× Hypogonadism can occur for a number of reasons. Certain men have hypogonadism since birth while others may develop this condition later in life. The two types of hypogonadism are Primary Hypogonadism & Hypogonadotropic Hypogonadism.

What is correct hormone treatment ?

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Replied by Jdsawyer09 on topic What is correct hormone treatment ?

I as well suffer with low fsh and low Lh.   I’ve been off and on clomid for two years.   It works for a few months then you have to adjust the dose.  Although it did raise my levels, as so did the side effects with increased dosage.  HCG works for about 3 months then my body stops responding.  You’ll have to see how it works for you.  Due to fertility, I was placed on these meds, but I’ll soon be back on testosterone. Clomid isn’t a long term solution nor is HCG for me. I have low testosterone and  low cortisol. Now my thyroid has been a little sluggish.  My hypothalamus is dysfunctional.  I have battling with this for 4 years and I’m 37.   All I can say is there isn’t enough knowledge in most doctors in treating and diagnosing.  Don’t take no for an answer, you have to take control and try different doctors to get help.  Take care   
4 months 1 week ago #10706

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Replied by PNA-Tammy on topic What is correct hormone treatment ?

Hi Lars,

We are not medical professionals so I contacted one of our medical advisers and this is the response I received.

Replacement for patients with hypogonadism in men currently involves testosterone administration.
We do not have sufficient data in terms of efficacy and long term safety with HCG or other form of LH/FSH replacement. The only specialists who are using it are the fertility specialists for short periods of time in order to induce fertility.
It might be useful to ask a fertility specialist the same question.

This response was given by an endocrinologist who specializes in treating pituitary patients. I hope this information helps.

Tammy
5 years 7 months ago #10074

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Replied by [email protected] on topic What is correct hormone treatment ?

Have you looked into Clomid?
5 years 7 months ago #10073

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What is correct hormone treatment ? was created by lafriis

Hi

I had a non-functioning macro adenoma (25mm). 47 years/male. Had my surgery beginning of 2013. Post OP i was hypo on TSH, ACTH, LH/FSH and borderline low on GH. Since then TSH, ACTH has recovered to levels which dont require med treatment.

Now, for the treatment of my secondary hypogonadism i have been seen by several endocrinologists and also had different trreatment therapies in place. But what is really on my mind is why every endocrinologist i have seen is prescribing Testosterone replacement therapy, when LH/FSH is the missing hormone ?? I do know by experience, that the testosterone treatment can recover part of the male characteristics, but the endocrinologists are forgetting/failing to inform you about downside of loosing fertility and the testicular atrophy (shrunken testicles), which for many male patients, i believe, is very negative effect. Why not replace with LH/FSH when this is the root cause of the issue? Yes, it is expensive, but so is Growth hormone therapy (as a parallel comparison).

Because of the side effects listed above AND hot flashes AND sleep disturbances (and and and) I have stopped the testosterone treatment ! ..and is now on HCG injections (2*Weekly 1500 units) and it works! Question is if it long term needs to be placed with recombinant human LH/FSH ?

In summary, why are we not replacing the missing LH/FSH with rh LH/FSH instead of treating with end-effect-hormone Testosterone ??? as this is a possible way forward. I strongly believe that rh LH/FSH can achieve same price or better as rhGH if the pharmaceutical companies would gear their fabs for this. This would not only help the hypogon. pit. patients, but also many infertile couples.

Lars
5 years 7 months ago #10069

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