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This video covers maintaining and regaining fertility and preventing testicular atrophy on testosterone replacement therapy (TRT.) This is part of my 12 Rules to Live by on Testosterone series. In this week’s part 1, I cover why and how androgens affect fertility, why some men stay fertile, and clinical scenarios that require different treatment. Men who have no prior androgen use who wish to start TRT while maintaining fertility must be treated differently from men who have used androgens, and I discuss their different treatment options and fertility protocols. If you’re interested in fertility on TRT, watch this video!
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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!)
Stay Strong and Healthy,
Dr. O
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As the Anabolic Doc, since 2003, I’ve provided men who are using or have used anabolic steroids a confidential, ethical and professional medical venue to discuss their use. I do NOT in any way support the use of any performance enhancing drugs - PEDs, anabolic steroid or other medicine for muscle building or body transformation. The “off-label” use of PEDs, as such agents is considered illicit and may lead to adverse health outcomes. Please consult an expert health professional regarding any medical agent and do NOT use any medicine without the explicit advice and supervision of an appropriate medical expert.
This video is for education and information only. This is not medical advice. Only take medications as prescribed by your doctor. Do not take illegal substances. Taking steroids can lead to serious health consequences.
#Testosterone #TRT #Fertility #TesticularAtrophy
