Some clients may even see a larger increase. So if you had an initial level of 300, we would hope to see an increase to 600, +/. This increase is not as high as pellets or injections but it can make a big difference depending on how low you are. In some cases, one may see up to a 200% increase. We can usually achieve a 100% increase in T levels with Clomid. The result in men is a modest improvement in testosterone levels while preserving sperm production. It was originally developed and tested to increase ovulation and, thereby, improve fertility in women. If you want to boost testosterone levels but do not want to compromise fertility, what can you do?Ĭlomid (clomiphene citrate) uses a different approach to increase testosterone and spermatogenesis. It reminds the testes that they do have a job to do other than just making testosterone. That is why we use Human Chorionic Gonadotropin (HCG) in our TRT programs to periodically stimulate the testes. This also explains why testes shrink a bit on TRT. If it sees a high testosterone level, it stops telling the testes to produce testosterone. Very simply, the pituitary gland in the brain is the director of testicular function. We know that TRT may reduce sperm production and impact fertility. Your doctor monitors your ECG, heart rate, and blood pressure until the levels return to normal.You may be wondering about testosterone replacement therapy (TRT) and fertility issues. You can walk around slowly so that your heart rate can return to normal. This is to take more images of your heart working under stress. Stress echocardiographyĪs soon as your doctor tells you to stop exercising, they perform another ultrasound. Tell your doctor right away if you feel dizzy or weak, or if you have chest pain or pain on your left side. You’ll probably need to exercise for 6 to 10 minutes, or until you feel tired, to raise your heart rate as much as possible. Depending on your physical condition, your doctor may ask you to increase the intensity of your exercise. Stress testĪfter the resting echocardiogram, your doctor next has you exercise on a treadmill or stationary bicycle. This device emits sound waves to create images of your heart’s movement and internal structures. They’ll apply a special gel to your skin and then use a device called a transducer. Next, you’ll lie on your side, and your doctor will do a resting echocardiogram, or ultrasound, of your heart. You’ll likely have your blood pressure taken throughout the test as well. The ECG measures your heart’s electrical activity, especially the rate and regularity of your heartbeats. ![]() The electrodes connect to an electrocardiograph (ECG). Your doctor begins by placing 10 small, sticky patches called electrodes on your chest. Your doctor needs to see how your heart functions while you’re at rest to get an accurate idea of how it’s working. What happens during a stress echocardiography? Resting echocardiography Because you will exercise, make sure to wear good walking or running shoes. Wear comfortable, loose-fitting clothes. ![]() Let your doctor know if you take medication to control diabetes as well. You shouldn’t take certain heart medications, such as beta-blockers, isosorbide-dinitrate, isosorbide-mononitrate (Isordil Titradose), and nitroglycerin, before the test. If you take medications, ask your doctor whether you should take them on the day of the test. ![]()
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