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Thread: Clomid HRT 12 month bloodwork

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    Clomid HRT 12 month bloodwork

    This month marks one year since I started doc supervised HRT with Clomid. I just had my latest bloodwork and wanted to solicit input.

    Protocol
    50mg Clomid twice a week, Monday AM and Thursday PM
    .25 to .5 mg Arimidex total per week, taken in .25 mg doses

    That's it as far as HRT goes. I take Cialis 5mg and Flowmax once a day for BPH, plus a host of OTC stuff.

    Based on the results below, I'm going to cut out the AI and see where that gets me. Doc might want to taper it off, and I would be OK with that. Everything else seems to be dialed in nicely, imho.

    Note that the PSA number is likely influenced by a weekend (and morning of bloodwork) bit of fun Mrs Cylon and I had. Listen, when you are married, you gotta strike while the iron is hot, bloodwork be damned! Will likely just retest and abstain for 48 - 72 hours prior to bloodwork being drawn. My last DRE was in July and noted no abnormalities (well, other than the doc putting his gloved finger up my butt, but it's right there in the name of the exam - Digital Rectal Examination - so what the hell should we expect??).

    Anyhow, I'm feeling good and likely will feel better dropping the AI. If we drop the AI entirely, I will retest in 90 days. If we taper, probably won't retest for 6 months or so.

    Clomid HRT 12 month bloodwork-cylon357oneyear-page1.jpg Clomid HRT 12 month bloodwork-cylon357oneyear-page2.jpg Clomid HRT 12 month bloodwork-cylon357oneyear-page3.jpg

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    Youthful55guy is offline Knowledgeable Member
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    Except for the PSA, everything looks great. Totally understand the not abstaining. When you've been married for 25 years, you take want you can get. Agree to step down E2 control. Might want to consider DIM as an alternative.
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    Quote Originally Posted by Youthful55guy View Post
    Except for the PSA, everything looks great. Totally understand the not abstaining. When you've been married for 25 years, you take want you can get. Agree to step down E2 control. Might want to consider DIM as an alternative.
    Yeah I added DIM a while back. 250mg a day then recently upped it to 500mg per day to see where that lands me.

    BTW, the last adex I took before the blood work was .25 mg 6 days before. I know the half life is around 48 hours but do not know how long before e levels would start to rise again. Any idea on that?

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    Youthful55guy is offline Knowledgeable Member
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    Quote Originally Posted by cylon357 View Post
    BTW, the last adex I took before the blood work was .25 mg 6 days before. I know the half life is around 48 hours but do not know how long before e levels would start to rise again. Any idea on that?
    It is metabolized mostly in the liver (85%), with an elimination half-life of 50 h and a terminal elimination half-life of 2 days.

    From: https://doi.org/10.1210/jcem.85.7.6676

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    Youthful55guy is offline Knowledgeable Member
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    On a different note, Can you relate your experience with Flowmax?

    In a nutshell, I have not had BPH problems until very recently. I believe it is temporary as it occurred virtually the same time as a sudden flare up of some pretty nasty hemorrhoids. Lots of inflammation in the perianal area as a result. I think that is causing the BPH. I had surgery for the hemorrhoids 2 days ago and that aggravated the BPH even more. Hopefully the inflammation will subside soon and urination will return to normal. I have a follow up visit with my GP on Monday and plan to ask her about Flowmax. Just wondering what you think of it?

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    Quote Originally Posted by Youthful55guy View Post
    On a different note, Can you relate your experience with Flowmax?

    In a nutshell, I have not had BPH problems until very recently. I believe it is temporary as it occurred virtually the same time as a sudden flare up of some pretty nasty hemorrhoids. Lots of inflammation in the perianal area as a result. I think that is causing the BPH. I had surgery for the hemorrhoids 2 days ago and that aggravated the BPH even more. Hopefully the inflammation will subside soon and urination will return to normal. I have a follow up visit with my GP on Monday and plan to ask her about Flowmax. Just wondering what you think of it?
    Ouch that surgery had to hurt!

    Flowmax is okay. It is effective in doing its job, but when you first start using it, it has some short term odd side effects. Nothing dangerous just a little weird. Reverse ejaculation is the oddest to me but it goes away after a week or two. That can be weird the first time it happens lol! Anyhow, good for urine flow and it lowers BP slightly so it's a winner in my book.

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    Oh and yeah, hemorrhoids are fun.... NOT! I take a little vitamin K2 when things get a bit.... well, no way to say this politely, bloody in that area. Way TMI maybe but I share your pain. I opted not to have the surgery though as I have just lived with them for years.

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    Quote Originally Posted by cylon357 View Post
    Oh and yeah, hemorrhoids are fun.... NOT! I take a little vitamin K2 when things get a bit.... well, no way to say this politely, bloody in that area. Way TMI maybe but I share your pain. I opted not to have the surgery though as I have just lived with them for years.
    I had no option, they progressed beyond grade 3 and were beginning to prolapse. Can't tell which is more painful, living with prolapsed hemorrhoids or day 2 post procedure. Hoping things get better quickly. I opted for the stapling procedure and the doc said it went well. Going to see my GP in a couple days, who has also had the procedure. Perhaps she can give me some insight into a faster recovery.


    I'm also hoping that once the swelling goes down, the urination will go back to normal, if not I plan to ask for a script for Flowmax. I've read about the retrograde ejaculation side-effect. But the way I feel now, the thought of any ejaculation is distasteful, so not a lot to lose. I can always stop once the swelling goes down.
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    Quote Originally Posted by Youthful55guy View Post
    I had no option, they progressed beyond grade 3 and were beginning to prolapse. Can't tell which is more painful, living with prolapsed hemorrhoids or day 2 post procedure. Hoping things get better quickly. I opted for the stapling procedure and the doc said it went well. Going to see my GP in a couple days, who has also had the procedure. Perhaps she can give me some insight into a faster recovery.


    I'm also hoping that once the swelling goes down, the urination will go back to normal, if not I plan to ask for a script for Flowmax. I've read about the retrograde ejaculation side-effect. But the way I feel now, the thought of any ejaculation is distasteful, so not a lot to lose. I can always stop once the swelling goes down.
    Quote Originally Posted by cylon357 View Post
    Oh and yeah, hemorrhoids are fun.... NOT! I take a little vitamin K2 when things get a bit.... well, no way to say this politely, bloody in that area. Way TMI maybe but I share your pain. I opted not to have the surgery though as I have just lived with them for years.
    This would make for a interesting yet also somewhat disturbing search history...

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    Quote Originally Posted by Youthful55guy View Post
    I had no option, they progressed beyond grade 3 and were beginning to prolapse. Can't tell which is more painful, living with prolapsed hemorrhoids or day 2 post procedure. Hoping things get better quickly. I opted for the stapling procedure and the doc said it went well. Going to see my GP in a couple days, who has also had the procedure. Perhaps she can give me some insight into a faster recovery.


    I'm also hoping that once the swelling goes down, the urination will go back to normal, if not I plan to ask for a script for Flowmax. I've read about the retrograde ejaculation side-effect. But the way I feel now, the thought of any ejaculation is distasteful, so not a lot to lose. I can always stop once the swelling goes down.
    In all seriousness, though, Flowmax has worked well for me and been no problem after the first two weeks or so. Couldn't hurt to try it if the doc thinks you need it.
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