Fertility protocols


Therapy and Steroids

In the realm of bodybuilding and hormone replacement therapy (TRT), the use of testosterone and anabolic steroids has been a commonplace. However, concerns often arise when individuals on these substances wish to start a family, owing to the potential negative impacts on fertility. A pragmatic approach is necessary to mitigate fertility issues and pave the way for a successful pregnancy while considering the timeline to conception. Here’s a guideline to manage fertility based on the timing of the desired pregnancy:

For Immediate Pregnancy Plans (Less than 6 months):

Ceasing Testosterone: It's advised to stop testosterone intake if you're planning a pregnancy in the next 6 months. This will allow the body to start restoring its natural hormonal balance which is critical for sperm production.

Initiating HCG and Clomiphene Citrate: Begin a regimen of 3,000 IU Human Chorionic Gonadotropin (HCG) administered every other day, along with a daily oral dose of 25 mg Clomiphene Citrate. These medications aid in stimulating the testes to produce sperm and testosterone naturally.

Monitoring and Adjusting Treatment: After two months on this regimen, it's crucial to get blood work done to evaluate the Follicle Stimulating Hormone (FSH) response. In cases where there's no FSH response, it's recommended to stop Clomiphene and introduce 75 IU of recombinant Human Menopausal Gonadotropin (rhESH) every other day to further stimulate sperm production.

For Mid-Term Pregnancy Plans (6-12 months):

Continued Testosterone Use: If the pregnancy plan is between 6 to 12 months, it's possible to continue testosterone use.
  
Adding HCG and Clomiphene Citrate: Alongside, commence a regimen of 500 IU HCG every other day and a daily oral dose of 25 mg Clomiphene Citrate to foster a conducive environment for sperm production.


For Long-Term Pregnancy Plans (Over a year):

Maintaining Testosterone Regimen: If the pregnancy is planned for over a year, continuing testosterone is viable.

HCG Administration: In this scenario, the advice is to administer 500 IU HCG every other day to aid in maintaining fertility while on testosterone.

This structured approach based on the timing of pregnancy aims to address fertility issues effectively while on testosterone replacement therapy and steroids.