you need to come off everything and begin hcg and arimadex. I would use arimadex at 1/2mg 3 x wk and hcg at 250iu twice wk every wk and attempt to restore any natural test I could. The adex and hcg should help elevate sperm count and natural test over time. I would also use clomid at 100mg/ day for a couple wks and then drop to 50mg day for 2 more wks after you quit everything. Its going to take awhile, possibly a year before you are fertile again. Even on trt there is still a 50% chance of being fertile, but the choice to come off totally or stay on trt depends on how long you have been on trt up until now. If its been a year then Id attempt to drop everything, if its been longer then Id revert to a minimum trt dose of 80-100mg wk and continue on hcg arimadex regimen. U really need a fertility specialist though but for now this is what Id do personally
Currently taking anastrozole three times a week (1/2 mg per dose) to reduce estradiol, elevated due to twice weekly test injections of T – cypionate. Since starting TRT, I’ve had a real problem sleeping, or more accurately, waking up after about four hours and not being able to return to sleep. My doc doesn’t think it has anything to do with either drug, but I see sleep problems is listed as a possible side effect for the anastrozole. Can I directly substitute the Red pct for the anastrozole and if so, is there any feedback on the effect is has on sleep?
(My T level is 1140, using bi-weekly injections of .2 ml each.)
Another point I’d like to make for people worried about a link between high testosterone and prostate cancer is that it just doesn’t make sense. Prostate cancer becomes more prevalent in men as they age, and that’s also when their testosterone levels decline. We almost never see it in men in their peak testosterone years, in their 20s for instance. We know from autopsy studies that 8% of men in their 20s already have tiny prostate cancers, so if testosterone really made prostate cancer grow so rapidly — we used to talk about it like it was pouring gasoline on a fire — we should see some appreciable rate of prostate cancer in men in their 20s. We don’t. So, I’m no longer worried that giving testosterone to men will make their hidden cancer grow, because I’m convinced that it doesn’t happen.