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Treatment options for Hypogonadism

When I Google HGC, all I get are articles on hGC which is produced during pregnancy, indication of possible cancer cells being produced if levels increase, or a great diet protocal. What am I missing?

I am closing in on 70, was never able to grow a full beard, and have a small dick. My T level was hovering between 280 and 300 and i had beed suffering from ED for a number of years so I started TRT treatment last August with 1% T gel. My last blood test showed my T level at 765 though my FSH was low at 1.65. Last November, I was able to grow a full but thin mustache for the first time in my life and my libido is definitely up, but my dick didn’t show much change (shaft grew a little from extending and pumping) but my balls seem to have remained the same size.

What kind of success were the guys on the other forum getting from the HCG protocol?

Guys, sorry, busy as hell. Hope to address your individual questions soon. I am no way an expert on this stuff. I just had to learn stuff to try to figure out what was going on with me. I have also learned a ton from ksman from the link below

In the meantime, here is the forum about HRT I go to:

T Replacement
http://tnation.t-nation.com/free_on…s=forumIndexCat

Take a look at ksman’s threads at the top of the forum, that should get you started.


Last edited by sta-kool : 01-17-2012 at .

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Originally Posted by dtwarren1942
When I Google HGC, all I get are articles on hGC which is produced during pregnancy, indication of possible cancer cells being produced if levels increase, or a great diet protocal. What am I missing?

It is a newer treatment protocol, so there isn’t much in the way of information in the popular press. Also not every doctor knows about it. It seems to me that doctors on the west coast and east coast know more about it.

So for example, my doctor did not know about combining low dosage HCG with testosterone replacement. I talked to him about it, gave him the article I cited back in post #12 from the The Journal of Clinical Endocrinology & Metabolism. I said I felt great but have always felt like there was a “missing piece” in the way I felt now versus my old pre-testicular failure self. He called a couple colleagues on the east and west coast, and then started me on a trial.

The main thing I noticed was the mood things - more centered, calm and confident.

At some point I ran out, and there was a shortage of hCG. So I was a month or so with out. Those mood things went away.

Originally Posted by dtwarren1942
I am closing in on 70, was never able to grow a full beard, and have a small dick. My T level was hovering between 280 and 300 and i had beed suffering from ED for a number of years so I started TRT treatment last August with 1% T gel. My last blood test showed my T level at 765 though my FSH was low at 1.65. Last November, I was able to grow a full but thin mustache for the first time in my life and my libido is definitely up, but my dick didn’t show much change (shaft grew a little from extending and pumping) but my balls seem to have remained the same size.

HRT won’t make your dick grow. However, I do think I recovered size that I had lost from both disuse/low testosterone.

Originally Posted by dtwarren1942
What kind of success were the guys on the other forum getting from the HCG protocol?

Similar to what I had with mood. As ksman notes in his “Protocol For Injections,” The testicles produce pregneolone, which is important for mental function. He says : “When guys are on T without hCG and then start hCG, they report a significant improvement in mood that many attribute to restored pregnenolone levels.”

Here his full list of what hCG does when added to HRT:
http://tnation.t-nation.com/free_on…291-mcd02.hydra

Originally Posted by ksman
hCG is a water based peptide hormone can be injected to replace the lost LH hormone that TRT shuts down. Without hCG, the LH receptors in the testes are no longer getting activated. The results are:

* The testes shrink. Over time for some the testes can eventually become small undifferentiated lumps of collagen. This is drug induced organ failure. The degree of shrinking varies from guy to guy and may be more of a problem for the older guys.

* Fertility can be greatly reduced or eliminated. If making babies is important, you need to inject hCG. If hCG is not used, its use after a long time may or may not recover fertility.

* When the testes get smaller, some feel an ache in their testes 24x7. hCG injections can eliminate that pain or avoid the whole episode.

* When there is no LH or hCG, the scrotum pulls up tight to the body. This has the appearance of a pre-pubescent boy. This is not good for ones sexual self image and this also affects how women perceive you sexually. Some women get very upset when they see this maleness disappear, thus affecting their sexuality and interest in you.

