Hi guys, glad to have stumbled across this forum, I am hoping you guys can provide me the answers as my endo seems to be stumped by my situation.
Back in November last year I was diagnosed as being secondary hypergonadal. Testosterone level was 5.8. Normal range in the UK is considered to be between 9 and 33. Was put onto Pregnyl to boost testosterone and achieve fertility due to my partner and I trying for a baby.
1st set of bloods a month after starting the HCG said test was at 12.8 within normal range. This was a dose of 1500iu every second day. Estradiol wasn't tested.
Was then put onto HCG every day to try boost further. Been on this higher dose since start of Feb. About 3 weeks ago I noticed a painful and tender lump under my right nipple. Lump has gotten bigger and is a dull achy feeling. Doctor checked it and thinks it is gynecomastia. Had blood test done, test was at 17 but Estradiol was at 77!
Had sperm test done as well due to fertility reasons and that came back low. Concentration was 6 million per ml. Classed as low sperm count. Prior to starting Pregnyl this was 29 million!
Saw my Endo who can't explain why sperm has fallen drastically. Especially when Pregnyl is used sometimes to help achieve fertility not hinder it. He couldn't give me a clear answer as to how to proceed. He said either to take a break or carry on but at the lower dose. He thinks this gyno lump, which is at least the size of a marble, will just settle down. He seemed very unsure though.
I suggested using an a.i. but he wasn't keen as again he wasn't sure if this would affect my fertility.
I now have conundrum of whether to continue on the lower dose, which will I reckon make the lump increase and not decrease in size, contrary to what my endo thinks. I can't imagine my sperm count improving either. However if I stop completely, I am worried about what will happen to my test levels. I could ask for an a.i. as well but there are no guarantees he would give it to me.
I am getting bloods again in 6 weeks and another sperm test in 3 months. I would appreciate any opinions on what anyone's personal choice or thoughts on this are.