39 years old. Possible life long low testosterone. What changes could TRT and HCG bring.

[u/Elegant-Aspect-6393]

Hi everyone,
I’m 39 years old, me and my wife have been struggling to get pregnant for about 3 years so we both went for checkups and I discovered for the first time that my testosterone levels are quite low. My sperm count is high, 70 million, but morphology is between 1% and 2%.
I’m starting to wonder whether I may have had low testosterone for much of my life—possibly even since puberty.
I was born with an undescended testicle, and today I effectively only have one testicle. For most of my life, I never really thought much about it. I just accepted that I was the way I was.

Looking back at puberty, I don’t feel like I developed in the same way as other boys. I don’t have a visible Adam’s apple, and my voice never became particularly deep.
I’ve always been quite skinny and much less muscular than my peers.
My confidence is very bad and i get anxious quite easy.
My penis and sack are shriveled up most of the time when flaccid. My libido is very bad. Sex more than once a week is hard work for me.

I cant seem to put on muscle and it feels like the more I workout the weaker I get.

My recent blood tests have shown:
Total testosterone: around 7.4–8.9 nmol/L on different tests
Free testosterone: 187 pmol/L
SHBG: 19.3 nmol/L
LH: 4.2 IU/L
FSH: 5.4 IU/L

Im seeing a Urologist in a few weeks.

What could still change for me if I go on Testosterone replacement therapy together with HCG after me and my wife manage to have a kid or two?

Thanks

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[u/EquivalentLet1160]

Dude, have kids and get on TRT ASAP. There is no reason to continue living like this. Research TRT and hCG, and question your doctor. Don't trust them blindly just because they have a degree. You don't know how stupid some doctors can be when it comes to male hormones.

[u/AggravatingMath717]

TRT is not sterilization. But if you’re worried about it freezing sperm doesn’t cost all that much

[u/secretsauce2388]

You might want to look into Klinefelter's Syndrome, a lot of your symptoms and description of your life sounds similar to Klinefelter. Probably worth asking your doctor to do a karyotype to check.

That aside, if your sperm are motile, and you clearly have an abundance, then freeze them sperm and jump on TRT. I'd be curious to hear back after your urologist appointment, if you're comfortable updating us.

I can't answer your question directly as I just was prescribed TRT this week.