Anastrozole is not a cancer med. It is an aromatase inhibitor that reduces T–>E2 and that action is useful in treating estrogen positive breast cancers. You doc simply need to wear a functional medicine hat and get the job done, or get an different doc, see the sticky for that.
Your TRT dose is way too high and creating your high T levels.
2-20-17 Lowered Test dose to 130mg (65 twice per week)
10mg Aromasin every day
20mg Nolvadex everyday
E2=10
Change to aromasin 10mg EOD
Taper off and stop Nolvadex. 20mg/day can create a lot of T–>E2 inside the testes. With E2 near 22pg/ml, you do not need a SERM/
FT=16 is too low. Should do labs halfway between injections, always, to reduce lab timing artifacts. You may have a low SHBG+T clearance rate in the liver and may be hypermetabolizing T. I would like to see dose increased to get FT near high normal.
Start injecting SC, use #29 1/2" 0.5ml syringes.
Manage E2 well and give gyno time to resolve, throwing labs+money at the problem will not change the outcome.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.