Clomid, follistim, and ovidrel iui success

Here we go again

2024.05.15 16:11 Hopeful_Nebula_2636 Here we go again

TW: mention of success I just need to rant
Here I am, back again. In 2022 after 4 years with unexplained infertility, countless failed medicated cycles, 2 failed IUI’s and 1 failed transfer, we finally had our miracle girl. We decided pretty quickly after she was born that we wanted one more, and started trying when she was about 6ish months old. Well, she’ll be turning 2 in 2 months and guess what - nothing. I don’t know why I’m surprised. I had so many people telling me “my friend Betty had what you had and after she had one baby she never had a problem getting pregnant!” I guess I just let the hope get to me. We do have blasts in the freezer, but I guess I was just hoping for a miracle so I wouldn’t have to do that again. Currently staring at a stark white pregnancy test once again. Silly me.
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2024.05.15 15:57 cola_zerola Current ER Numbers and Progression

Hi friends, I’m back with the daily dose of anxiety and pestering you guys with my questions!
I’m 35, AMH 0.86, AFC 7, in my first stim cycle. I went in for my monitoring appointment this morning (stim day 10, have completed 9 days of Follistim and 5 days of Ganirelix, also took Clomid).
Here is my progression. These are my follicles and measurements in millimeters:
•Today, stim day 10, right: 24, 18, 14, 14, 11, 11, 10
•Today, stim day 10, left: 16, 11
•Monday, stim day 8, right: 19, 15, 11, 11, 9, 8
•Monday, stim day 8, left: 13, 9
•Friday, stim day 5, right: 13, 11, 8, 7
•Friday, stim day 5, left: 9
They’re expecting the 24mm on the right to not be present once it’s showtime. They’ll let me know later what the plan is, but my nurse is guesstimating that I’ll trigger tomorrow night and retrieve Saturday (today is Wednesday).
Does anyone else have any success stories with these types of numbers? I know the nurse was trying to curb my expectations, but she said she was thinking I’d probably only have 4-5 eggs to retrieve, even with these numbers.
Thank you all, and I wish you all lots of luck with whatever stage you are in!
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2024.05.15 13:25 drchitra What are some common infertility treatment options available?

Infertility can be a challenging issue for many individuals or couples, but fortunately, there are several treatment options available. The choice of treatment depends on various factors including the cause of infertility, the age of the individuals involved, personal preferences, and medical history. Here are some common infertility treatment options:
1. Fertility Medications : These medications stimulate ovulation in women or improve sperm production in men. They are often the first line of treatment for infertility and may be used alone or in conjunction with other treatments.
2. Intrauterine Insemination (IUI) : Also known as artificial insemination, IUI involves placing sperm directly into the uterus around the time of ovulation to increase the chances of fertilization.
3. In vitro Fertilization (IVF) : IVF is a procedure where eggs are retrieved from the ovaries and fertilized with sperm in a laboratory. The resulting embryos are then transferred into the uterus. IVF may be recommended for various causes of infertility, including tubal issues, endometriosis, male factor infertility, and unexplained infertility.
4. Intracytoplasmic Sperm Injection (ICSI) : In cases of severe male factor infertility, where sperm quality or quantity is low, ICSI may be used during IVF. With ICSI, a single sperm is injected directly into an egg to facilitate fertilization.
5. Donor Eggs or Sperm : For individuals or couples with severe infertility issues, the use of donor eggs or sperm may be an option. This can allow conception when one partner has compromised fertility or in cases of same-sex couples.
6. Surrogacy : In cases where a woman cannot carry a pregnancy to term due to medical reasons, surrogacy involves another woman carrying the pregnancy on behalf of the intended parents.
7. Lifestyle Changes : In some cases, making lifestyle changes such as achieving a healthy weight, reducing alcohol consumption, quitting smoking, and managing stress can improve fertility.
8. Surgery : Surgical procedures may be recommended to correct anatomical issues that contribute to infertility, such as blocked fallopian tubes or varicoceles in men.
9. Assisted Reproductive Technologies (ART) : ART encompasses various fertility treatments including IVF, ICSI, and others. These technologies are often used when other treatments have not been successful.
It's essential for individuals or couples experiencing infertility to work closely with a reproductive endocrinologist or fertility specialist to determine the most appropriate treatment plan for their specific situation. Treatment plans are highly individualized and may involve a combination of different approaches.
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2024.05.15 03:51 No_Humor2286 Ovulation chances?

