Reports of professional athletes who abuse anabolic steroids are increasingly common. Most people know that using steroids is not good for your health, but until now, their effects on the kidneys have not been known. Leal Herlitz, MD (Columbia University Medical Center) and her colleagues recently conducted the first study describing injury to the kidneys following long-term abuse of anabolic steroids. The investigators studied a group of 10 bodybuilders who used steroids for many years and developed protein leakage into the urine and severe reductions in kidney function. Kidney tests revealed that nine of the ten bodybuilders developed a condition called focal segmental glomerulosclerosis, a type of scarring within the kidneys. This disease typically occurs when the kidneys are overworked. The kidney damage in the bodybuilders has similarities to that seen in morbidly obese patients, but appears to be even more severe.
you need to come off everything and begin hcg and arimadex. I would use arimadex at 1/2mg 3 x wk and hcg at 250iu twice wk every wk and attempt to restore any natural test I could. The adex and hcg should help elevate sperm count and natural test over time. I would also use clomid at 100mg/ day for a couple wks and then drop to 50mg day for 2 more wks after you quit everything. Its going to take awhile, possibly a year before you are fertile again. Even on trt there is still a 50% chance of being fertile, but the choice to come off totally or stay on trt depends on how long you have been on trt up until now. If its been a year then Id attempt to drop everything, if its been longer then Id revert to a minimum trt dose of 80-100mg wk and continue on hcg arimadex regimen. U really need a fertility specialist though but for now this is what Id do personally