fertility

* 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...

https://www.natesto.com/ Save on NATESTO® With Eligible, commercially insured patients may pay as little as $25 per month*, per claim maximums apply. THE NATESTO® SAVINGS PROGRAM IS NOT HEALTH INSURANCE. *Manufacturer Terms: The Natesto Savings Program is not health insurance. Program...

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

TRT can change your hormones — but it may also shut down your sperm. In this video, Dr. Justin Houman (MD, board-certified urologist & men’s health specialist) explains how testosterone replacement therapy affects fertility, sperm count, and testicular function, how long recovery can take, and...

https://www.aem-sbem.com/article/clomiphene-or-enclomiphene-citrate-for-the-treatment-of-male-hypogonadism-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials/ ABSTRACT Objective This study aimed to evaluate the efficacy and safety of selective estrogen receptor modulators...

* In March 2020, Federal law changed so that compounding several types of biological products, including HCG, became illegal.1 After the Biologics License Application (BLA) transition period ended, it became illegal to manufacture or market compounded HCG in the U.S. without a BLA. The FDA and...

Clomid is old news! hCG + FSH is where it's at for restoring/maintaining fertility on or off exogenous T! 500IU 3x/week will restore normal ITT. Protocol is compounded purified preparations of hCG/FSH (3000 IU hCG + 75 IU of FSH) injected subcutaneously 3X/week (M/W/F). Lipshultz reboot...

Welcome to Fertility and Other F Words, where Drs. Amy and Larry tackle fertility, sexual health, and everything in between—no topic too taboo, no question off limits. Dr. Amy Pearlman is a urologist and sexual medicine specialist dedicated to helping men and women optimize their sexual...

In this episode, Dr. Kevin Chu and Dr. Justin Dubin discuss male fertility, addressing common concerns about infertility, the importance of understanding male factors, and when to seek help. They explore the impact of lifestyle choices, smoking, and testosterone therapy on fertility, as well as...

Hey everyone, I’m 3 weeks into adding HCG (1,000 IU, 3x/week) after being on TRT (150–200mg testosterone cypionate/week) for the last 9 years. I split my TRT dose twice weekly. So far: Sperm analysis came back at zero. I’ve noticed a slight boost in energy and mood since starting HCG...

* Use of hCG+TRT suppressed LH and FSH (p<0.05), whereas CC+TRT was associated with reduction in FSH only (p=0.02). However, at 6 months, CC monotherapy was associated with significant increases in LH and FSH (p<0.001). As expected, all three treatments were associated with substantial increases...

Meta-regression analysis, using testosterone serum levels as effect of the regression, the years of sample collection as covariates and subjects’ number, age and BMI as co-factors (BMI was available for 742 study groups). Statistical details are reported in Supplementary material PODCAST...

Dr Michael Eisenberg is a professor of Urology at Stanford, a urologic surgeon, and a leading expert in male fertility and reproductive medicine. It's no secret that global population decline is accelerating, but what's driving it? Male fertility might be a major piece of the puzzle. So why...

Author Block: Michael Zitzmann, MD,PhD, FRSM, FECSM, Claudia Krallmann, MD, Jann Cremers, MD, SABINE KLIESCH, MD, Simone Bier, MD. University of Muenster, Muenster, Germany. Disclosure Block: M. Zitzmann: None. C. Krallmann: None. J. Cremers: None. S. Kliesch: None. S. Bier: None. The...

* Despite similar effects on serum testosterone and testicular volume, combined hCG/FSH appeared more efficacious than hCG alone at inducing spermatogenesis. Author Block: Christopher Alan Muir, MBBS1, Ting Zhang, PhD2, Veena Jayadev, MBBS2, Ann Conway, MBBS2, David J. Handelsman, MBBS, PhD...