I had my iui ultrasound on 5/10 and it came out as I have developed cyst on my left ovary so I can’t proceed with ovidrel shot. There were no follicles grow as per the nurse however I got a positive on OPK the day after. Do I still have a chance to conceive naturally?
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2024.05.15 02:33 HeyHeyVegaStar IVF Cycle 1 / Insurance Issues

Hello everyone, I’m not sure if this is more of a rant or if anyone can provide advice.
I have PCOS and my husband and I were diagnosed with unexplained infertility 18 months ago, after one year of TTC. We conceived naturally once, and had a loss at 6 weeks. We did one IUI cycle after, and it was unsuccessful. I was really struggling with communication with my doctor and the office, and there was a general lack of individualized care and oversight so I changed doctors.
My new doctor recommended IVF. I have Progyny and Aetna with my company. Progyny provides medical fertility coverage, and the medications go through Aetna/CVS Caremark.
I was told today that only my Leuprolide and Ganirelix will be covered. Follistim and Menopur are not covered, and will only be covered if I am 1. Over the age of 37 (I’m 32) or 2. Have had 3 failed IUIs with Clomid.
I’m at a loss. If I go through two more IUI cycles, that uses up my Progyny insurance benefits on what my doctor believes to have a low likelihood of working. Then if I do IVF, I’ll have barely any coverage left for ER & FET. I don’t even know what my question is other than… help.
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2024.05.15 00:41 ciuchinoino Should I get an HSG done when I'm unexplained and probably will need to do IVF?

So I'm waiting for the NHS referral and in the meanwhile I decided to go for a private consultation with my husband's medical insurance that also covers infertility. The doctor we saw is also an NHS consultant that works in my area too and after taking our history she said she'd do IVF as it's already been two years of trying and all looks normal-ish for us. She did mention I could do an HSG but she said it wouldn't really matter to her because if my tubes are blocked, it's IVF. IF they're not blocked, it's still IVF as I regularly ovulate as shown by my blood test, my ultrasound looks good and my husband's analysis was slightly below average, but she isn't too concerned. She didn't recommend IUI due to low success rate.
I've read that an HSG could bulldoze whatever minor blockage/debris is in the tube and could potentially facilitate a pregnancy, but other than that, is there a real benefit in doing it?
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2024.05.15 00:38 Stacieforest123 I NEED TO VENT!

