Re: Effects of Methadone and Androgel on Male Fertility
Get off the androgel now! Instead he should be taking HCG intramuscular shots 3x/week or possibly Clomid. Your fertility Dr should be able to prescribe these to him. If he can't get a prescription now, it doesn't matter, just get off the gel and let his T get low. With low T he can start making sperm again, but should get on one of the treatments.
My DH has low T and is on 300 hCG 3x/week and it really helped his sperm count and motility. The TRT (androgel) will shrink his testicles and at high levels kill his sperm. Yes, Drs downplay this and prescribe TRT all the time without finding the cause or doing what's healthiest for a person. At lower levels T slows the motility. The hCG, if he responds well to it will help grow back the tissue and make more sperm.
The other issue is to find out exactly what's causing the low T as it could be a pituitary tumor, in which case it can be treated or something else like what my DH has (empty sella syndrome) which can't be treated but is not life threatening. Another option is something is wrong with the testes. If that's the case sometimes high levels of hCG can make enough sperm for an extraction. You do need to be off all hormone meds to do all the bloodwork to find this out.
Here are my suggestions for supplements given to me by my infertility Dr.
You and DH:
one 500 mg V C, two times a day
one 400 IU V E, daily
DH to help with Sperm:
2 g Acetyl L-Carnitine per day
30-60 mg zinc per day
200 mg CoQ10, two times a day
I also took CoQ10 and Royal Jelly which were recommended by my acupuncturist. Acupuncture can be helpful, especially with female fertility and there are traditional Chinese herbs that can help too.
Of course take a prenatal and have your DH take a Multi or possibly a fertility blend. But taking the individual pills at the above doses plus a multi should be good too.
I did IUI with Clomid and one dose Menopur and got a BFP on the first try. Now I'm 7 weeks and crossing my fingers that this one will stick.
Good luck and I hope your DH finds some answers and can manage his chronic pain. Acupuncture could be helpful to him too.