fertility

  1. madman

    Triple Therapy Vs Conventional Treatment in Male Congenital Hypogonadotropic Hypogonadism: A Randomized Controlled Trial

    Author Block: BIONA DEVI KONSAM, DM1, Rama Walia2, Sanjay Bhadada, Professor & Head (DM Endocrinology)2, Pinaki Dutta, DM2. 1JNIMS, Imphal, IMPHAL EAST, India, 2PGIMER, Chandigarh, Chandigarh, India. Disclosure Block: B.D. Konsam: None. R. Walia: None. S. Bhadada: None. P. Dutta: None...
  2. madman

    Effects Of Clomiphene Citrate On Plasma T In Male Veterans With Central Hypogonadism With And Without Previous Treatment With Exogenous T

    Author Block: Sherman Mitchell Harman, MD, PhD1, Gurbir Gill, MD1, Garineh Ovanessoff, MD, MPH2, Gaja Andzel, MD3, JOHN MARCHETTE, PA4. 1Phoenix VA Health Care Syst, Phoenix, AZ, USA, 2Dignity Health/ St. Joseph's Hospital, Phoenix, AZ, USA, 3Be Well Endocrinology and Functional Medicine, Loma...
  3. madman

    The Facts and Unknowns on How Testosterone Impacts Prostate Health

    Is testosterone therapy a friend or a risk to your prostate? In this eye-opening episode of the Dr. Geo Prostate Podcast, Dr. Geo sits down with Dr. Thomas Masterson — a leading urologist at the University of Miami, renowned for his expertise in male infertility, sexual health, and...
  4. madman

    Clomiphene vs. Anastrozole: Which Boosts Sperm Count and Fertility in Oligoasthenozoospermia?

    Oligoasthenozoospermia refers to a male infertility condition marked by low sperm count and reduced motility. The authors begin by noting that empirical therapies—like clomiphene and anastrozole—are often used for idiopathic (unknown cause) spermatogenic dysfunction, despite limited evidence of...
  5. J

    FSH stimulates aromatization

    I've been on HCG monotherapy for a while now, and my response has been much better lately than it was years ago. E2 has always been an issue with HCG. In a recent lab, my TT was over 1000 ng/dL, while my E2 was around 65 pg/ml. I tried to control my E2 by alternating 780/500 IU of HCG EOD...
  6. madman

    Male fertility: optimizing reproductive health, treating infertility, & navigating TRT

    Listen closely this is gold! 1:13:54-Testosterone replacement therapy (TRT) & male fertility 1:35:50-Restoring fertility after prolonged use of exogenous testosterone This is part one of a two-part mini-series on fertility & reproductive health, with next week's guest, Dr. Paula Amato...
  7. Nelson Vergel

    Managing the Testosterone-to-Estradiol Ratio in Men on TRT

    Managing the Testosterone-to-Estradiol Ratio in Men on TRT Introduction Testosterone replacement therapy (TRT) in hypogonadal men often leads to an increase in estradiol (E2) levels due to the aromatization of testosterone. This alters the testosterone-to-estradiol (T:E) ratio, a metric...
  8. madman

    Meet the Men With the World’s Fastest Sperm!

    LMFAO! Winner takes home 10GZZZ! This weekend, two men competed in the world’s first sperm race in the USA, aiming to spark conversation about male fertility. In the UK, infertility affects one in seven couples, with male issues contributing to half of cases. Experts say fertility...
  9. madman

    BIGGER LOADS: Semen Taste, Volume & Confidence: The Science Behind Popstar

    Cutting edge, proprietary formula LOL! In this candid and entertaining episode, urologist Dr. Amy Pearlman sits down with Dr. Brian Steixner—board certified urologist and co-founder of ‪@popstarlabs‬ a cutting-edge supplement designed to improve semen volume and taste. Learn how the idea...
  10. madman

    Low Testosterone, Poor Sperm, and the Silent Crisis in Men’s Health

    Thinking about testosterone therapy? Before you jump in, listen to this essential conversation on the real risks, fertility consequences, and what men need to know about hormone health. Chapters & Key Moments 00:00 – Trailer: Why testosterone isn’t always the answer 00:45 – Welcome to The...
  11. madman

    Rebooting Fertility: Comparing Spermatogenesis Recovery Protocols in Vasectomized Men on Testosterone Therapy

    * All included men had demonstrated fertility prior to vasectomy. The two reboot protocols included: hCG 3000 IU three times weekly, plus either enclomiphene/clomiphene 25 mg daily or FSH 75 IU three times weekly. A negative control group of men who had undergone TESA while on concurrent...
  12. madman

    Dose-Dependent Rise in 17-Hydroxyprogesterone: Insights from hCG Therapy in Testosterone-Treated Men

    * Human chorionic gonadotropin (hCG) therapy can be co-administered with TTh to maintain spermatogenesis, testicular size, or libido, but no study has assessed associated 17-OHP levels in these men on concurrent TTh and hCG therapy. levels in men on TTh. * In our practice, hCG 1500 IU...
  13. madman

    Age, Baseline LH, and Testicular Reserve: Predicting Clomiphene Citrate Success in Men with TD

    * In men with TD, lower LH levels and higher TT levels were a predictors of CC response. Clinicians can incorporate this into their treatment discussions with patients with TD. https://academic.oup.com/jsm/article/22/Supplement_4/qdaf320.156/8375133 PREDICTORS OF CLOMIPHENE CITRATE...
  14. madman

    FSH ANALOGUES AS KEY FACTOR TO ACCELERATE AAS INDUCED MALE INFERTILITY RECOVERY

    https://academic.oup.com/jsm/article/21/Supplement_6/qdae161.205/7916870 Abstract Introduction The management of male infertility, particularly that induced by the use of anabolic androgenic steroids (AAS), presents a significant challenge in andrology and urology. Anabolic steroids are...
  15. madman

