I am a 24 year old guy diagnosed recently with secondary hypogonadism. Specialist has put me on Testo Gel 50mg 5g gel sachet to be applied daily. I have now been taking for about three months. My total testosterone currently sits at 18mnol on a reference range that goes from 10-28mnol. When I began TRT my total testosterone was a mere 13.9mnol, so although not a significant increase, the gel is clearly working up to a point.
Unfortunately my oestrogen (E2) levels are troubling me somewhat. My most recent reading of oestrogen came back at 179pmol/L on a reference range that goes from 73-172pmol/L. Now, I have been told that the optimal oestrogen level for men on TRT is between 80 and 100pmol/L. In addition, I have physical symptoms suggestive of oestrogen dominance; bloating, random hot flushes, mild Gyno and mood swings.
Question to the guys on here is this: Could the elevated oestrogen levels be minimising the full benefits of the TRT gel? With numbers like these and symptoms, is it worth asking my specialist to consider low dose Aromatase Inhibitor? If so, what type and what dosage would you guys suggest?
Any guys on here in a similar position to me, please message back, including labs for your oestrogen and total and free testosterone. My SHBG was 46mnol on a chart that goes from 10-50mnol. Is this significant? Too high or too low?
Welcome your advice and your thoughts guys!