I started using androgel in early July. At the time my total T was somewhat higher than yours - more like 220 ng/dL. (My total T numbers had bounced around some in the months before starting testosterone replacement, but my free T was consistently at or below the lower bound of the reference range.)
In my case, my doc started me out on a beginning dose of 2 squirts of Androgel. After about two weeks I began to experience some relief from what my doc referred to as “non-specific” or “collateral” symptoms — sort of a brain fog and visual field disturbances that had become a serious problem — but no basically no change in libido. About a month after starting Androgel, I moved up to 3 squirts/day. Within a week or so, I started having more night and morning wood, and libido has gradually been improving. I don’t know my current T levels, but should have more lab work done in the next month or so.
I have experienced a small amount of nut shrinkage and will bring this up with my doc during my next appointment. However, my impression is that a lot of U.S. practitioners (and insurers) may only include HCG as part of a hormone replacement therapy when fertility is an issue, which is not the case fir me. I think there is a class of guys who enough from HCG that they don’t need exogenous T at all. If your doc is open to prescribing HCG, it would make sense to me to see try it on a stand alone basis first, and then add T if HCG does not do the trick on its own.
If your doctor is open to alternate delivery methods, there is something to be said for injectable T. Although my doc downplayed the significance of unwanted transfer of testosterone to others, I talked with an Abbott labs technical rep who treated this as a more serious issue - even suggesting that transfer can occur from contact with clothing that touches application areas. Transfer concerns can be reduced by washing prior to direct contact. However, that may affect the amount you absorb, so you might have to take that into account in determining the amount you apply in the first place if you find that you are frequently washing application areas because of transfer concerns.
Injectable T is generally a cheaper form of treatment, although if your insurance plan has a mail order pharmacy plan you can bring the cost of Androgel as low as $70 for a 90 day supply.
On the plus side, Androgel delivers a steady daily dose of T, so you don’t have a roller coaster effect of T peaks and low points. Folks who inject only once a week or less often report that as an issue. More frequent injections can reduce that problem if your doctor lets you divide a weekly dose into 2 or 3 injections.