Can I just rant for a minute! This Is My First Post! LOL!
I have been trying to be a SMBC for 2 years and have had 3 Fertility Clinics turn me away and 1 OB office turn me away, because I want to be a SMBC. I want to scream! I found a clinic that will take a SMBC and offer MINI IVF, but they quoted me $30,000-$40,000 for ONE CYCLE! I feel SOOO upset. But of course the clinic that quoted me $10,000-$15,000 wont take SMBC. What is this!!! I want to scream forever.
I had bought 7 vials of donor sperm from CCB back when their prices were $1,200 a vial and used them ALL for home insemination. Sadly, that didn't work. I called them back to buy more vials only to find out their vials are now $2,200 and they are raising their prices soon. WHAT!!!! I cant afford $2,200 a vial. To make matters worst my donor is limited stock, only 6 vials left! So it is a now or never situation. I have cried over loosing my perfect donor!
I was recommend to use ICI (International Cryogentics Sperm Bank) by my OB and so I called and the women who answer the phone are SOOO RUDE! There are three of them and each one does not want to answer my questions. I ask what the family limit is and one lady said “25” and another says “20”! WHAT! I asked to speak with the lab supervisor as she is the “women in charge” and she was nice to release some back up vials to me, since the donor I wanted only had a few IUI vials left and they normally don't release them to the public. But what a pain!
Then my OB who I did 5 IUI with, totally lied to me about success rate, saying that IUI have a 30-35% success rate! I later found out by a real fertility specialist that IUI only has a 10-15% success rate. My OB was rude and talked down to me and made me feel like I was dumb. I drove an hour and a half each way to my appointments. My OB didn't offer ultrasounds on Thursday or the weekends and so your cycle had to line up with his office hours and if your cycle didn't his words were “to bad so sad, I have an OB office not an RE office”. One cycle he mismanaged my medication and I overestimated to the point I was almost in the ER from CLOMID!!!! I had a left over cyst the following month and my OB convinced me to still do that cycle, I was later told by someone else that I should have skipped that cycle. All my IUI failed because of this MAN!!! He never waited for my follicles to grow and he would have me trigger at 10-14mm. WHAT!!! I didn't know at the time that my follicles were immature. He said over and over again that frozen sperm was just like fresh and would live 72 hours. I knew this one was a lie because BOTH of my banks told me 12-24 hours. When I called him out he said “I have been an OB for 13 years and I know what I am doin.” I called the bank in tears after my last failed attempt because my lovely new bank made you call and report if your cycle didn't work. I begged the women to tell me how many pregnancy had been reported by my OB office. She said “4” “In the 10 years we have worked with him” What only 4!!! In 10 years!!! Why was I not told this when i was first asked months ago? The women even went on to say “we have never had a bad complaint from this OB and we have seen HUNDREDS of clinics use samples there.” WHAT!!!
My vent needs to continue but I have stuff I have to do!!!
Stacie
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2024.05.15 00:30 Background_End4873 How does PCOS affect IVF?

I have PCOS (2 out of 3 symptoms: irregular periods and confirmed by ultrasound. But no hirsutism, and I'm a healthy weight)
I am just thinking towards the future as due to "social infertility" me and my partner will be having assisted conception and if IUI is not successful then we'll go to IVF.
Ladies with PCOS how does the experience differ? Are there specific things to be prepared for? How can the process be affected?
Thanks in advance :)
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2024.05.14 21:38 Lindsaykay95 2 Miscarriages - Wanting advice and success stories

I am 28 years old and I have had 2 miscarriages in the last year. I just got a recurrent loss blood panel done - waiting 2 weeks for the results. I have PCOS so was getting ready to start clomid before I got pregnant the second time. Both loses were around 6-7 weeks. My doctor told me to wait to start trying until we receive the blood test results. Although she said there is only a 50% chance that we will figure out why I can't hold a pregnancy. I am wanting to start trying as soon as I get my cycle back so we can get to the bottom of this and not waste time. Any advice or success stories? Struggling to stay positive.
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2024.05.14 20:32 Thucydideez- All this for an 8-12% success rate

My fiancée and I had our follow up appointment to go over my labs and HSG, and we are set to start doing medicated, monitored cycles next month. Yay! Even though I knew the answer, I asked our doctor what the IUI rate of success is. Somehow, I was still disheartened.
The IUI with monitoring will be $1950, and the medications will be their own cost. Sperm is about $1200. None of it is covered by my insurance. I'm trying to be positive but it's so hard to not get discouraged. 10% is greater than zero.
The doctor actually implied that the first cycle will be a learning experience because they won't know what my personal "good" follicle size is until they do the monitoring. I appreciate that the creation of life is a BFD and a game of chance no matter who is trying to conceive, but my God, the cost is outrageous. We will be able to do 2, maybe 3 months of this.
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2024.05.14 19:27 futuremom92 Is it possible to have endo with above average AMH and low estrogen?

