Hi everyone. First time poster, long-time lurker here. So, I started TRT about 2 years ago (age 21 now) and after a few months got a sperm count done and it was at or near zero. Not good for my future as I want kids, so my doc put me on hCG and FSH with anastrozole to keep the E2 levels down. My regimen is 750 iu hCG every day and 75 iu FSH 3x / week. 1 mg anastrozole every day.
The problem here is that I can’t get my E2 levels under control. My T levels get to around 900 and then E2 is in the 80-90 range. Far too high. The way I see it, I have 2 options,
- Take more anastrozole and keep with my current regimen. If this is safe, this would be ideal in my opinion because I’m used to this and I also would be preserving my fertility and not dealing with atrophy.
Is taking more than 1 mg of anastrozole per day dangerous? From what I understand, even taking 1 mg every day is a rather high amount, but my body seems to be extremely resistant to it.
- Go on Testosterone + hCG. This is option two, for if I just can’t get my E2 levels in check / upping anastrozole is too dangerous. Would this preserve fertility for later on? I wouldn’t be taking the FSH anymore and I’m wondering if the testes can somehow “forget” how to make sperm if I don’t use the FSH for years until I want to have kids.
p.s. kind of off-topic, but: what other tests should I have done here besides testosterone and E2? People have been recommending Thyroid hormones, HGH, and cholesterol. Any other hormones?