How to boost my LH - labs done

[DrZaius7]

But you are also doing nolva during this time??

You can't trust that estradiol reading if you didn't get the "sensitive" test. AIs don't lower men's estradiol more than 50-70%, they work differently than in postmenopausal women.

Yes, been using Nolva too. Going to switch over to Raloxifene

 

[Kaladryn]

Yes, been using Nolva too. Going to switch over to Raloxifene

Why would you take nolva and an AI while on zero test? I'm sure you are enjoying the testosterone stimulating effect but you are going to completely screw your HPGA, you shouldn't need both, I think the SERM could be aggravating your gyno in this unusual case. Crushing estrogen like that will open you up to a host of side effects that normally only apply to postmenopausal women, including bone loss and blood clots.

If you were on the SERM when you had the E2 test done, and it was the normal test, the SERM may have shown up as E2 and your actually E2 may have been close to zero.

 

[DrZaius7]

Why would you take nolva and an AI while on zero test? I'm sure you are enjoying the testosterone stimulating effect but you are going to completely screw your HPGA, you shouldn't need both, I think the SERM could be aggravating your gyno in this unusual case. Crushing estrogen like that will open you up to a host of side effects that normally only apply to postmenopausal women, including bone loss and blood clots.

If you were on the SERM when you had the E2 test done, and it was the normal test, the SERM may have shown up as E2 and your actually E2 may have been close to zero.

I am enjoying ZERO testosterone stimulating effects. I have zero sex drive for 4 months. Not even morning wood in months. My body composition is changing and I have no vigor, no muscle pump in the gym, etc.

Like I’ve said before. I only started taking AI because of herendous onset of gyno which doesn’t stay in check unless I’m taking high dose of AI.

 

[DrZaius7]

Why would you take nolva and an AI while on zero test? I'm sure you are enjoying the testosterone stimulating effect but you are going to completely screw your HPGA, you shouldn't need both, I think the SERM could be aggravating your gyno in this unusual case. Crushing estrogen like that will open you up to a host of side effects that normally only apply to postmenopausal women, including bone loss and blood clots.

If you were on the SERM when you had the E2 test done, and it was the normal test, the SERM may have shown up as E2 and your actually E2 may have been close to zero.

Just got my total testosterone and prolactin results:

Testosterone: 190.3
Prolactin .3 ng/ml

Guess I can rule out the high prolactin being my issue. Insurance should cover TRT now.
Could the gyno totally just be a symptom of testosterone being so low?

 

[Kaladryn]

Just got my total testosterone and prolactin results:

Testosterone: 190.3
Prolactin .3 ng/ml

Guess I can rule out the high prolactin being my issue. Insurance should cover TRT now.
Could the gyno totally just be a symptom of testosterone being so low?

Nope, on 40mg of nolva a day you should be able to use 1g of test per week with no AI and zero gyno. You could have zero test, 5000 test, it wouldn't matter on that much nolva. Same for that much AI.

 

[Kaladryn]

I am enjoying ZERO testosterone stimulating effects. I have zero sex drive for 4 months. Not even morning wood in months. My body composition is changing and I have no vigor, no muscle pump in the gym, etc.

Like I’ve said before. I only started taking AI because of herendous onset of gyno which doesn’t stay in check unless I’m taking high dose of AI.

Test levels have a strange connection to sex drive, low sex drive doesn't mean low test. Nolva isn't enough to stimulate a lot of testosterone, it's just going to give you a little, but it's going to feel better than nothing if you are completely shut down, which you would be, from taking the nolva, which would cause high E2, which would cause you to need the AI.

 

[DrZaius7]

Nope, on 40mg of nolva a day you should be able to use 1g of test per week with no AI and zero gyno. You could have zero test, 5000 test, it wouldn't matter on that much nolva. Same for that much AI.

Any thought then on why my gyno blows up if I taper off AI’s?

Do you think taking clomid might help (I took it for about 10 days between labs and test went from 150 to 190)? Should I continue it?

Or just be resigned to needing TRT?

 

[DrZaius7]

But you are also doing nolva during this time??

You can't trust that estradiol reading if you didn't get the "sensitive" test. AIs don't lower men's estradiol more than 50-70%, they work differently than in postmenopausal women.

Been at 20mg/day Nolva for a week. Dropped it today and replaced with 60mg Raloxifene. I plan to taper Aromasin down from 25mg to 12.5mg/ day and to keep Raloxifene going.

I might start TRT to bring my test level back into normal range and see if that will allow me to get off of all anti E’s

Opinion?

 

[DrZaius7]

Saw the Endocrinologist today.
He had no idea what’s causing the gyno. Gave me a script for Clomid at 50mg/day in an attempt to restart my own production and referred me to a surgeon for gyno removal.

He doesn’t think my low testosterone is causing it via estrogen out of balance compared to testosterone.

Re-do labs in a month but wants me off all AI’s, etc
Which has me nervous. I was 12 hours late on my aromasin dose yesterday and my chest started to swell and hurt...