Patient with hypogonadism and infertility successfully treated with clomiphene citrate

We described 59-year-old men with history of secondary/tertiary hypogonadism, without primary hypothyroidism, elevated prolactin or hemochromatosis structurally intact hypothalamo- hypophyseal (HT-HP) axis who was diagnosed in 2017. He treated by different physicians Testosterone intramuscular injections, hCG injections and combination FSH injections. The patients wanted to have another child this is why his therapy changed from testosterone later on three times a week urologist. Although levels increased semen analysis showed oligospermia. patient not very compliant Testosterone, hCG/hCG because the discomfort This we started intramuscularly Clomiphene citrate (CC) 25 mg per mouth every other day 2021. After eight months CC normalized, Total Free LH increased, libido, morning erections improved erectile dysfunction resolved. Most importantly for wife become pregnant. With case emphasize role treating male hypogonadism if desire fertility.