Hey! I have elevated e2 of 70, total test of 400 maximum, lh 1.9, fsh 3.2 I feel testicle ache, shrinkage, and low T symptoms going on 2 years. Any ideas? Primary or secondary hypo? What’s with my estrogen being high. I’m 205 lbs, approx 13% body fat, 5.11”, muscular build. Been on HCG mono for 8 weeks, 1500 iu split into 500 iu 3 x per week, feeling some improvement. I should mention, these numbers were prior to any intervention. No HCG at all and these are my average numbers over 5 tests this year.

Alpha MD's answerAnswered April 11, 2025

HCG monotherapy will still increase Estrogen compared to normal. You would probably be primary or secondary, yes. It may be work taking an AI, the only other way to adjust it since you're already subq & x3 weekly would be lowering dose. I'd only worry about it if your having E side effects though.

Interesting. It seems you may simply have a higher base Estrogen. It is likely that the HCG will have also raised it slightly & may be worth taking another look at it now. The 7 to 8 week mark is a good time for review testing if you feel any symptoms or just want to know. You may be the type of man who would benefit from a low dose AI normally.

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