We have been trying for our 2nd for the past year (currently on my 9th tracked cycle with good timing) with no success except for a few chemicals and miscarriages (5 weeks, 4 weeks, 7 weeks of twins after normal scan with heartbeat, and 4.5 weeks). Our first was conceived relatively quickly (3rd cycle with a 5 week loss on the 1st cycle).
We have some mild male factor involved but it’s debatable how much of an impact this has (low rapid progressive motility at 4%, and low morphology at 2%). Not sure why we are otherwise having trouble getting and staying pregnant but MIL and husband’s stepmom also went through infertility and miscarriages but we’ve had doctors all disagree on how much of an impact sperm issues are having in our difficulties. The typical RPL testing (autoimmune, clotting, karyotype, etc) have come back negative but I do have very well-managed Hashimoto’s. We are awaiting testing on sperm DNA fragmentation.
I’ve heard that people with endo tend to have a lower than normal AMH (or have rapid declines in AMH) and higher amounts of estrogen. My AMH (4.5 ng/ml) is on the higher side for my age (31). My estrogen is on the low side on CD3 (26) and using Inito, my estrogen has been on the low side of their reference range (125 at peak when reference range is 100-600). I don’t seem to have estrogen dominance either as my progesterone is high post ovulation (20+) but my estrogen remains low (< 100).
I don’t have particularly painful periods (maybe a few hours on the first day and only ocasionally needing Tylenol) and they are on the shorter and lighter side (only 1 day of heavy bleeding with 2 days of very light flow). But after my 7 week miscarriage they have been more painful and I’ve been passing some clots, but the pain goes away quickly. No ovulation pain or pain during sex but my BM have always been a bit variable (which I’ve attributed to IBS or food sensitivities). I’ve had pelvic ultrasound and MRI and they didn’t find anything that would point towards endo but as I know only severe cases would show up on imaging. One thing that may predispose me to endo is that I had early Menarche (around 11.5 years old).
Is it likely that I don’t have endo? I’m worried because I’ve heard of a lot of unexplained/mild MFI infertility and RPL cases are due to endo even though I don’t really have any overt signs of it. My RE doesn’t recommend a lap since I have very minimal pain for only a few hours once a month and it likely won’t lead to an improved outcome fertility-wise (we will likely need IUI or IVF anyway).
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2024.05.14 18:37 NCO_CO What did you do to help your IUI success?

Hi All,
My wife and I are going through our second round of IUI, with Letrozole (7.5) and a trigger shot. I am currently 5dp IUI and I’m curious what everyone here has done to help increase their success? I’m very hopeful for this round, but also want to be realistic if we end up needing an additional 2 more rounds. (We purchased 4 vials, hoping we don’t need to buy any more)
Currently, I’ve been taking the Needed fertility plan, Coq10, Insitol, extra folic acid for several months & I tried the musinex method this round to see if that helps anything.
Any additional advice or recommendations? Staying positive and hopeful over here 🤞🏻🙏🏼🥰
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2024.05.14 17:12 Tbone389z Looking for answers/reassurance

A little background: I’m 34 and been TTC for almost a year. Prior to this I had an IUD for about 8 years and had no periods. After the IUD was removed, my periods have been very regular, but very light and only last 1-2 days.
My TTC timeline:
I got pregnant my first regular cycle after my IUD removal and it ended up being chemical. Had another chemical two months later. Saw a fertility specialist and had ALL the tests and everything looks perfect.. with the exception of my uterine lining. On day 8 of my cycle it was 2mm which they said was thin but also it maybe should be thin at that point? It was never rechecked after that because they said it doesn’t matter (but they check it for IUI and IVF so riddle me that).
Since then I have not been able to get pregnant. I did one cycle with oral estrogen, clomid, and progesterone with no luck. I had another doctor tell me that progesterone actually prevents implantation which is why I didn’t get pregnant. I was also concerned the clomid would thin my uterine lining more but the doc said the estrogen would make up for that. Have not been able to get an RX for estrogen outside of this.
I’m now on my second cycle unmedicated after clomid. I’ve tried everything they say to do: eat healthy, exercise, pomegranate juice, fertility tea, vitex, acupuncture, castor oil, heating pad. Heck I’ve even used astrology charts to time sex! At this point I feel like doctors won’t help because everything is “normal” so it just won’t happen for me. I worry if I am pregnant this cycle I will just lose it anyway.
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2024.05.14 16:56 Possible-Horror862 Thinking of leaving my SO due to IVF