* The testes are the single largest producer of the hormone pregnenolone. Pregnenolone is important for proper mental functioning, and is the precursor to all of the steroid hormones such as DHEA, testosterone, DHT, estrogen, cortisol… Injecting hCG prevents a drug induced pregnenolone deficiency and helps support the other hormones. When guys are on T without hCG and then start hCG, they report a significant improvement in mood that many attribute to restored pregnenolone levels. [If that is not the case, hCG must have some direct effects in the brain.]


Last edited by sta-kool : 01-18-2012 at .

Thanks Sta-kool. Very interesting. I did go to TNation and read several threads on HGC. I also signed up as a member to keep up-to-date. I will discuss HCB during my next visit to the Uro in about two months. I trust my balls will not shrink up in the meantime.

I got a copy of that JCEM article to my doctor a couple weeks before my regular appointment so he had a chance to read it before. My emphasis when I talked to him was brain function and mood.

I am using the Novarel brand of Human Chorionic Gonadatropin. The walgreens had it for $180.00, my insurance paid for half of it so my out of pocket was 90.00. Note that that is a 3 month supply, so it works out to about $30.00 a month, which is not too bad. My insurance pays for my testosterone as it is a generic. (I think one of the gels is going to be generic soon)


Last edited by sta-kool : 01-18-2012 at .

Originally Posted by sta-kool

My insurance pays for my testosterone as it is a generic. (I think one of the gels is going to be generic soon)

Testim and Androgel have coupons available on their web sites to cover $40 to $50 of your co-pay for twelve months.

That helps out. When I was on Androgel, I got a “Androgel Visa” card from Solvay, the manufacturer. It was basically a coupon for 50.00 off of every prescription I got.

Sta-kool thanks for all the info. I had to push my next doctor appointment back to February, which is kool because I’ll be on vacation. I’m going to copy some things from t-nation, and take a copy of “Testosterone for Life” by Dr. Abraham Morgentaler (which I still have to get myself), and hope she’s up for the challenge. She’s the best doctor I’ve ever had but she’s going to feel like she’s back in college by the time I leave.

Dr. Eugene Shippen’s book is good too on the importance of testosterone for long term health and avoiding chronic diseases. (he even has a section on the importance of testosterone in women’s health, which may really interest her). It is well documented with lots of studies, and is very readable.

His is called The Testosterone Syndrome, I think it is 12 dollars at amazon. It is a bit out of date on treatment, but very solid on the long term health problems if your test levels are not right.

I have been on HRT for about seven years. I self inject 200mg/wk. Shots are cheap, easy and quick. I am hypogonadic from a good stiff hammer shot to the boys back in 2004.


Starting stats NBPEL 6" x EG 4.125" --> Mar 2008 NBPEL 7" x EG 5.25" Current Stats 7" NBPEL x 5.6" EG (Post 1st Round PMMA)

My noose style extender modification

My jelq routine

Originally Posted by 9_in_richard
I am hypogonadic from a good stiff hammer shot to the boys back in 2004.

I haven’t stopped cringing since I first read this. Sorry, man. I hope everything else is working well for you.

Ah, I’m good. It was just one of those things. You DO NOT want to be within 15 feet when I’m swinging a hammer!


Starting stats NBPEL 6" x EG 4.125" --> Mar 2008 NBPEL 7" x EG 5.25" Current Stats 7" NBPEL x 5.6" EG (Post 1st Round PMMA)

My noose style extender modification

My jelq routine

.I don’t understand why I can’t make a new thread. I have an important question to ask. I want to know, those of you with big penises, what you’re hormonal profile is like.if you’ve ever checked them.

Sta-kool, thanks for directing me to Dr. Abraham Morgentaler’s book. It was very informative yet a really easy read. I read it between errands and still knocked it out in a weekend. I recommend anyone with questions on this topic start with this book. I was going to go to my doctor’s appointment with a gang of info, but I think this book is enough to start with.

My next read is Dr. Eugene Shippen’s “The Testosterone Syndrome.” I’m actually excited about scooping it up. Keep kicking knowledge sta-kool, I’m not done picking your brain, yet.

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