Small balls from Trt will it effect pump placement in my scrotum ?

[tomas1]

I also have "little balls" from years of TRT use. I'm curious how that will affect pump placement and visibility. Dr. Hakky didn't mention it as a concern when he examined me and looked at my history, but I've added this to my list of questions to ask him the next time we talk. I'll let you folks know what he says.

My surgery is currently scheduled for October, so I have some time to find this out. It seems to me it depends on whether the scrotum contracts as the testicles atrophy, or stays the same size. If it keeps size that just means more space for a pump, if it contracts then it might make for a tight pump space and a very visible pump. "It is what it is" either way I suppose.

My balls shrunk and the scrotum stayed the same size.
Surgeon actually liked that, and the pump placement is perfect.

[Wooody]

I also have "little balls" from years of TRT use. I'm curious how that will affect pump placement and visibility. Dr. Hakky didn't mention it as a concern when he examined me and looked at my history, but I've added this to my list of questions to ask him the next time we talk. I'll let you folks know what he says.

My surgery is currently scheduled for October, so I have some time to find this out. It seems to me it depends on whether the scrotum contracts as the testicles atrophy, or stays the same size. If it keeps size that just means more space for a pump, if it contracts then it might make for a tight pump space and a very visible pump. "It is what it is" either way I suppose.

My balls shrunk and the scrotum stayed the same size.
Surgeon actually liked that, and the pump placement is perfect.

This was my experience. I stopped HCG many months prior to my surgery and let 'em get small. Then a couple months post op, I started growing 'em back with HCG so that the pump wasn't so prominent in my sack compared to my balls. Absolutely zero problem for me operating the pump with larger balls.

[strongagain]

This was my experience. I stopped HCG many months prior to my surgery and let 'em get small. Then a couple months post op, I started growing 'em back with HCG so that the pump wasn't so prominent in my sack compared to my balls. Absolutely zero problem for me operating the pump with larger balls.

Are you on TRT? I don‘t like my small balls at all. Coming Wednesday I have an appointment with my Uro, gonna ask him about HCG therapie. Are doctors reluctant when it comes to HCG? I wonder what he‘ll say, I fear he might say no… Does one get bald when being on both TRT and HCG?

[Wooody]

Are you on TRT? I don‘t like my small balls at all. Coming Wednesday I have an appointment with my Uro, gonna ask him about HCG therapie. Are doctors reluctant when it comes to HCG? I wonder what he‘ll say, I fear he might say no… Does one get bald when being on both TRT and HCG?

Yes. I've been on TRT for many years, and on and off of HCG as well. I can't speak for all Dr's but mine was fine with it. I have not had an issue with balding but that may be my genetics. I don't know.

[ElbowRoom]

My balls shrunk and the scrotum stayed the same size.
Surgeon actually liked that, and the pump placement is perfect.

Awesome, thank you.

[strongagain]

I just came home from a consultation with the uro. I asked him about HCG. He almost got hysterical. Never ever would I give you a prescription for that. HCG is way too dangerous. Bodybuilders take it till the collapse due to heart failure. It‘s extremely expensive too. Forget about it, you‘ll never get it from me. …

[Wooody]

I just came home from a consultation with the uro. I asked him about HCG. He almost got hysterical. Never ever would I give you a prescription for that. HCG is way too dangerous. Bodybuilders take it till the collapse due to heart failure. It‘s extremely expensive too. Forget about it, you‘ll never get it from me. …

Wow, time for a new uro if I were you. My current and previous drs recommended and prescribed it for me no problem and have been using is safely for many years. And no, it's not expensive in my experience.

Here's what ChatGPT has to say on the subject when I asked it "Is hcg safe and effective for men to use with TRT to maintain testicular size and function?":

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Yes, HCG (human chorionic gonadotropin) is generally considered safe and effective for use in men undergoing testosterone replacement therapy (TRT), particularly for the purpose of maintaining testicular size and function, including fertility. Here's a breakdown:

-- Why HCG Is Used with TRT
TRT increases testosterone levels, but it suppresses the hypothalamic-pituitary-gonadal (HPG) axis, reducing or shutting down LH (luteinizing hormone) and FSH (follicle-stimulating hormone) production. This leads to:

Testicular atrophy (shrinkage)
Decreased sperm production (infertility)
HCG mimics LH, stimulating the Leydig cells in the testes to continue producing testosterone and supporting spermatogenesis.

-- Evidence of Effectiveness
Clinical studies and real-world use support that HCG:

Preserves testicular volume during TRT
Helps maintain intratesticular testosterone, necessary for sperm production
Is often used in fertility preservation strategies in men on TRT
Can restore fertility in some cases, even after TRT has suppressed natural function

-- Safety and Side Effects
Generally well tolerated, but possible side effects include:

Increased estrogen levels (HCG can upregulate aromatase)
Gynecomastia (breast tissue growth) due to estrogen
Acne, mood swings, or fluid retention
Testicular pain (rare)
In men susceptible to estrogenic side effects, aromatase inhibitors (like anastrozole) may be co-prescribed.

-- Typical Protocol
There’s no one-size-fits-all, but common regimens include:

250–500 IU of HCG 2–3 times per week, alongside TRT Administered subcutaneously or intramuscularly

Higher doses (≥1000 IU) are usually reserved for fertility treatment or HPTA restart protocols and come with higher risk of side effects.

-- When to Use HCG with TRT
Men who want to preserve fertility
Men concerned about testicular shrinkage
Men planning future cessation of TRT and want to maintain some testicular function

If fertility is not a concern, and testicular atrophy isn’t bothersome, HCG may not be necessary for every TRT patient.