LH

Luteinizing Hormone

LH is a hormone that is released in your brain. The level of LH will increase or decrease depending on the level of testosterone in your body.

• LH acts as a Barometer in your brain which either sends or fails to send a signal to the testicles to either produce or shut down the natural production of Sperm and Testosterone. The physician will be able to determine the source of your Low T.

• Due to the natural process of aging, LH starts to drop, thereby sending a diminished or non-existent signal to the testicles hoping to keep levels on the higher end of normal.

• The LH test will help your physician determine the etiology of your low testosterone, and will help determine which “testicle stimulant(s)” are appropriate for you.

Testicles Stimulants

Testicle Stimulants are used to maintain the integrity of your natural system, prevent testicular atrophy, and maintain fertility. These are taken in various combinations WHILE ON TESTOSTERONE. You and your physician will discuss the options and determine which, if any, is the best to use, given your specific needs. The two stimulants prescribed are the following:

• Clomiphene

• HCG (human chorionic gonadotropin)

Factors that determine which testicle stimulant(s) you will be prescribed:

• LH level

• Age

• Diagnosis

• Specific needs of the patient

Testicles stimulants and their uses

HCG – (metabolite of LH) will be prescribed if you are diagnosed with primary hypogonadism. If you have used testosterone in the past, without any type of simultaneous stimulation, HCG will usually be prescribed. Your system may have already been shut down.

Clomiphene –will be used if you are diagnosed with secondary hypogonadism, or if you have moderate testosterone levels, with a low or high LH.

HCG/Clomiphene combination—will be prescribed if you still want to father children and maximize the stimulation of the testicles, or those who are under the age of 35, unless they have had a vasectomy.

No Testicle stimulants – if you are 100% sure that you are finished having children. Some men do not care about testicular atrophy. At this point it will be your decision to choose NOT to stimulate your testicles. This is NOT detrimental medically in any way. However, cosmetically, it may NOT be appealing to have small testicles.

THE DANGERS OF PCT (Post Cycle Therapy)

Our “network of physicians” do NOT support PCT due to its potential irreversible side effects.

• This is a very archaic feeble attempt to control estrogen, regain size in your testicles, and maintain your fertility.

• Our physicians do NOT believe in PCT (Post Cycle Therapy).

• PCT is “cycling” on and off of testosterone without the use of estrogen blockers and/or testicle stimulants.

• PCT increases the risk of side effects associated with high estrogen levels in men short and long term.

• With PCT, estrogen blockers and testicles stimulants, are used for 4-8 weeks on the “off cycle”.

• PCT increases your risk of harmful side effects stemming from a high estrogen level (i.e. Man Boobs-amongst many others).

• PCT also poses potential irreversible consequences by severing the signal from the brain to the testicles and permanently shutting off the natural system to produce testosterone/sperm.

• You will be prescribed “testicles stimulants”, (i.e. HCG/Clomiphene), as well as estrogen blockers simultaneously while using testosterone should you need them.

• Estrogen blockers and testicles stimulants will eliminate the side effects associated with an elevated estrogen level while keeping your natural system intact.

• This is one more example as to why frequent testing to balance and optimize all hormones simultaneously is crucial for safety.