38 years old
5’ft 11.5 in
Body fat 8%
Been on trt for about 1.5 years. 200mg Tcyp 100mg biweekly IM. For the 12 months I’ve been fighting E2 mostly low and need advice.
1/2017: loss of erections
Labs: E2 20 estro sensitive, test 1400, free 38
Action from doc: reduce to 0.5mg 2x / week from 3x a week. Cialis Daily 7.5mg
2/17 - 8/17: stability. Not in sweet spot but cialis working OK. More premature ejac than ever before in my life.
9/2017: taking dex 0.5mg 2 x / week. loss of erections when standing (weird) wasn’t in tune with what was going on.
10/17/17: no libido, weak erection, loss of penile girth, bat shit crazy emotional, paranoid. Flat, weak in gym.
Labs: E2 < 17pg/mL non estrogen sensitive
Total T: 1307, free 36.9, SB 27.3
Action: stopped anastrazole for two weeks, at end of 2 weeks felt slightly better. Took 0.5mg on 10/31 then recheck E2 a day later.
11/01/17 : labs: E2 < 2pg/mL estro sensitive
Total test 1400, weak /no erection, loss of girth, smaller load.
Action: call Doc. Stop AI.
11/10: labs E2 estro sensitive 20pg/mL
Test : total 1300’s, Free 37, SB 26
Actions: switch to SQ test 100mg 2x /week
11/29: sweet spot hit but back acne starting
12/1: no AI for 1 month. Libido thru roof, erections strongest in over a year. Girth markedly bigger, loads bigger, back acne noted.
Labs: E2 40 estro sen, text total 1200
Action from doc: take 0.25 5 days After lab draw then 0.25 q 3 days.
Up cialis to 13mg daily
12/10: loss of erection loss of girth, SMFH I crashed again.
Labs: 24pg non estro sen but I know it’s low.
Action: stop AI. It’s been 7 days today.
Long story short. I’m waiting not so patiently for it to rebound. Upon rebound when should I dose the AI and how much.
Looking at my trends it took 2 weeks for my E to go up 20 points.
I’m considering diluting in a solvent and micro dosing the AI 0.125mg once a week maybe?
Or would a better option be to Lower my T to 160-180 and kick the AI all together?
I’m desperate for stability and consistent libido /erection strength. Any advice appreciated.