TRT and low Pituitary function post pituitary surgery

[coolguyhot]

Hello,
I am soon to be 36 years old. I had Craniopharyngioma, a pituitary cyst removed through transnasal route in early 2002. Before surgery, I have had problems of secondary sexual characteristics viz growth of moustache, flappy body but I was fertile with a good sperm count. After the surgery, I am on Prednisolone 2.5 daily(1/2 of Wysolone 5) and Thyronorm 75 tablets. Later, I was transferred to a endocrinologist who was a bit archaic(old man), he prescribed sustanon 250 injection monthly. I was not happy with sustanon and stopped TRT for long 5 years from 2005 to 2009 which was the most horrible part of my life.

Now, on 2009 I found a endo who suggested Nebido(Cernos Depot here) and I was on Cernos Depot from 2010 to end of 2013. Cernos is reasonably good for my case and the only problem is you are infertile and balls shrinking to small size. In between, my marriage also happened and we are trying for kids and I am prescribed HMG 75IU and HCG 5000IU every 5 days for last one year. I regained fertility albeit deemed Normozoospermia . I liked the HCG-HMG combination better than TRT as it feels almost similar and there is great satisfaction to know, your testicles are working again. besides my worries are of testicular atrophy with prolonged TRT which prompts me to look for alternatives.
So, As of now I am taking
Thyronorm 75
Wysolone 2.5
Calcium 500 to regain born strenght
Metformin 500 IPR daily

I read about HCG injections alone weekly may be effective. Is there some suggestions regarding HCG usage?
Thanks

 

[coolguyhot]

I consulted endocrinologist doctor and he is OK with going for Nebido injections (I was on Nebido for years now) and HCG to preserve fertility and to prevent atrophy. I am suggested to take 500IU HCG inj thrice for first week and after every 3weeks on and off. Is this OK?

Another doubt is, Since my pituitary is weak, If I take clomid instead of testosterone injections, will it work?

 

[Zinergy]

Man, you are asking for advice most doctors couldn't even help you with. It's trial and error they're doing on you.

Now, if I wanted to increase my chances to have a child you want to do something unconventional with the hcg.
Take HCG every other day at 1000 IU, for 2 weeks then try. You'll need a AI with this dose of HCG as it will aromatize.


You don't need to stay on all that shit year long to feel good either, you're taking way too many drugs. 100-200mg test e a week.


You didn't feel good with the monthly sustanon injection because your levels fell to below baseline after the first week of injection, so you had 3 more weeks of feeling like a bag of shit not to mention the inconsistent estrogen levels. Some doctors should be shot.

 

[Zinergy]

Why are you taking so many anti inflammatory's?

 

[Oxbow-]

Freeze your semence. Now. In a sperm bank.

You're welcome.

 

[coolguyhot]

Man, you are asking for advice most doctors couldn't even help you with. It's trial and error they're doing on you.

Now, if I wanted to increase my chances to have a child you want to do something unconventional with the hcg.
Take HCG every other day at 1000 IU, for 2 weeks then try. You'll need a AI with this dose of HCG as it will aromatize.


You don't need to stay on all that shit year long to feel good either, you're taking way too many drugs. 100-200mg test e a week.


You didn't feel good with the monthly sustanon injection because your levels fell to below baseline after the first week of injection, so you had 3 more weeks of feeling like a bag of shit not to mention the inconsistent estrogen levels. Some doctors should be shot.

Hi,
Sorry for the late reply. wife is pregnant after my HCG-HMG injections which I forgot to mention in the first post.

Now, the worry is how to remain fertile when taking Testosterone injection?

Presently, I have started with a Testosterone undeconate (Cernos Depot) injection after stopping HCG-HMG injections. I was taking this injection for years before going for HCG-HMG. In the start of the cycle, after 60 days, I usually take the next Cernos depot injection and consequent injections at around 80 days. It is convenient for me, as I rely on hospital for taking intra muscular injection. With other Testosterone esters, usually a week or fortnightly injections or injections every 3 day are needed.

Also, I am taking HCG 500IU injection thrice every first week of a month. ie, Monday-Wednesday-Friday. This is hopefully to reduce chances of testicular atrophy.

I had checked hormones including lh-fsh, testosterone(regularly) and the values are very very low (almost zero) without medicines. It is a horrible fact to learn that pituitary is not functioning and you've to depend on these injections and medicines. I look bloated all due to this.

I would like to know, if there is a alternative to testosterone undeconate? For somebody who is working daily, visiting hospital every week or 3 days will be very difficult apart from the curious nurses and doctors who want to know my profile from A to Z. Is it possible to take Intramuscular injections by our own? This is viscous/oily and needs to be slowly pumped and they don't really care.

Why are you taking so many anti inflammatory's?

After surgery, my cortisol levels are way below. So, I've to take prednisolone 2.5 (half of the tablet every day). Besides, for type 2 diabetes I need to take Metformin 500 - for bone density - Calcium 500 and occasional uloric for gout issue.