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Author: Admin | 2025-04-28
The pituitary makes more LH, increasing the “go go go” to produce testosterone in the testes. When treating with traditional testosterone replacement therapy, the hypothalamus and pituitary are told there is plenty of testosterone being made in the testes and it doesn’t need to make any more. The pituitary stops producing LH and the natural production of testosterone (and sperm) in the testes also stops. Clomid does the opposite.Clomid is an alternative to testosterone replacement therapy and excludes many of the side effects of TRT. Clomid does not cause testicular atrophy, acne, gynecomastia, fertility issues and is less likely to influence red blood cell concentration causing polycythemia, reducing the risk of blood clots. Additionally, if one chooses to discontinue Clomid therapy they aren’t “dropped off.” The body is still producing its own testosterone and will slowly return to baseline lows over time. Additionally, it is a pill typically taken every day, so no need to be poked with needles or cover oneself in gels.The downsides to Clomid therapy are that it is rarely covered by insurance as it is an “off label” use of the medication (however it is generic and very affordable). Also, the lower the testosterone level, the longer it may take to see the benefits of Clomid versus traditional testosterone therapy. Some men may not respond (often seen in men over the age of 70 and with multiple medical issues) and therefore may not be ideal candidates. Side effects are few and may include temporary/reversible vision changes.Clomid for men is a good alternative to both short and long-term testosterone replacement therapy. Just like testosterone replacement therapy, Clomid must be prescribed and monitored by your doctor. Luckily, Dr. Shaw is one of the best urologists in Austin! To learn more about low testosterone diagnosis and treatment options, make an appointment at Austin Urology Institute at 512.694.888 with a provider to discuss symptoms and explore options.
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