Guest guest Posted November 5, 2004 Report Share Posted November 5, 2004 > > > Hello all. > > I could use your advice. I was diagnosed with primary hypogonadism > and am going for my first endo visit next week. I am in my late 20s > and have been on 10g of Androgel (from primary care doctor) for the > past few months. I still feel I don't have much energy or libido > and have heard that trying hCG would be another option especially > for fertility since I want kids later on. > > What questions/proposals/other treatment drugs like Testim, hCG, > Clomid, etc. should I bring up for my endo visit next week. > > Any help would be appreciated. Thanks. Primary hypogonadism indicates testicular failure. If the diagnosis is correct, that seriously limits the usefulness of Clomid and hcg as treatments. You'll need some form of exogenous testosterone most likely. When fertility is desired, you might be able to add hcg or hcg plus hmg to your regimen. Brad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2004 Report Share Posted November 5, 2004 Hi - Do you have any test results you can post here? It would help us to better advise. Most important - Total T, free T, LH, FSH, prolactin and estradiol. If not, get these tests when you visit your endo. Some docs will diagnose before getting all the facts. Dave K. > > > Hello all. > > I could use your advice. I was diagnosed with primary hypogonadism > and am going for my first endo visit next week. I am in my late 20s > and have been on 10g of Androgel (from primary care doctor) for the > past few months. I still feel I don't have much energy or libido > and have heard that trying hCG would be another option especially > for fertility since I want kids later on. > > What questions/proposals/other treatment drugs like Testim, hCG, > Clomid, etc. should I bring up for my endo visit next week. > > Any help would be appreciated. Thanks. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2004 Report Share Posted November 6, 2004 First I would call the Endro and ask if they treat a lot of men for all kinds of Hhpogonadism and it they test and traeat E2 Estradiol and use HCG. I have yet to find a good Endro and hope you are not wasting your time. We would be able to help you better if you posted you blood tests and ranges. It is hard to believe you are Primary at your age. But if you are then most likely you will not be able to make kids. In Primary your testis are not working. Read this link and print it and give it to your Dr. http://www.aace.com/clin/guidelines/hypogonadism.pdf Phil bigcountryar <bigcountryar@...> wrote: Hello all. I could use your advice. I was diagnosed with primary hypogonadism and am going for my first endo visit next week. I am in my late 20s and have been on 10g of Androgel (from primary care doctor) for the past few months. I still feel I don't have much energy or libido and have heard that trying hCG would be another option especially for fertility since I want kids later on. What questions/proposals/other treatment drugs like Testim, hCG, Clomid, etc. should I bring up for my endo visit next week. Any help would be appreciated. Thanks. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2004 Report Share Posted November 6, 2004 Hi, First question: Ask for a second opinion on whether the hypogonadism is primary or secondary. Because: If it's primary, your testicle cannot make testosterone. Stimulation with hCG or Clomid will not work. Therapy is usually limited to testosterone replacement such as AndroGel. I think primary hypogonadism may mean you're already infertile, ask the endo about that. If it's secondary, your testicles can make testosterone, but aren't making enough. Stimulation with hCG or Clomid can boost T production. Fertility is possible. You don't want to stay on AndroGel too long, because that can make you infertile before too long. Fertility can be confirmed by a semen analysis. Other questions: Does he regularly treat men for hypogonadism? What does he think about TRT in general? Does he believe in E2 management? What does he think should be a full range of tests? How often should tests be done? Let us know it goes. If he thinks you're fertile but won't consider hCG or Clomid. You'll probably need to find another doc. Same if his general approach to treating hypogonasim is off. Bruce > > > Hello all. > > I could use your advice. I was diagnosed with primary hypogonadism > and am going for my first endo visit next week. I am in my late 20s > and have been on 10g of Androgel (from primary care doctor) for the > past few months. I still feel I don't have much energy or libido > and have heard that trying hCG would be another option especially > for fertility since I want kids later on. > > What questions/proposals/other treatment drugs like Testim, hCG, > Clomid, etc. should I bring up for my endo visit next week. > > Any help would be appreciated. Thanks. Quote Link to comment Share on other sites More sharing options...
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