High estradiol on bloodwork where do i start?

[thejeepguy]

I'm on 200mg test weekly I pin twice weekly.
I'm also taking 300 iu hcg eod do to lack of sauce. (Not that ive noticed a difference yet) I take 5mg tadalifil daily. I also take Hydrochlorothiazide and Fenofibrate daily.
Now I could lower the amount of test I take but I kind of like how it feels at this level. I'm thinking of starting a AI. Honestly I've never taken one. I don't know where to start or what dose. Another option could be starting primo? But I don't want to go to crazy on adding compounds. Thanks for any opinions and or options/advice.

 

[thejeepguy]

I also wouldn't mind find something to increase my fsh for fertility reasons. I was thinking clomid but if I'm not mistaken there is an injectable fsh.

 

[xrayphoton13]

I've never seen fsh outside of a compounding pharmacy. My trt doc prescribes it if needed. Your total t is above TRT range and I'm the type to believe you aren't doing trt if you need an AI. That's your choice though. AI's have their own set of health detriments and negative consequences so I would never want to be on one long term, especially arimidex. Aromasin is a much better choice health wise. 100pg/ml e2 is high but if you aren't having symptoms of high e2 I wouldn't worry about AI. I don't like to chase lab ranges. They are based off the average male and that's not you at 200mg testosterone/week. If you have symptoms or you feel being in range is preferable lower your testosterone dose.

With HCG you can easily do M/W/F so you don't have to keep up with EOD schedule. I was naturally hypogonadal with low test and a low sperm count and was having trouble getting my wife pregnant. When the tests came back my doc put me on trt. After we got my dose figured out we started HCG 500iu MWF and my wife got pregnant pretty quickly after that

Starting primo is also not trt but that's your call. Just double the test and run a cycle at that point. I don't see the point of taking primo at a low dose anyway unless you're just using it as an AI. It could help bring down your e2 without needing an AI but you're still long term running a second anabolic. What will that do to your health in the long run? I can't say. You could also drop the HCG until you're ready to knock someone up. That will drop your total t and e2. I did not at all like the way I felt on HCG personally

 

[Deadp007]

Primo at lower doses to keep e2 from climbing too high is popular. It would require more blood work to get the Primo dose dialed in. It shouldn't wreck your any health markers but YMMV.
But just like @xrayphoton13 mentioned, dropping the HCG would work.
And it would be the easiest, fastest thing to do that would drop the estrogen. And a whole lot less complicated.
What is your BF%? Higher % often have higher aromatization of test to estrogen.