Thanks for checking in. My consult was this morning and pleasant as always. I'm going to discontinue clomid immediately, continue the exemestane for two more doses, and then retest levels in six weeks to see how things look with clomid out of my system. My sleep study is next week, and I should have the results the first week of August.
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I'll speak again with Dr. Saya in about 8 weeks. If sleep apnea is ruled out, I have the option of trying traditional TRT to see if it helps. I'm undecided on whether to try it, and I'm going to wait to really think about it until after my sleep study. If apnea is an issue, I'll address that first and see what happens. If not, I have a tough decision to make.
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Dr. Saya also gave me the option of lowering the clomid dose while continuing with the exemestane to see if getting e2 lower might help, which I appreciated, but I just don't think clomid is going to do it for me and I don't have the patience to give it at least another 6-8 weeks after about 5 months on it. My e2 was very high in April, but it's been slowly coming down since then and yet I feel worse than ever over the last 4 weeks. Time to move on and try something different.
