Roughly six years to the day after my first hormone crash, I’m starting my first effort at a pharmaceutical intervention. I’ll be doing 250iu daily injections of hCG as instructed by the clinician supervising me for at least 4-6 weeks (equivalent to 3x583iu weekly). There will be another blood check at that point. Upon reaching a total testosterone level of >600 ng/dL and a free testosterone level of >12 ng/dL, the plan is to try to wean me off of hCG by reducing the weekly dose. I think a 3x250iu protocol is very possible at that point. In any event, the “weaning” could last a while, as the criterion for reduced dosage is maintenance of the target hormone levels.
Most recent labwork, blood drawn mid-January:
Total Testosterone - 456 ng/dL (249-836)
Free Testosterone - 9.53 ng/dL (4.50-25.00)
Estradiol - <17 pg/mL (27-52)
FSH - 4.4 mIU/mL (1.5-12.4)
Prolactin - 5.9 ng/mL (4.0-15.2)
SHBG - 27.0 nmol/L (16.5-55.9)
Labwork from early January showed a very similar picture. Moreover, I’ve been rating my sexual health on a 0-10 scale every day for the last 60 days. On my scale, 7-8 is a normal level of function. A rating of 9-10 is hyper-normal. A rating of 5-6 is what I would call “transitional”, but livable. Over the 60-day pre-treatment baseline, my average daily rating has been 4.20 with a standard deviation of 0.40. The minimum was 3.5 and the maximum was 5, both logged multiple times during the 60-day period.
The sexual symptoms (E.D., reduced ejaculate, penile shrinkage, testicular shrinkage, reduced libido) are the only symptoms I have, or at least they are the only ones I care about. I have no cognitive issues. My treatment provider and I agree that right now I don’t have any symptoms that don’t fit with low hormone production.
My intention is to give a weekly update with an average daily symptom score for the week. So far, my symptoms have tracked together very closely. If that continues, I will stick to the single score and the update for any given week may be just the score.
Wish me luck.