I meant to add that my own experience with an estradiol level of 46 (in my case the lab's reference range for men was "less than 30") is that my GP prescribed anastrozole 1/4mg three times a week. I recently saw an endocrinologist who has experience in hormone replacement therapy, and he said...
My suggestion is to get a good differential diagnosis for your condition from a competent doctor (rather than simply trying to diagnose yourself and treat yourself - see my previous post regarding possibility that your urinary symptoms could be due to something unrelated to homone issues - such...
The symptoms you describe could also be due to prostatitis (swelling and inflammation of the prostate) which is actually much more common in younger than older men (unlike BPH, which is more common in older men). It can be caused by a bacterial infection but sometimes the cause is never clear...
While TRT is still generally considered "controversial", there are standard of care recommendations for its use. For example, the American Association of Family Physicians makes their recommendations in an article titled "Testosterone Treatments: When, Why and How?" which is online- google the...
not everyone can donate
I'm HIV+ so donation isn't an option. My local blood bank will do therapeutic phlebotomy for free, but requires a prescription.
The article cited ( "Current applications of therapeutic phlebotomy") does indeed describe when polycythemia can be suspected (Hct over 52 in men), but actually it goes on to say "Similarly, patients with hypogonadism on testosterone therapy and athletes on anabolic steroids who develop...