You have higher LH/FSH and low T. That is the definition of a degree of primary hypogonadism. That cannot be fixed unless there is a bilateral vascular abnormality that can be surgically repaired. Ultrasound would have detected that.
With low T and high E2, liver clearance of E2 is suspected impaired. Can be a liver problem or disease. You did not post AST/ALT lab data.
You should try 0.5mg anastrozole per week in divided doses. After labs, change to get near E2=22pg/ml. That will make you feel better and increase LH/FSH and that increase may not provide much increase in T.
If you were taking a SERM for that lab work, I will have to rewrite this.
Is cholesterol low? <160?
What thyroid lab results?
See last paragraph in this post.
You may want to open a thread in the T replacement forum for your case.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys - need more info about you
- 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.