fertility

  1. 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...
  2. 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.
  3. 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...
  4. 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...
  5. 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...
  6. madman

    Surgical Techniques for Male Infertility

    Miss this guy! Dr. Ramasamy a the top of his game!
  7. 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...
  8. 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...
  9. 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...
  10. 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...
  11. 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...
  12. 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...
  13. madman

    Jumeirah American Clinic in Dubai - Top Tier Uro low-T/male infertility/sexual dysfunction

    Huge loss for anyone living in Miami! Dr. Ramasamy joined the Jumeirah American Clinic - Al Manara - Dubai- United Arab Emirates. Highly recommend for anyone seeking out treatment for low testosterone, male infertility, sexual dysfunction. https://jac.ae/services/mens-health/...
  14. madman

    Clomiphene Citrate Treatment as an Alternative Therapeutic Approach for Male Hypogonadism

    Abstract Male hypogonadism, which is characterized by low testosterone levels, has a significant impact on male sexual function, overall health, and fertility. Testosterone replacement therapy (TRT)is the conventional treatment for this condition, but it has potential adverse effects and is not...
  15. madman

    The varicocele conundrum

    In this debut episode, titled "The varicocele conundrum: Treatment strategies explored", experts discuss the complexities of varicocele, a prevalent yet often misunderstood condition affecting male fertility. Our distinguished speakers, Dr. R. Rees (GB) and Dr. V. Sahdev (GB), provide expert...
  16. madman

    Combined low-dose hCG, FSH , and T vs conventional treatment to induce virilization and fertility

    Introduction Two primary functions of mature male testis are spermatogenesis and androgen production. Both these functions are under the control of the hypothalamic-pituitary-testicular (HPT) axis. Gonadotropin-releasing hormone (GnRH) secreted from the hypothalamus acts on the pituitary to...
  17. phalloguy100

    Tips for insurance coverage of TRT and ED meds

    I see a lot of posts here from U.S. users stating that “insurance does not pay” for hCG, FSH, Trimix, and even some testosterone products. Although that may be true of some health plans, I have found that coverage is often permitted via prior authorizations and paying close attention to...
  18. madman

    Beyond the Basics: Revolutionizing Male Fertility & Vasectomy Insights - Part 2

    In the second of two parts with Dr. Kovac, we start by addressing common fears and misconceptions about vasectomies, emphasizing their simplicity, minimal discomfort, and quick recovery. Dr. Kovac provides a detailed walkthrough of the procedure, all the way from consultation to surgery. We also...
  19. madman

    Beyond the Basics: Revolutionizing Male Fertility & Vasectomy Insights - Part 1

    Dr. Jason Kovac. 14:08-19:11 (T+hCG) * a lot of times you know from a dosage point of view you need a lot less hCG when your combining it with testosterone and you could also keep things going in the background with not a lot of hCG, so you can use for example a 1000 IU of hCG once a week...
  20. obesechess

    Kisspeptin-10 Instead of HCG?

    Howdy y'all, As I've posted about in the past, I've been taking HCG Monotherapy for low T for about seven years now with good results - my last bloodwork had my total T at 707ng/dL with no change to my total weekly dosage since I started in 2017 (just tweaks to my dosing protocol)...
  21. madman

    Curved Penis? Here's What You Need to Know!

    In this episode, Dr. Rena Malik, MD and Dr. Jesse Mills explore the complexities of Peyronie's disease, discussing both conservative treatments and surgical options. They delve into therapy techniques, including penile plication and daily tadalafil prescriptions, while also emphasizing the...
  22. madman

    Is fertility-sparing exogenous T therapy a real thing?

    https://academic.oup.com/jsm/article-abstract/21/7/582/7699977 It is 2024. Direct-to-consumer testosterone replacement therapy advertisements on social media are pervasive. Academic and private practice men’s health centers are abundant. At home semen testing and reproductive health...
  23. madman

    Testosterone Use in Men of Reproductive Age

    Dr. Samplaski state-of-the-art lecture @ 79th Annual Meeting of the CUA! Brief Q&A (27:14-36:42) Brief
  24. madman

    Boosting male fertility

    https://www.bcm.edu/news/boosting-male-fertility Conversations around fertility are often centered around women. Infertility is not just an issue occurring among females; males also experience infertility. A Baylor College of Medicine urologist explains the factors affecting male fertility...
  25. C

    My fertility journey

    Hi. Long time since I have posted any.. We are now going for a second one. First one came on first try, so I am hoping for the same this time.. Crossing fingers :) Fist time: 115mg test enanthate Mon/Wed/Fri and 500IU HCG EOD (late December all the way to June (2022) when we started...
  26. J

    FSH+hCG+TRT Semen Analysis

    I was on Test Cyp 70mg 2x a week + hCG 750 IU 2x a week when I did my first semen analysis. I did the 2nd semen analysis after adding 75 IU FSH 3x a week, changing hCG to 1000 IU 3x a week, and keeping test cyp the same at 70mg 2x a week. I also tested 17-OH Progesterone LCMS at the same times...
  27. madman

    Hormonal Treatment for Male Infertility: On -label and Off- label

    12:12-21:46 Here is a summary of the "UROwebinar: Male infertility An updated work up" by the European School of Urology in 10 bullet points: Introduction to Webinar: The webinar, led by Mary Dinkan, covers the latest advancements in diagnostics and treatment of male reproductive health...
  28. madman

    New Frontiers in Men's Health

    Dr. Helen Bernie, assistant professor of urology and director of sexual and reproductive medicine at Indiana University, and Dr. Daniel Williams, professor in clinical urology, vice chair for education, and residency program director at the University of Wisconsin School of Medicine and Public...
  29. LabTracker

    Absolute minimum dose of HCG for fertility?

    Is there any data on what the minimal dosage of hcg is to keep 'the guys' working while on TRT? I'm asking this because hcg seems to rise estrogen and I'd like to keep that to a minimum. Also, I might want to have kids later but not exactly now, so I'm looking for a guideline for the minimal...
  30. madman

    Withdrawal of Approval of 23 New Drug Applications

    https://www.federalregister.gov/documents/2024/06/03/2024-12065/pfizer-inc-et-al-withdrawal-of-approval-of-23-new-drug-applications
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