Male Fertility Log: Post PEDs Recovery and IVF Journey

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Prymal Threema: XB7R9CS4​

Semen Analysis Results - Apr 13 2026

SA results are back and the recovery is real. Attaching the full tracker image below.

Latest Numbers (Apr 13)

• Concentration: 82.8M/mL (was 16.8M in Jan = 4.9x recovery)
• Volume: 5.2mL (best result to date)
• Total Motility: 58% (up from 45% in Jan)
• Progressive Motility: 39% (in range)
• Morphology: 4% (up from 1% in Jan, at ref floor now)

The Recovery Story

Back in January my concentration crashed to 16.8M, barely scraping above the reference range. Morphology dropped to 1% normal forms. This was the PED damage fully showing up on paper.

Started HCG 500IU 4x/week on Jan 28 alongside HMG. Switched HMG to Puregon 75IU 4x/week on Mar 5 (same FSH stimulation, but I got it prescribed from my doctor so with PBS is much cheaper). Exemestane 12.5mg 2x/week to keep E2 in check and not tank it.

94 days later the concentration is at 82.8M. Full spermatogenesis takes about 74 days so technically the sperm in this sample were already being produced when the protocol was barely a few weeks in. The HCG/Puregon combo kicked the Leydig and Sertoli cells back into gear fast.

Volume is the best its been at 5.2mL which tells me the accessory glands (prostate, seminal vesicles) are responding well to the hormonal environment. Motility tracking up across the board. Morphology still borderline at 4% but up from 1% which was the worst of it.

Not a full natural recovery since I'm still on TRT dose Test E 40mg 2x/week, but the gonadotropin stimulation (HCG mimicking LH + Puregon providing FSH directly) is doing the job even with exogenous test suppressing the HPGA.

Next SA probably in 6-8 weeks to see if concentration keeps climbing and whether morphology can push above 4%. The IVF clinic is happy with these numbers for now.

Protocol Recap

• Test E 40mg 2x/week (TRT, Mon/Thu)
• HCG 500IU 4x/week (Mon/Wed/Fri/Sun)
• Puregon 75IU 4x/week (Mon/Wed/Fri/Sun)
• Exemestane 12.5mg 2x/week (Mon/Thu)
• BPC-157 250mcg 2x/day (ankle + wrist recovery, @Prymal)
• TB-500 2.5mg 2x/week loading (@Prymal)

If you're coming off a cycle and worried about fertility, the bloods don't lie. HCG alone can get you moving but adding FSH stimulation (HMG or Puregon) is what really accelerates the timeline. Don't wait for the full 74 day spermatogenesis window to feel hopeless, the cells start responding much earlier than the textbooks suggest.

@Trixtr751 @Yeahnah @San Andreas

 

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Proudly Sponsored by @Prymal

Prymal Threema: XB7R9CS4​

Fri 17 Apr Update (Training from Thu 16 Apr)

Upper B - 54m 40s
DB Incline Bench Press: 30kg x10, 35kg x10, 40kg x8, 40kg x8
Cable Low Fly: 9.1kg x12 x3
Lat Pull Down Close Grip: 70kg x10 x3
Single Arm Bench Bent Over Row: 40kg x10 x3
Cable One Arm Lateral Raise: 9kg x12, 9kg x12, 11kg x12
Cable Standing Face Pull (rope): 20.4kg x12 x3
DB Incline Curl: 8kg x12, 8kg x12, 9kg x12
Cable Pushdown: 27.2kg x12, 29.5kg x12, 29.5kg x12

Fertility Protocol (unchanged)
Test E 40mg 2x/week (TRT, Mon/Thu) - Thu dose done
Exemestane 12.5mg 2x/week (Mon/Thu) - Thu dose done
HCG 500IU + Puregon 75IU (Wed + Fri) - Wed done, Fri today
No sides, E2 holding steady on 12.5mg Exe since the bump

Recovery Peptides
BPC-157 250mcg SubQ AM ankle + PM wrist, no PIP
TB-500 2.5mg SubQ belly Thu, no PIP. Confirmed the earlier belly redness was just from the pinch, not the peptide.

Recovery Ratings
Ankle: 1/10, BPC already pulling its weight by the feel of it
Wrist: 1/10, barely felt the chest session yesterday

Rest
Sleep: 8h40m (bed 10pm, asleep midnight, up 8:40am). Couldn't switch the brain off, phone use before bed is on the chopping block.
Energy: 8/10

Nutrition
Followed the plan

Weekend
Heading away today for a hard enduro moto trip, getting coached by one of Australia's top champs. Keen as. Log going quiet Fri-Sun, back Monday.

@Trixtr751 @Yeahnah @San Andreas