I think you are coming to conclusions that there isn't evidence to support. There is no evidence that you are having "overwhelming" activity of aromatase. Very very many men have just as much T to E conversion as your test showed, or more.
You have a little more than optimal, but this is no explanation for the testicular pain or atrophy.
Further, estradiol is not known to cause testicular pain. There are any number of steroid users who have used, and even to this day some continue to use, no antiaromatase while using very large amounts of T, with resulting very high E2.
I haven't measured my estrogen levels when using only trenbolone and 50 mg/day Dianabol but I recall back when having done that quite some while back the value was near the very high end of normal.
Anabolic steroids don't increase progesterone.
It is true that estrogen levels can increase tendency towards autoimmunity but your levels are not abnormally high, or at least were not in this test. And again, in and of itself high estrogen doesn't lead to testicular pain.
I'm afraid that the exact situation you are suffering is a mystery, and the doctors you've seen haven't pinpointed the answer. I think the ones that any that talk to you about DHT and androstanediol glucuronide and so forth as explanations for your testicular pain, instead of being simply probably minor things to note and perhaps related but not the direct cause, don't know what the underlying problem is. Fortunately this doesn't mean that no doctor can pinpoint the actual current cause and specify the correct treatment.
You have a little more than optimal, but this is no explanation for the testicular pain or atrophy.
Further, estradiol is not known to cause testicular pain. There are any number of steroid users who have used, and even to this day some continue to use, no antiaromatase while using very large amounts of T, with resulting very high E2.
I haven't measured my estrogen levels when using only trenbolone and 50 mg/day Dianabol but I recall back when having done that quite some while back the value was near the very high end of normal.
Anabolic steroids don't increase progesterone.
It is true that estrogen levels can increase tendency towards autoimmunity but your levels are not abnormally high, or at least were not in this test. And again, in and of itself high estrogen doesn't lead to testicular pain.
I'm afraid that the exact situation you are suffering is a mystery, and the doctors you've seen haven't pinpointed the answer. I think the ones that any that talk to you about DHT and androstanediol glucuronide and so forth as explanations for your testicular pain, instead of being simply probably minor things to note and perhaps related but not the direct cause, don't know what the underlying problem is. Fortunately this doesn't mean that no doctor can pinpoint the actual current cause and specify the correct treatment.