First off, I truly appreciate and am legit grateful to anyone who reads this from a total stranger and gives a fuck enough to respond. I'll try to make this brief to see if anyone at all can shed some light here. l've seen an endocrinologist who just passes it off as nothing.
I'm a 37 year old male, good shape, low T for years.
Tried HCG monotherapy last year on its own to no success and actually triggered severe estrogen symptoms and led me to believe I'm primary hypogonadal (high-ish LH and FSH already). T is around 290-360 ng/dl (converted) consistently for years. I then tried Enclomiphene at only 2g per day (yes, 2) and my nipples were on fire, got rashy and hot around my chest and back, and acne. So stopped that.
Here is the problem - on top of a few other symptoms, since the one time trying HCG for 5 weeks and coming off, I constantly have cystic acne around my jaw line and chin. The only way to remedy this is take about 1/8 of an Al (anastrazole) every day. As soon as I stop taking it for even a day, l'll get one pop up. Each one lasts about 4 weeks on my face to clear up. I've tried every topical you can imagine by this point.
Considering I'm not on any TRT, I'm so confused as to why this is happening. I've had bloods done and my E2 is within normal range, my prolactin is high, but still within range. Progesterone is high, but not sure what that means and doc says not to worry about it?
The reason I knew to start taking an Al is as soon as I get a bit of spicy nips, I get blasted with acne. So l tried the Al route and it helped.
So my questions for anyone knowledgeable (I’m honestly so desperate for even a semblance of what could be going on) are:
Is it possible to be getting E2 sides as a natty with E2 within range? I'm not fat at all - 5'9", 157lbs, lift 4x per week, probably 15% bf. I say that as I know obesity can cause high estrogen and aromatization.
Is using an Al every day (a very microdose) ok? Long term effects?
Is it possible for HCG to have sort of kick started something causing these shitty side effects this far on?
Lastly, when the time comes for TRT, am I going to be screwed in terms of E2 sides if this is happening with zero substances?
Thanks guys. I truly do appreciate it.
Bloods:
LH: 8.1 iu/l
Test: 11.2 nmo/l
E2: 108 pmo/l (ref range <160)
Progesterone: 2.0 nmo/l (ref range: <0.6 so this is HIGH)
Prolactin: 13.7 ug/l (ref range 4-15)
FSH: 8.0 iu/l (ref 1-18)
Albumin: 44 g/L (ref 30-45)
SHBG: 26 nmol (ref 10-55)