I have had a terrible time finding the correct AI for me. I started with anastrozole, but by process of elimination, determined that it was the cause of some bad back acne, which is apparently extremely rare because I couldn’t find any other instance where it actually caused it. I can assure you this was the cause. It was constantly present for 5 months, and began to subside as soon as I stopped taking it.
My hormone specialist compounded progesterone in my testosterone cream to see if that was an adequate AI; it most definitely was not.
E2 ran rampant and I would rather deal with the back acne than deal with the emotional state of elevated E2.
I self-switched to exemestane (aromasin) RC, and everything was going great, except I am having a lot of trouble going to sleep and staying asleep. I am also having some pretty disturbing dreams. These two side effects have been nonexistent since beginning TRT in November 2011. Alcohol is the only OTC that helps, which is NOT the right answer. After some googling, insomnia isn’t that rare of a side-effect. If I don’t sleep, I am a miserable person to be around. I’ve read on some breast cancer forums of women taking some prescribed sleep aids. I’d rather not go down that route.
This leaves me with only one other option that I know of; Letrozole. I don’t think I’ve read one single case on here of someone using it as their AI, but I am out of options here. If anyone has some input I would like to hear it.
Here is my context with all other information. I haven’t updated it in a while since I’ve been trying to figure this AI thing out: