fertility

The top threads on Gonadorelin were several years old, so forgive me if I am asking something that has been discussed already. I was prescribed Gonadorelin by my clinic, taking 0.5ml two times a week. Within 10 days, my testicular size completely returned after being on TRT for 18 months. My...

What Men on TRT Really Need to Know Curated By Nelson Vergel | ExcelMale.com | Updated March 2026 Key Takeaways • Masturbation does not cause long-term drops in testosterone -- this is well-established in the research. • Moderate masturbation is generally neutral to...

Does anyone know the dose for L-carnitine if taking IM or SubQ to improve semen parameters specifically morphology? On the Huberman podcast, he says "1 mig a day" but he must have misspoke. Does anyone know? Sperm Health and Male Fertility: What Every Man Needs to Know If you’re a man...

* Enclomiphene is one of two stereoisomers of clomiphene, the other being Zuclomiphene. Whilst zuclomiphene is more oestrogenic, enclomiphene is more anti-oestrogenic. Zuclomiphene is generally antigonadotropic due to its effects on oestrogen receptors, which leads to a subsequent reduction in...

In this episode, Dr. Kevin Chu and Dr. Justin Dubin delve into the American Urological Association (AUA) guidelines for male fertility. They emphasize the importance of concurrent evaluations for both male and female partners during infertility assessments, highlighting that these guidelines are...

Mohit Khera's personal experience with enclomiphene HPTA Conclusion

Hi, first time posting - had lots of value out of these forums and read most of the stickied and recommended logs for fertility restoration following TRT. Wanted to set out where I'm up to so far and history to (hopefully) get some advice or at least perspectives from the community. Also just to...

Take home message

HYPOGONADISM

This is critical! * Masterson emphasizes the importance of establishing a baseline semen analysis in men considering or already receiving testosterone therapy, as exogenous testosterone commonly suppresses sperm production and can complicate later fertility evaluation. * Explores the growing...

About the YO Home Sperm Test The YO Home Sperm Test is a private, easy way to assess sperm quality at home—no lab visit or mail-in required. Over 97% accuracy. Measures sperm concentration, motility, progressive motility, motile sperm concentration, and progressive motile sperm concentration...

Must listen for anyone interested in fertility especially when using exogenous T! * Why lab work and semen analysis interpretation require true infertility expertise In this exciting episode of Fertility and Other F Words, Dr. Amy Pearlman and Dr. Larry Lipshultz are joined by two leaders...

* Despite effective medical therapy with dopamine agonists and prolactin normalization, over 20 % of men with prolactinomas will remain with hypogonadism. * There are two suggested mechanisms for hypogonadism: central suppression of the hypothalamic-pituitary-gonadal axis caused by elevated...

Hi EM crew, This is my first post, so apologies if I do it incorrectly. Long story short I have been on self prescribe trt for 3 years due to low t and endos in Australia would not help me. I’ve messed around with nandrolone and for the last year using 50mg test and 150 nandrolone. I feel...

Is erectile dysfunction (ED) a sign of male infertility? Not always — but it can sometimes point to underlying issues that affect both sexual health and fertility. In this video, Dr. Mike Hsieh, a urologist specializing in male reproductive health, and Dr. Jamie Stanhiser, a fertility specialist...

* The discovery of kisspeptin neurons in the early part of this century revolutionized our understanding of reproductive regulation. These neurons project to and control GnRH neuronal excitability. More recently, arcuate kisspeptin neurons (KNDy) have been identified as the command neurons...

Dr. Ramasamy! 10:24- 12:03 (Case report Isotretinoin) https://pmc.ncbi.nlm.nih.gov/articles/PMC12619667/ Clomid, Gonal F, HCG, Letrozole for oligospermia and low sperm count

* Finally, Bernie noted unresolved controversies in the field, including the optimal duration of fertility-preserving therapies, long-term outcomes of hybrid regimens combining testosterone with hCG, and best practices for sperm recovery after prolonged testosterone exposure. She emphasized the...

* Fertility preservation remains an important consideration in the management of hypogonadal men. While exogenous testosterone therapy effectively alleviates symptoms, it suppresses the HPG axis and impairs spermatogenesis. Alternative therapeutic strategies—including short- acting formulations...

Background to question: There are primarily 2 indications for using medication to increase LH stimulation of the testes during TRT: 1. Preservation of spermatogenesis (Fertility) 2. Preservation of intrinsic testicular production of testosterone (and estradiol) (avoidance of testicular...

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https://academic.oup.com/jsm/article/22/Supplement_4/qdaf320.053/8375197 https://www.vumedi.com/video/a-novel-combination-therapy-for-testosterone-deficiency-clomiphene-citrate-with-oral-testosterone-un/

* “While testosterone certainly influences libido and general sexual well-being, its role in erectile function is less direct. Erections depend primarily on vascular and neurological integrity,” Zitzmann notes. * “When men present with sexual complaints — especially erectile dysfunction —...

Enclomiphene can boost testosterone while preserving fertility. Board-certified urologist Dr. Justin Houman explains enclomiphene vs clomiphene and TRT, dosing, results (150–200 point T rise), side effects, labs, and who should use it. If you’re a younger guy with low T who still wants kids...

Step into the origins of modern men’s health and testosterone therapy with Dr. Alex Tatem as he sits down with his mentor, Dr. Larry Lipshultz — the pioneer behind male fertility surgery, testosterone research, and advanced hormone therapy. In this powerful conversation, they discuss: * How...

Semen analysis, hormonal and genetic testing! We spoke to our Patron, Professor Allan Pacey, who is one of the world's leading experts in male fertility about what actually makes a difference. We covered diet, smoking, vaping, alcohol, weight, supplements, extra tests, hot baths, tight...

Long overdue! * Clomiphene is a selective oestrogen receptor modulator that could stimulate testosterone secretion from the testes and boost spermatogenesis. Data from small randomised trials and observational studies suggest some benefit of using it to improve semen parameters in affected men...

https://www.cfspharmacy.pharmacy/enclomiphene-capsules Where we ship

Str8 from the master blaster! Dr. Lipshultz! Summary of Clinical Practice Implementation Life-Style Changes to Increase T