Little history, 36 years old, been on trt for about 5 years.
Have had gyno for around 15 years from being young and dumb. Finally pulled the trigger and had surgery a little over a week ago. Can't believe i waited this long, now i just need to heal.
test cyp 200mg/week
hcg 300units 3x/week
anastrazole 0.5mg 3x/week
Anyway this is my latest bloodwork results.
ENDOCRINE EVALUATION
FSH 0.2 L 1.5 - 12.4 mIU/ml
LH <0.100 L 1.7 - 8.6 mIU/ml
PROLACTIN 12.6 4.1 - 18.4 ng/ml
PROGESTERONE 0.31 <0.84 ng/mL
ESTRONE (E1) 15.2 <60 pg/ml.
ESTRADIOL (E2) <5.00 L 7.6 - 42.6 pg/ml
DHEA-SULFATE 409.8 88.9 - 427.0 ug/dl
DIHYDROTESTOSTERONE 66.6 11.2 - 95.5 ng/dl
TESTOSTERONE, TOTAL 754 280 - 1100 ng/dl
SEX HORMONE BIND GLOBULIN 41 10 - 80 nmol/L
TESTOSTERONE, FREE 13.59 1.9 - 27 ng/dl
BIOAVAILABLE TESTOSTERONE 375.2 62 - 512 ng/dl
IGF-1 121.0 73 - 218 ng/ml
So after talking with the Dr. he wants to lower the anastrazole from 3x weekly to 2x weekly. Says the e2 is way too low
He also feels the DHT is high and i have been having a decent amount of hair loss recently. He recommends using a dht blocker such as saw palmetto, propecia or even avodart.
I am obviously nervous about the gyno coming back, with lowering the estrogen blocker and then blocking the dht wouldn't that be increasing my chances of the gyno coming back.
I took saw palmetto and avodart separtely before (while on trt) and they both seemed to make the gyno even worse then it was.
The surgeon says he removed the majority of the gland but there is always a slim chance it could come back. Impossible to get all of it out. He removed the gland and did lipo as well. So i would prefer to do everything possible to keep the gyno off. Of course i don't want to stop the trt and would prefer to keep my hair if possible. Any suggestions?
Thanks guys