that size and didn't feel they'd shunk, weren't raisins thats for sure. As you can imagine he was also less than thrilled with my 1400ng/dl Total Test count(our first visit i had no idea they'd be drawing blood so i didn't abstain from a shot that week). He had me come off everything and run a clomid/hcg combo. 25mg day/clomid- 2500 i.u of HCG 3x/week.

1 month later i had a total test of 377 and LH and FSH were back online! Didn't feel great and seeing the number kinda made it worse. Its a huge jump to go from 1400 to sub 400 in a months time.Especially as my TRT dose(self rx) was between 150-180mg on average and my blasts were 500-600mg in the summer.

At the 4th month mark i went in for another SA and blood work. Total test 406 and jumps in LH+FSH, E2 17.5 HCT 42, all within range albeit a bit low on the test side. SA came back at 29 million(anything above 20 is idea) 72% motility(42 and above good),morphology good as well. Was pleasantly surprised to get the good news. Have to drop off 1 more SA in a month to compare and got the ok to freeze too! Wife will be doing IVF soon and hopefully once she's on her way and i've got sperm frozen i can get back on TRT!

So for any of you on the fence about coming off after a long time or those in a time constrained situation to have children: It's possible and not very hard. I envisioned some god awful time in my head but i really hasn't been so bad. I'll list some of the sides below just as my experience.

Clomid sides:First month is tough as your body is cleared the esters and total t is in the tank. Overall didn't lose any size or strength the first month and leaned out considerably which was cool. 2nd month i started to notice a dip in strength and a slightly softer appearance. Months 3-4 were basically the same, slight dips in strength and noticing my obliques are definitely softer. Gym motivation still good, still getting 5-6 days in a week and most are good ones. I dont quite push as hard now as i dont have the recovery TRT afforded me. Actual side effects are pretty minor but noticeable. My sleep has been terrible. Very light sleeping that often leads to 2-3 wake ups a night. Researched a women's forum and this one is mentioned a bunch. So i go to bed 1-2 hours early now to offset the sleep deprivation. I also get hot and cold throughout the day and usually the worse while sleeping and waking.That's been a constant the last 2 months. Sex drive is low but my SHBG is high from the clomid and is to be expected as per urologist. Performance wise i never experienced any ED thank god..just the desire isn't there like it was on TRT.

I was offered Natesto which is the intranasal test you apply 2-3x a day but declined so far. I basically feel if i start to feel any benefit from it i'll likely be tempted to needle my ass with the good stuff and then i'd be back to square one! It's very reassuring knowing i've got 15 vials of cyp+enanth waiting for me once this is all over. I'll also have the option of doing true TRT through the urologist once he weans me off the clomid, which would be ideal!

So i know this was a bit long winded but its the story so far. Hope some of you on your own journey to recovery/fertility find this helpful!

Good luck to you and the wife! My story is very similar and I know all to well what awaits you with your IVF journey. My urologist who was initially my fertility doc is now my trt doc. Best wishes to you guys!
 
Good luck to you and the wife! My story is very similar and I know all to well what awaits you with your IVF journey. My urologist who was initially my fertility doc is now my trt doc. Best wishes to you guys!
Very cool, knew i wasn't all alone in this haha.Thank you very much sir for the well wishes.
 
It's a rough patch to come off and make a baby... I did it and pretty much as quickly as possible. I had zero swimmers after being on TRT for 2 years even with HCG twice a week. 4 months after my last shot my wife was pregnant... HCG 1000iu E3D for 3 weeks starting at the last shot then 25mg of Clomid EOD for 3 weeks. My son was born last week.

I lost 30 pounds and got Covid right as I was coming off so it was huge pain in the ass. I regained the 30 pounds after going back on TRT and running a 400 test + 250 primo cycle for 10 weeks. I've held onto all of it back on TRT (real TRT, not bodybuilder cruising).

My total test was only 300ng/dl but I made a baby. The reason I'm on TRT in the first place.
 
It's a rough patch to come off and make a baby... I did it and pretty much as quickly as possible. I had zero swimmers after being on TRT for 2 years even with HCG twice a week. 4 months after my last shot my wife was pregnant... HCG 1000iu E3D for 3 weeks starting at the last shot then 25mg of Clomid EOD for 3 weeks. My son was born last week.

I lost 30 pounds and got Covid right as I was coming off so it was huge pain in the ass. I regained the 30 pounds after going back on TRT and running a 400 test + 250 primo cycle for 10 weeks. I've held onto all of it back on TRT (real TRT, not bodybuilder cruising).

My total test was only 300ng/dl but I made a baby. The reason I'm on TRT in the first place.
How much test/week did you used for trt, and also, did you cycled aas before?

I'm interested in this because I want a baby too in few years, currently I'm at 250test/week
 
It's a rough patch to come off and make a baby... I did it and pretty much as quickly as possible. I had zero swimmers after being on TRT for 2 years even with HCG twice a week. 4 months after my last shot my wife was pregnant... HCG 1000iu E3D for 3 weeks starting at the last shot then 25mg of Clomid EOD for 3 weeks. My son was born last week.

I lost 30 pounds and got Covid right as I was coming off so it was huge pain in the ass. I regained the 30 pounds after going back on TRT and running a 400 test + 250 primo cycle for 10 weeks. I've held onto all of it back on TRT (real TRT, not bodybuilder cruising).

My total test was only 300ng/dl but I made a baby. The reason I'm on TRT in the first place.
Not like it's my business, but did you have a boy or girl? I always wonder if AAS users of years are more prone to having male or females...

TBH I really haven't looked into this. I have been using AAS for 6 years now, official RX TRT for 2 years, abused orals but never ran crazy high doses of anything...

But I def want a couple boys and a girl sometime soon.
 
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