You said your red blood cells count was too high, but what were the actual numbers? I ask because one blood draw might not be nearly enough to get you back into normal range.I'll use my own recent experience to illustrate.
When I started TRT my family physician didn't get starting hemoglobin/hematocrit. Prior lab work values about 6 months before the start of TRT were Hgb 16.9, Hct 51.9. Reference values for all measurements in this post are Hgb (14-18), Hct (42-52).I was started on the usual antiquated 200 mg T Cyp. After 2 months of the predictable rollercoaster ride I talked my Doc into 100 mg/week. At 3 months, she took basic labs, (Total T, Free T, but no Hgb or Hct) and cut me loose to self inject, which I did at 100 mg per week.
At about 5 months in, I started noticing that my bruising and bleeding patterns were different. Also, my face and chest coloration were somewhere between red and purple. I decided to give blood, since I had read about the possibility of high Hgb and Hct. They measured Hgb via finger stick, and read 22. I went into panic mode, and when they measured my blood pressure it was too high for me to donate, so I had to fuss and stew over the weekend until I could see my Dr. Their lab measured Hgb 20.5 and Hct 61.6.I got a prescription for therapeutic phlebotomy, and was finally able to get my first blood draw that week. Over the course of the next month, I had 4 double red withdrawals. That's 8 units of red cells, which got my Hgb down to 15.I did basically everything KSman recommended. In addition, I doubled up on my BP meds until blood was back under control and switched my T schedule to 40 mg twice a week. Hgb and Hct have now been stable for 3 months. I had been checking them every 4 weeks, but will now go 8 weeks between checks.
I'm lucky I didn't die or stroke out.
So, I think what PKNY means when he says it's normal is, yes, it can happen. Until you hava a handle on your levels, I would recommend frequent labs to monitor levels. If you're unlucky like I was, you might have to donate more often than once every 8 weeks. Most blood banks require a prescription for draws more than once every 8 weeks for a single unit. Some won't allow you to donate if there's any medical reason you need to dump blood. If that is the case for you, you'll have to pay for therapeutic phlebotomies to get your blood under control. (Or get a Handy Dandy Home Phlebotomy and Oil Change Kit).
My case is extreme, but it does happen. Get your actual numbers, and stay on top of it. If you have any questions, feel free to ask.
Best of luck.
Edited to change donation frequency from once/3 months to once/8 weeks.