Male health

[Summerdaze805]

I am 69 years old. Back in 2012, I was place on unmonitored TRT for 12 months, (6 month injections, 6 months Androgel) by my pcp, to help me gain weight. My testes began to atrophy, so I ask to see a specialist (endocrinologist), and he said my pcp errored in placing me on trt without proper testing, and he stopped my trt cold.. I told him I was concerned about testicular atrophy, and fertility, and I asked him if clomid could help me, and he said nothing could be done. He just gave me Cialis, for a sexual dysfunction I did not have, and told me to enjoy myself. Shortly after stopping trt, my entire body began to hurt, and i felt like I was dying. I felt like this for 9 months. Because of this my testes continued to atrophy for 13 years, reaching a critical stage in October 2024 (50% testis volume loss). My testicular atrophy finally stopped in August 2025, and an increase in testis volume began, for about 4 months and then testis recovery stalled. Has any one used hcg, and or Enclomiphene to reverse testicular atrophy? I don't know who to trust. Right now, I have no libido, an d experience ejaclatory anhedonia. I have no drive for anything, just existing. I feel like I will not survive this devastation.

[ElbowRoom]

Get a new doctor. If your testes were that atrophied and continued after stopping TRT then you needed it. What were your testosterone numbers?

I had been on TRT for years, I went to an endocrinologist for thyroid issues and he told me “Testosterone is not a life saving therapy, so you should come off of it.” I fired him and found a better doctor. Some docs for whatever reason have a mental block about testosterone.

[Martin6469]

Agree with ElbowRoom. It's well-known that low testosterone causes depression. You need to immediately see an endocrinologist, preferably one who is interested in male sex hormones. He/she will get you a skull MRI to check for a brain tumor, because although rare, a tumor pressing on the hypothalamus or pituitary can cause low testosterone.

Testicle size loss is inevitable with TRT. Those of us needing TRT have to accept it. They don't actually atrophy - they simply get smaller because the Leydig cells, which ordinarily produce testosterone, don't have anything to do anymore, and they are absorbed. My testicles have shrunken to about half the size they used to be, and that's been their new size now for many years. Don't mess with medicines sold to reverse loss of size; it can't be done and you might screw up something. (If you ask any woman, she'll say that women don't care about testicle size; they're only interested in penises.)

You have serious depression - keep in touch here or PM me.