I’m no doctor, but the intertesticular E2 thing never made much sense to me…if you’re taking the proper HCG dose. The key with any of this is to take only as much as you need to get the desired outcome. If you’re taking just enough HCG to stimulate adequate T production, I don’t see how intertesticular aromatization would be any worst than adequate LH levels. Unless HCG is something other than an LH mimick, which I don’t believe it is. If you take 750IU a week (divided doses) and get a T reading of 500, then you bump it to 2000IU a week and get a T reading of 550 and sky high E2, don’t blame the HCG. It’s your dose.
I’ve done both SERMS (clomid, Nolva, and Torem) and HCG monotherapy before and after full TRT. For me personally, HCG got me to healthy Free T levels without much drama on the E2 front. No worse that on TRT. Clomid on the other hand was a real bugger. I could get LH above the normal range, but free T was much lower, even at higher total T levels. E2 was also much harder to manage.
HCG was just a brigde to the SERM, so I didn’t spend a lot of time tweaking that. Since the SERM wasn’t working well for me, I’m going back to HCG to give it a proper run. It makes sense to me to start with a SERM and really give it a chance, making sure E2 stays in check. If that doesn’t work, try HCG. With both working to use the lowest dose that provides good levels. If neither works well, full TRT.