    The Importance of Male Reproductive Medicine & Surgery - Baylor College of Medicine

    Nelson's doctor!
  16. madman

    AUA Guidelines: Diagnosis and Treatment of Infertility in Men

    AUA Guidelines: Diagnosis and Treatment of Infertility in Men Co-Host: Robert E. Brannigan, MD Outline: Segment #1 Topic: New Table 1 Reviewing “Common Terms” in Semen Analysis and Update to the WHO Semen Analysis Reference Ranges Segment #2 Topic: Update to the WHO Semen Analysis...
  17. madman

    Beyond the Bedroom: The Hidden Truths of Male Fertility & Sexual Health

    In this enlightening episode of Secrets to Mindful Health, Dr. Justin Dubin discusses the often-overlooked aspects of male fertility and sexual wellness. He emphasizes the importance of male health in the context of fertility, debunks myths surrounding male infertility, and provides actionable...
  18. madman

    kisspeptin as a key neuromodulator of reproductive behavior and emotional state

    Figure 1. Effects of kisspeptin on reproductive behavior in rodents and humans. Figure illustrates the diverse roles of kisspeptin in modulating behaviors related to sexual partner preference, sexual motivation, arousal/copulatory behaviors, pair bonding, and mood (anxiety/depression) in male...
  19. madman

    Concurrent Use of TRT In Couples Trying to Conceive

    Get with the program Nelson's Excel is where it's at! We coming hard in 2025 u heard! https://news.med.miami.edu/urology-on-the-beach-highlights-advances-in-clinical-research-and-technology/ Men's Health Puneet Masson, M.D., associate professor and director of reproductive urology...
  20. madman

    Prescription Strategies for Clomiphene Citrate in Male Hypogonadism and Fertility Management

    ABSTRACT Clomiphene Citrate (CC), a selective estrogen receptor modulator, represents a valuable therapeutic option for addressing male hypogonadism and infertility. This article reviews practical approaches to CC prescription, emphasizing its use both as monotherapy and in combination with...
  21. madman

    C

    @Nelson Vergel Issue starting new thread? Had this happen back in Dec. 2024 and it is happening again. Hopefully admin can look into this when he has time, thanks.
  22. madman

    Do Male Fertility Supplements Really Work?

    In this episode, hosts Dr. Kevin Chu and Dr. Justin Dubin engage in an insightful discussion about the effectiveness of fertility supplements with expert Dr. Kian Asanad, a fellowship-trained men's health urologist at Keck Medicine of USC who specializes in male fertility and reproductive...
  23. O

    Semen Analysis Results - approx 14 months after discontinuing TRT and AAS cold turkey

    Gentlemen I had a semen anlysis done last week and I thought i would post the results. My background is that I engaged in ~8 years of steroid and TRT use. Mostly the latter in the final 2-3 years of my journey. I never did hcg consistently (nor AI for that matter) I tried essentially every...
  24. madman

    The role of LH activity in spermatogenesis

    * In HH males, the best results in terms of sperm production are achieved with the co-administration of human chorionic gonadotropin (hCG) and FSH [2, 4]. * Intratesticular testosterone (ITT) binds intracellular androgen receptors located on Sertoli cells, stimulating the secretion of...
  25. madman

    Surgical Techniques for Male Infertility

    Miss this guy! Dr. Ramasamy a the top of his game!
  26. madman

    T/E ratios in Fertile and Subfertile Men

    * This is the largest study to date characterizing testosterone to estradiol ratios in men presenting for fertility evaluation. We validated the 10/1 ratio that was previously established as the 20th percentile for fertile men. OBJECTIVE To validate the established normal testosterone to...
  27. madman

    Spermatogenesis induction

    This is gold really enjoyed this one! Worthy of a sticky! Spermatogenesis Induction: A Comprehensive Guide to Male Fertility Treatment Professor Dimitrius Goulis delivers an expert overview of when and how to induce spermatogenesis in men with hypogonadism Introduction Male...
  28. madman

    Beyond the Semen Analysis: New Tests of Sperm Function

    Larry I. Lipshultz, MD, Professor of Urology and Chief of the Scott Department of Urology’s Division of Male Reproductive Medicine and Surgery at Baylor College of Medicine in Houston, Texas, critically examines the limitations of traditional semen analysis in evaluating male infertility and...
  29. Vitamin_C

    Able to wife pregnant

    42-year-old male, I have been on TRT for 10 years at 180mg/week; I have also used HCG throughout at 1000 IU/week, split into two doses. My wife and I are having our baby girl tomorrow, so it is entirely possible to conceive while on TRT; I am a big fan of utilizing HCG as well. I was prepared to...
  30. madman

    Evaluating the Impact of Clomiphene Citrate Use Prior to Varicocelectomy on Fertility Outcomes in Men With Infertility shape

    Evaluating the Impact of Clomiphene Citrate Use Prior to Varicocelectomy on Fertility Outcomes in Men With Infertility shape Duan, M1; Saffati, G1; Orozco Rendon , D1; Hinojosa-Gonzalez, D1; Kronstedt, S1; Khera, M1 1 - Baylor College of Medicine Introduction Varicoceles and hypogonadism...
  31. madman

    Optimal Restoration of Spermatogenesis Following Testosterone Therapy Using HCG and FSH

    * We performed a retrospective cohort study and identified 288 patients prescribed injections of 3000 IU HCG three times a week (TIW) and 75 IU FSH TIW from January 2020-March 2024 (we termed this therapy “reboot”). * Our final cohort included 77 patients meeting these strict criteria, 50 of...
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