Little bit about us: I (M) just turned 30 and my significant other (F) in mid 20s. We have been together for 7 years. We are both healthy and live a very healthy lifestyle (occassional alcohol & some marijuana use).
End of last year, my partner's best friend came forward and told us that she went through IVF to get their first baby. They tried for over 3 years with no success and eventually went the IVF route. Both the mom and dad are extremely overweight and have no ounce of healthy living in them. My partner's friend told her to not wait and to get all the tests done and start IVF since it's so hard to conceive.
Hearing that, my partner wanted a baby as well so we tried naturally for 2 months before my partner decided that it's time to get help. I was against it but few days of my partner sobbing convinced me as well. We scheduled a consultation with the doctor and my partner told the doctor that we have been trying for 2 years (in reality, it was only 2 months). Hearing that, doctor recommended IUI and IVF and gave us data for both.
Offline, I was pushing for few months of us trying naturally but my partner was pushing us to start IVF since the pregnancy rate is so high with this. Again, few days of sobbing from my partner due to us not being pregnant already and we eventually decided to start our first IVF cycle. Our insurance is not the best but it covered some portion and we were left with paying some of it. First retrieval, we had couple of embryos (not PGT tested) and we transferred both and both failed to implant. The doctor recommended we try for the 2nd IVF cycle. I was still pushing for us to try naturally since we are young and have no known health issues. Again, few days of sobbing resulted in my partner getting her way which was another cycle of IVF. We had 3 embryos and all 3 passed PGT (decided to get them PGT tested). We are yet to transfer those but our doctor recommended we go for another retrieval cycle since my partner told the doctor we wanted 4 kids.
Now, we are in the same boat where I want to try naturally or at-least do the transfer instead of going with the 3rd retrieval. My partner has since started her usual sobbing and wants us to go into the 3rd retrieval. I am against it since it's taking a financial toll on us. In addition to it, I am mentally out of it due to all the lying and emotional manipulation.
You may think I am the asshole for thinking of leaving but I am sick and tired of our "short" pregnancy journey which started on a lie because an obese couple couldn't get pregnant. We realistically only had 4 shots at getting pregnant (2 natural and 2 IVF). Even though, it seems like it's "our" decision, it's just her decision which is forced on me by getting emotional. We have only been intimate twice since we started our journey and my partner has no plans of being intimate since retrieval/transfer is happening. IVF has taken over her life and she doesnt think or talk about anything besides IVF.
I am running out of patience now and cannot live my life like this. I simply dont understand why we cannot attempt naturally or at-least transfer those embryos.
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2024.05.14 16:13 Twisted-Tickle-123 IVF for Unexplained Infertility: What did you learn?

For anyone that has done IVF for unexplained infertility, did you learn anything that helped to explain why you hadn’t been successful in getting pregnant before IVF?
Context: My husband and I (both 33, TTC for 1.5 years) are about 2 months away from starting IVF after 3 unsuccessful IUIs. I had a uterine fibroid removed in November before the IUIs, but other than that, we both are totally average (or above for our age) on all tests so not sure why nothing has happened for us yet… and getting nervous about what we might learn.
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2024.05.14 11:56 Piyushkhatri22 What is the best fertility treatment to get pregnant?

The best fertility treatment to get pregnant varies depending on the underlying cause of infertility. For some couples, simpler treatments such as ovulation induction with timed intercourse or intrauterine insemination (IUI) may be effective. However, for more complex fertility issues, in vitro fertilization (IVF) often offers the highest success rates. IVF involves fertilizing eggs with sperm in a laboratory setting and transferring the resulting embryos into the uterus.
Fertility specialist-Embrio IVF Centre can help determine the most appropriate treatment based on your medical history, diagnostic tests, and individual circumstances.
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2024.05.14 07:18 IshitaIVF Best Infertility Doctors in Kanpur Ishita infertility Centre

Having trouble locating the most qualified infertility doctors in Kanpur? Your search ends here. Check out Ishita IVF Centre. Known for their knowledge and sensitive approach, Ishita IVF Centre is proud to have a team of the best infertility specialists who are committed to helping you achieve your dream of parenthood.
Equipped with the advanced equipment and modern fertility treatments like IVF, IUI and egg donation, Ishita IVF Centre gives customized approach that takes into account each and every patients unique requirements. Through the effort of the able and enlightened medical personnel, Ishita IVF Centre tends to provide complete fertility solutions that are ultimately are successful.
Whatever your problems with conception are or you are looking for some fertility preservation options, trust Ishita IVF Centre to lead you on your way to parenthood with their knowledge, understanding and never-ending support. You can rely on Ishita IVF Centre in Kanpur for the best infertility care of your dream for the new family.

