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
Companies need to work hard to remove the ‘fear factor’ when it comes to performance review by providing employees with ongoing coaching and feedback. This will help build and reinforce a trusted relationship between the manager and the employee which is a crucial step for driving employee engagement and high performance. This doesn’t just mean setting up one to one meetings but going beyond that and setting context to what the discussions should look like. These sessions should include elements such as tracking and collaborating on goals and projects, exchanging meaningful feedback and discussing career development opportunities. With this in place both managers and employees will see the true impact performance management can make.