TRT and fertility

[Denise Burroughs]

Now that HCG and Clomid are no longer readily available, what is everyone using to maintain fertility in men who are on TRT?

[Leonard Pastrana]

Enclomiphene

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5009465/

 

 

 

 

[Denise Burroughs]

Thank you for responding and putting the article along with it!  Our office is able to get a SL form.  Would you start out with 12.5 mg or 25mg?  Also, what is the frequency for the SL form?  When we had PO Clomid we would do 25mg po 3x/wk.  Thank you again for your help!

[Leonard Pastrana]

We start at 12.5mg every other day and go as high 25mg daily. The majority of patients are on 25 mg 3/week.

I am only familiar with the capsule form.

[Miguel Bertonatti]

Same approach as @leonard-pastranagmail-com . The only difference is that with some patients we go as far as 50mg every other day or 3x per week. Very rare but some benefit better at these higher doses. However, you have to be careful with negative feedback loops.

[Abid Husain]

HCG ( Pregnyl ) is still available in a few pharmacies.  I source it from South Lake Compounding in Florida.  It can is more expensive than in the past but it’s still an option.

[Carlos Sanchez]

i give patients a prescription for pregnyl(HCG) and have them search good RX- You can get 10,000 units bottle  for about 120 to 150 dollars.

[Stefanie Magee]

Can you expand on HCG dosing from the compounding pharmacies?  And is there any benefit for Gonadorelin in this space? Thank you!

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