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Fertility & Testicular Atrophy on TRT - Doctor's Guide

Arnold

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Fertility & Testicular Atrophy on TRT - 12 Rules to Live by on Testosterone - Doctor's Guide

TABLE OF CONTENTS:
00:00 - Intro
02:06 - Mechanism of action for TRT and fertility changes
02:55 - Effects on the hypothalamus pituitary gonad axis
04:39 - Bodybuilders who have many children: what's going on?
05:41 - Clinical scenarios:
05:55 - Young men using steroids who want to be fertile
07:01 - History of steroid use matters: type, dose, frequency
07:50 - Medical history matters: genetics, meds, conditions
08:46 - 1st option: stop steroids and wait
09:19 - 2nd option: using meds like hCG and clomid
10:25 - 3rd option: switch to TRT & use fertility protocols
11:19 - Young middle aged man on TRT or no prior androgen use
11:53 - Young middle-aged man with no prior androgen use: could start hCG along with TRT to maintain fertility
13:28 - Reasons men who haven't used androgens can have low T
14:03 - Why most men on TRT don't use hCG & side effects
15:36 - Protocol for men who have used steroids or been on TRT (more next week!)



TABLE OF CONTENTS:
00:00 - Intro
01:10 - hCG only dose for men who have used androgens
03:10 - Possibility of adding clomid & careful use of AIs
04:11 - After 6 months: semen analysis
05:02 - Possible adjustments after 6 months
06:13 - Other agents: hMG, bravelle, follistim
06:58 - Data on hCG as a monotherapy for TRT (no actual T)
08:17 - Why I disagree with "anti-aging" doctors
09:04 - New gov't hCG regulations & why it's hard to get
09:49 - Clomid as TRT (no actual T)
09:46 - If PSA goes up: see a urologist in a center of excellence
10:43 - How long can you stay on clomid?
11:44 - Why I see men on clomid switch to TRT
12:25 - Next steps if these fertility protocols don't work
13:33 - First steps before fertility procedures
14:41 - What not to do when trying to regain fertility
15:44 - Triptorelin & gonadorelin warning
16:39 - Medical uses of triptorelin include chemical castration!

 
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