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2024.05.14 04:43 Delicious_Excuse88 32F, 2 MC, low AMH (1.26ng/mL) and IUI booked in 2 days

Title is pretty pretty self explanatory. I 32F, have 2 healthy kids conceived naturally 5 and 8 years ago with a previous partner. After one miscarriage in August and one chemical in November, my current partner (different person) and I started m treatment and were diagnosed with unexplained fertility.
Our first month of testing resulted in low AMH/low ovarian reserves (1.26ng/mL or 9pmol/L - I’m Canadian). Started taking CoQ10, vitamin D, C, K, Selenium, Omega-3 and Melatonin daily shortly after (3 weeks ago approx.)
First sono wasn’t able to confirm whether or not my right fallopian tube due to spasms so I’m scheduled for a second tomorrow, left side is confirmed working fine. I was put on a 5 day, 5mg/day round of Letrozole which I responded well to and currently have 3 “big and beautiful” follicles ready to go and will receive Ovidrel trigger shot tomorrow after my sono and our first IUI is booked for Wednesday.
I’m a bag of nerves and would love to know if anyone has a similar experience and can offer some advice or insight on their success with IUI in a similar situation??
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2024.05.14 04:41 cola_zerola Has anyone seen an increase in follicles after 7 days of stims?

Hello! I am 35 years old, AMH 0.86, and on my first egg retrieval (Follistim/Ganirelix/Clomid protocol). This morning I had my second monitoring appointment on day 8 and after completing 7 days of stims (started Ganirelix on day 6). I currently have 8 total follicles ranging from 8mm to 19mm. The biggest one (19mm) is way ahead of the pack and we will probably be letting it go. The clinic guesstimates my retrieval may be Friday (today is Monday) but we will know more later this week. My question is, could I still end up with more than what they’re seeing now? During my ultrasound I asked the technician if there could be more that are hiding and she said she didn’t think so because my ovaries are easy to see, but I’m always reading stories here of people who got happy surprises on retrieval day. Anyway. Thank you all!!
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2024.05.14 03:07 upandoverthinking how to feel hopeful instead of numb

So for context my husband and I have been trying to conceive for 4 years. I have stage 4 endo, he has no issues. We have done 5 IUIs, we did an egg retrieval in January that yielded 5 embryos that we froze to let my body heal. We did our first transfer (naturally) my last cycle and it failed. It was crushing. We are gearing up for our next transfer this cycle, date is Saturday and I feel nothing. I really want to be excited and hopeful but it’s like the first transfer loss took away my rose colored glasses if that makes sense and now I don’t expect anything to work. Is that normal? Any advice for feeling hope? Any success with a similar situation?
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2024.05.14 03:00 thebeanshadow Current list of Australian TRT Clinics + Where to get bloodwork + Things to consider before starting + Types of TRT

