I just got the results from my Testosterone and estrogen levels and I don't understand after a month ago how my T levels can go up and my estrogen levels too. My T level is 262 ng/dl and my estrogen level is 72.4, can someone please explain how my T levels can continue to rise while on antiandrogens and estradiol? My endocrinology appt is not until next week.
That T level isn't all that high... it's at the lowest level of standard male range, but higher than female range, so unless you had extremely low T levels before HRT, then HRT is doing something.
6 months into HRT I (self-administered) I went to see a doctor and found that my testosterone was about 130 ng/dl. I was taking spiro and estrofem. After switching to injections and Androcur my testosterone plummeted to about 40 ng/dl. If you're in America then you're probably on spiro, in which case it's not good to increase your dosage beyond a certain amount (sorry no dosage specifics allowed here so i can't mention them). If you can, take Androcur. Alternatively, you can try increasing your estrogen intake, but of course if you are at the maximimum recommended dosage already then that's not a good idea either. If I were you then, if I am on pills I would switch to injections, and if I am on spiro I would switch to Androcur.
I just noticed that your E level is 72.4. Is that serum estradiol or total estrogen? That level is still a tad low, so increasing that a bit - perhaps doubling it - would supress more t. As an example, my doctor likes to keep my serum estradiol at around 200 to 300, but it does dip lower than that when at the end of my injection cycle.