
Originally Posted by
Vettester
OK, thanks for sharing, this is helpful.
Based on the reference range you provided with the E2 lab, it doesn't appear to be the sensitive. Definitely order the sensitive assay on future labs. On your free testosterone lab, can you tell me what unit of measurement was used? Picograms (pg/ml) is normally the UM that I see. Or, I can find what I'm looking for with your SHBG score if you have it (at the time of your 610 total serum score).
You did a PCT with Clomid/Nolva; both SERMS. You state that you are taking Tamox for the nipple/gyno subject. Tamox is Nolva, so you're in essence still in PCT mode. How much and how often are you taking it? When you took your last round(s) of labs for the testosterone serum, did you by chance have your LH and FSH included? The Nolva/Tamox is mostly likely increasing LH, which is why you have seen an increase in natural test production. The million dollar question is will your HPTA sustain normal gonadotropin production after you stop administering Nolva? If your E2 is still elevated, than that needs to be dealt with to get it in normal range. The Tamox is just blocking the receptor sites, which is giving you relief, but it's not going to do anything to control your actual estrogen serum level. Again, additional labs will talk volumes.
Your anti-D and anxiety meds are probably playing into this as well, and could very well be part of the libido function problem. I'll share something with you that I don't speak about much ... I was on Anti-D's about 10 years ago. I understand where you're coming from with them. However, IMO, I think they're nothing more than a patch to cover up the real issues with an individual, and in a lot of cases that's hormonal related. Now, I know you can just cold turkey those things, but I really want you to consider looking at a plan that might allow you to taper down/off of them, and to attack the true components of where you need to restore balance. The obstacle is more in finding a good physician that you can fall back on and partner up with to help you. Most GP's, mine included, are real quick to go the easy route. My situation is fortunate, where I've had the ability to go outside my HCP system to get specialized hormonal care. My GP has also got better and more open minded over the last 5 years or so, which has also been a benefit. I don't know your particular situation, but I do stress that you stay proactive to make sure your HCP is doing what's needed to 'fix' your problems, not 'patch' them.