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Fu, J., Guo, O., Zhen, Z

Goal: Maintain testicular volume and function during TRT Approach: HCG 500 IU subcutaneously every other day (3x weekly) Begin same time as testosterone therapy Continue for duration of TRT Monitoring: Baseline testosterone, estradiol, LH, FSH Recheck at 6 weeks, then quarterly Adjust based on estrogen response Expected results: Maintained testicular size Preserved fertility potential Possible slight testosterone boost above TRT alone Protocol for fertility restoration on TRT Men on TRT who want to conceive face a decision

This is the recommended form for adults 60+
Chambers, B

Our hope is always to avoid surgery through less invasive methods, and this option is one that allows us to achieve that for many of our patients
