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This makes the treatment feel more natural for many men and may reduce side effects that affect quality of life. For men who want to keep their fertility or avoid testicular atrophy (shrinkage), this is a concern. Over time, this may lead to testicular shrinkage and lower sperm count. When testosterone is given through TRT, the brain senses that there is enough testosterone in the body. The body has a hormone system called the hypothalamic-pituitary-gonadal (HPG) axis. It can improve energy, mood, muscle mass, and sexual health.
This is not only helpful for fertility but may also improve how the man feels overall. By keeping the testes active, HCG helps maintain their size and function. For some men, HCG is also used to prevent testicular shrinkage. This makes HCG especially useful for men who want to maintain fertility while on TRT.
The lack of research into hCG as a treatment for low testosterone levels means there is very little evidence regarding safe and effective dosages. Further high quality randomized controlled trials (RCTs) are necessary to help determine the extent to which hCG treatment could help prevent low testosterone levels. On average, these men experienced a 49.9% increase in testosterone levels, and 50% reported an improvement in libido, energy levels, and ED symptoms. There is some evidence that hCG treatment can increase testosterone levels.
In certain cases, adding HCG has been shown to help improve these symptoms. Some men on TRT alone still report low libido (sex drive) or mood swings. Testosterone plays a big role in a man’s sex drive and emotional health. As a result, HCG can help prevent or reduce testicular shrinkage. This signal keeps the testicles active and producing testosterone inside the testicles, even while a person is on TRT. HCG helps by sending a signal to the testicles that is similar to LH.
HCG mimics luteinizing hormone (LH), which stimulates the testes to produce testosterone and sperm. In reality, TRT can actually reduce sperm production. You might think testosterone replacement therapy (TRT) would boost fertility. TRT replaces testosterone directly, while hCG helps your body produce more of its own testosterone. HCG is more commonly used in fertility clinics than in men’s health practices focused on testosterone optimization. When your body isn’t producing adequate testosterone naturally, TRT steps in as a reliable replacement. Human chorionic gonadotropin (hCG) injections encourage your body to produce its own testosterone while preserving fertility.
Once testosterone levels return to their naturally "low normal," you will start to see the benefits diminish. Because testosterone is such a powerful hormone, ending treatment can adversely affect patients. This intrinsic production contributes other hormones and precursors that are part of the natural testicular output, such as pregnenolone and other prohormones. Sermorelin stimulates your body’s natural growth hormone production, supporting lean muscle, enhanced recovery, improved sleep and greater vitality.
It also helps support sperm production, which may lower the risk of infertility. However, many men are not aware that TRT can lower the body’s natural sperm production. Together, they create a balanced plan that improves hormone levels while protecting fertility and natural testicular function. The combination of TRT and HCG is often used when a man needs testosterone but also wants to keep his natural hormone production and sperm count. This can raise blood testosterone levels but may cause the testicles to shrink and sperm levels to drop.
Some people may choose to supplement their natural production of testosterone with TRT. They found that certain combinations of exercise and rest can raise testosterone levels. In a 2020 review of several studies, researchers measured the impact of exercise on testosterone levels. People looking to increase their testosterone levels may benefit from one of the alternative methods outlined below.

جنسیت: زن