Human chorionic gonadotropin, or HCG, is a hormone naturally produced by the placenta during pregnancy. In the context of TRT, HCG can serve a specific purpose. When a man undergoes TRT, the body’s natural production of testosterone may decrease because the brain receives signals that testosterone levels are already sufficient. This decrease in natural testosterone production can lead to a reduction in sperm production and testicular size (testicular atrophy).
The inclusion of HCG in TRT is primarily to preserve or stimulate the testes’ natural testosterone production. By mimicking the action of luteinizing hormone (LH), which signals the testes to produce testosterone, HCG can help maintain testicular function and sperm production. This can be particularly relevant for men who desire fertility preservation while undergoing TRT.
Fertility Preservation: Men who plan to have children in the future and are concerned about fertility often choose to include hCG in their TRT regimen. hCG can help maintain or stimulate sperm production, making it easier for men to father children when desired.
Maintaining Testicular Function: Some men prefer to maintain the size and function of their testicles while on TRT. HCG can help prevent testicular atrophy and retain the natural look and feel of the testicles.
Individualized Treatment: The decision to include HCG in TRT is often based on individual preferences and treatment goals. It should be discussed thoroughly with a knowledgeable healthcare provider who can assess the patient’s specific needs.
For some men undergoing TRT, especially those who do not have immediate fertility concerns or testicular atrophy, HCG may not be deemed necessary. It’s crucial to understand that the inclusion of HCG in TRT is a case-by-case decision, and its necessity varies from patient to patient.
