In my own experience, tweaking the T dosing isn't likely to change the hematocrit much, and yours isn't quite to the 54% mark where most of the experts would suggest either lowering the dose, or giving blood or phlebotomy. However, If you are able, the hematocrit issues could be easily resolved by donating blood, probably every 3-4 months, maybe less often even. If you do, be sure to follow the HCT lab work and check your iron related bloodwork too. You don't want to give blood so often you crash your iron reserves, because then you will feel like crap. My own case, the estrogen has been higher than we like, but generally, most men get into more trouble trying to correct it, then from having higher estrogen. Remember, estrogen does bring a lot of good things for men too. I would drop the Anastrozole. My feeling personally is better a little high (if you don't have concerns about side effects) than to low with estrogen for cardiac benefit, among the others. Regarding your ED and delayed ejaculation concerns. Brother I hear you! I am a post prostate cancer survivor. I have the same issues. But know there is help out there. Lots of help. If anyone would have told me when it started this journey 4-5 years ago, that I would have as good a sex life as I do now, I would not have believed them. My suggestion is if you have an academic health system close to you, which a really good urologist treating these issues, go see them. If not, go to the Sexual medicine society website, click the left table for "home", then click "for patients" at the next screen towards the right hand side of the screen see and click "find a provider". It will help you find an expert that is close to you. Some of these docs, who are all experts, also provide telemedicine. If you cannot find anyone close to you, I can suggest Dr. Rachel Rubin and her team via telemedicine. I have been seeing her for years now, and she is fabulous. She knows her stuff, is aggressive in treating, and is willing to use all the tools to help you. What I can say is, don't increase the T in order to help the ED. It doesn't work and it leads to more problems. SMSNA - Home.
