Brotherhood I need your help. Doctors keep throwing shit at me to help with low sperm and low T but nothing seems to work.

A little back story.
I'm 37. 245lbs 18% bf. Been on and off gear since early 20s. I train in the gym 4-5 days a week. Currently been off everything for 3 yrs since I've been trying to have a kid. When I was first came off I went from 1300 ng/dl to 153ng/dl Testosterone. Doctors have worked with me to get numbers correct. I'm currently at 399 ng/dl. I've been on hcg, nolvadex and clomid. Clomid was the first thing they put me on and really fucked me up. Gained a bunch of weight and felt like absolute shit. Lost all motivation for life. Was on it for 13 months trying to tough it out and gained 78 lbs..

Well got another doctor and he put me on hcg with nolvadex. Numbers didn't really go up but over all health felt better coming off the clomid. Started back in the gym and starting the weight loss journey back to my normal self. After giving him a try and no improvement in numbers I'm giving another doctor a chance. He is wanting to put me on TRT to help but I'm skeptic now that this is the 3rd doctor.
I'll attach current bloodwork for y'all to look at it to see if there is anything else I can do. All I want is to have a kid and seems like nothing is helping with that.