Welcome to Exclemale. We hope you become an active member. As someone with experience with the U.K., U.S., and Canadian healthcare systems I understand your frustration. Your protocol has everything to do with economy of scale and very little to do with patient health. But that, as long as you stay with the NHS, is what you have to deal with.
Your estradiol test is no more than a good guess. The value it reports is based on the wrong methodology for use with men. You want the LC, MS/MS test, but it isn't available outside the U.S. - the lab technology is expensive and it can't be found. You are, likely, in a reasonable spot with your E2. The assay your lab used overestimates estradiol in men. All of which means you and your doctor are flying with less than precise instruments to guide you. Your symptoms sound as if your estradiol is far too low - how is your sexual function when you have a "turkey neck" (and what does that mean)?
You note that your thyroid function is normal. How is that determined? You should have run a panel consisting of TSH, T3, T4, and RT3. Can you provide those numbers?
