My Dr. is a man. I was given the option of Hcg to prevent the testicles from shrinking and initially chose not to take it. However, I asked for it to be added when my Rx is filled next month because, based on additional research I did on my own, I’ve concluded there could be benefits in addition to keeping the testicles from shrinking.
I don't know your body fat levels, but HCG raises estradiol. You may need to take something to keep aromatization down depending on your body. HCG does keep shrinkage away. (Dose dependant) and if you were primary hypogonadal it may be that you need a slighlty higher dose of HCG for the testes to respond.
It also backfills the pathways that are shutdown due to TRT.
HCG is an analog (mimics) of LH.
LH does a lot in the body for well being.
Progesterone, DHEA, Estradiol, etc all need LH to function optimally.
When you are on TRT - there is ZERO LH & FSH in your body due to pituitary shut down - (negative feedback loop)
Everyone on TRT need to be educated on their health.
Don't bring this up with your doctor, most are intimidated by their patients knowing more than them and you don't want them to turn you away and let you suffer with Low T.
I've seen it all thru the years.
Good luck!