Dr. Saya,
I am a 45 year old man and was prescribed 90 Clomid 50 mg tablets (one per day) due to low sperm count. However, my Testosterone was normal. After 6 weeks from starting, LH was 10.6 (norm: 1.7-8.6 IU/L) and Free T=602 (196-636 pmol/L). After 9 weeks from starting, Total T=35.5 (8.4-28.8 nmol/L), FT=512, and Estradiol=143 (norm: <162 pmol/L). After 11 weeks from starting, TT=34.5, F.T=482, and E2=146. At this point (11 weeks after starting), I stopped Clomid. 3 days after stopping, TT=30.8, FT=406, and E2=147. About 3 weeks after stopping, TT=26.9, and FT=261. About 6 weeks after stopping, TT=25, FT=332, and E2=46. About 14 weeks after stopping, TT=22.9, FT=266, E2=62, and DHEA-S=5.9 (norm:<9.7). Now, It is 15 weeks after stopping Clomid. My questions are:
- Is 50 mg Clomid, every day 1 pill for 3 months without AI is permitted or considered over dose?
- TT being higher than max. normal level for about 6 weeks and without taking any AI, can cause prostate cancer (due to high TT) or breast cancer (due to high E2)?
- Will Gyno and puffy nipples caused by Clomid be disappeared after stopping clomid, by itself?
- Do I need to take any medication such as AI (for estrogen control) or Taxoxifen (for removing Gyno)?
Thank you very much