This was created as a place to feel welcome, and to discuss and talk about all things TRT in Australia.
We have an influx of clinics opening up here, with an influx of new people to TRT, and it's only growing
(did you know GP prescribed testosterone has risen over 500% in the last 10yrs worldwide...)
Below is a breakdown of TRT, clinics and bloodwork.
TYPES OF TRT
There are a few methods of TRT in Australia and the world.
Injectable testosterone -- this is the standard type of TRT method with the most amount of research and usage to date. Typically injected Intra-Muscularly, but with more data showing that SubQ injections are just as effective and could potentially have lower side effects due to the slower release
Testosterone Cream & Gel -- Topical ointments can be great due to not having to inject weekly, daily etc, just apply and carry on, but, with topicals, especially Gel - the risk of transfer to other people is very high, you also don't know how much is actually getting absorbed into your skin, and generally you aren't allowed to swim for 6hrs post application
Enclomiphene & Clomid -- This tablet form of TRT has some popularity as it doesn't shut down your natural production and helps to raise it instead, it is also one step even easier than topicals but the overall effectiveness and long term use aren't fully understood and anecdotally seem to be less effective over time and may stop working.
HCG (Human Chorionic Gonadotropin) - another injectable form of TRT but instead of replacing the bodies natural production with an exogenous source, HCG will instead stimulate LH production, almost "forcing" the body to produce naturally -- HCG is often used alongside injectable testosterone to maintain testicular function and natural production
** Some people have success with all forms of TRT, but anecdotally, injectable TRT is still the king of testosterone.
CLINICS
If you are looking for a reputable clinic, below are some clinics that are recommended by Aussies;
PHC - Performance Health Clinic * No yearly or ongoing fees, a pay as you go service, with a more hands off approach + bloodwork every 3mths + cost of medication
EMC - Enhanced Mens Clinic *$1000 yearly fee + bloodwork every 3mths + cost of medication
Primal Zone *$350 initial consult, $100 bloodwork review + cost of medication
The Functional Doctors - over 40s clinic * Bloodwork every 3mths ($300 panel must be done) + $300 consults every 3mths + cost of medication
XY Theraputics - Over 40s clinic * Byo bloodwork or $210 in-house panel. Start up; $299=consult and blood tests $150=consult plus BYO bloodwork - ongoing costs $92 consult and review
TRT Australia * Yearly $860, Quarterly $240, Semi-Annualy $480 - Includes medication, bloodwork review (BYO blood), check-ins
PRIVATE BLOODWORK If you have a good GP that will do bloodwork, that can be a lifesaver, but if not, these companies are trusted and can usually have results within 24hrs.
iMedical * Recommended tests to get before starting your journey are Sports BB2 $172, BB3 $186, BB4 $248
RoidSafe * A smaller set of testing compared to iMedical, but for $50, you can get a snapshot of your bloodwork. This is perfect for patients who know how to read bloodwork and just want to monitor.
Things recommended to check before starting TRT or the journey to TRT;
Semen analysis - It's important to check your sperm health and count before starting as testosterone, sex hormones and your sperm all work closely together - and if you want to have children in the future; you absolutely need a baseline
Sleep study - A very large portion of men have sleep apnea that is directly linked to low testosterone levels, it's important to rule this out as it could be a large contributing factor to how you feel and what your levels show
Full blood panel - You're not just checking testosterone levels, you're checking everything, Vitamin D, Thyroid, Testosterone, Prostate. You need a full panel to be able to tell a full story. And even then, your lifestyle can tell an even bigger part of the story to what's on the paper in front of you.
It's important to remember that TRT can be life changing for a lot of men, but changing your life even the smallest bit can help just as much, as low T symptoms can be caused by a plethora of other illnesses or issues and you need to rule out everything you can;
TRT is generally a "for life" dependant medication; meaning if you have low T and you want normal testosterone levels, you will need to be on TRT for life. You can come off at any time, but you will go back to the original baseline levels you had before starting, and in some cases, go back lower than baseline.
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2024.05.14 02:11 Doc_Holiday_J Low-ish T + very low free t, low estrogen, no sexual impairment

Hello,
I am curious if anyone has been in this position?
History: put on trt at age 22 due to low t @280 and very symptomatic. Rode trt for 4.5 years, came off and started clomid to have baby. Successful baby and came off clomid. Flash forward to still training 4-5 days a week lifting, tracking my diet, sleeping best I can with a toddler that has issues for the last year.
Current blood work was 425 fasted and 360 fed at 12:30 pm. Free t is 8.0 on 8.7-25.1 scale, DHEA-S 180 on 138.5-475.2 scale, estradiol <10 on 7.6-42.6 scale.
Current stats are 6’1” 219.5 12-13% bf, caloric deficit of 2400 calories and eating plenty of veggies and good stuff.
My symptoms are tired af and caffeine dependent, sex drive is good if not better than when on trt. I’m a little moody sometimes but nothing that feels unnatural. Fat loss might feel hindered compared to past cuts but I get compliments all the time still. Idk y’all I’m just curious what y’all are thinking.
submitted by Doc_Holiday_J to PeterAttia [link] [comments]


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