13 doctors weighed in:

If I am concerned with estrogen levels after starting testosterone therapy, are doctors willing to prescribe an estrogen blocker?

13 doctors weighed in
Dr. Mark Perloe
Fertility Medicine
6 doctors agree

In brief: Why the concern?

Testosterone replacement is supposed to restore normal levels, not higher than normal.
As such, with normal levels, estrogen production should not be excessive. If you have cirrhosis of the liver, you may have elevated estrogen. If you notice breast enlargement on therapy, have your physician check an Estradiol level, and if elevated, consider Letrozole or arimidex (anastrozole).

In brief: Why the concern?

Testosterone replacement is supposed to restore normal levels, not higher than normal.
As such, with normal levels, estrogen production should not be excessive. If you have cirrhosis of the liver, you may have elevated estrogen. If you notice breast enlargement on therapy, have your physician check an Estradiol level, and if elevated, consider Letrozole or arimidex (anastrozole).
Dr. Mark Perloe
Dr. Mark Perloe
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Dr. Seema Patel
Holistic Medicine
4 doctors agree

In brief: Estrogen blocker

Testosterone breaks down into two by products: dihydrotestosterone and estradiol.
Estradiol levels can be decreased naturally by eating lots of cruciferous veggies such as cabbage, broccoli, brussel sprouts or taking a natural supplement called dim. This can help decrease the production of Estradiol and also these veggies are important for the prevention of cancers.

In brief: Estrogen blocker

Testosterone breaks down into two by products: dihydrotestosterone and estradiol.
Estradiol levels can be decreased naturally by eating lots of cruciferous veggies such as cabbage, broccoli, brussel sprouts or taking a natural supplement called dim. This can help decrease the production of Estradiol and also these veggies are important for the prevention of cancers.
Dr. Seema Patel
Dr. Seema Patel
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Dr. Alvin Lin
Internal Medicine - Geriatrics
3 doctors agree

In brief: It depends

You're right to be concerned about estrogen when getting testosterone replacement.
You should also be concerned about dht. Think of these two as opposite ends of seesaw w/testosterone as fulcrum. If you decrease one, you may increase other. Check both levels when checking testosterone. Both can be adjusted/lowered by manipulating your regimen, perhaps w/o aromatase inhibitor.

In brief: It depends

You're right to be concerned about estrogen when getting testosterone replacement.
You should also be concerned about dht. Think of these two as opposite ends of seesaw w/testosterone as fulcrum. If you decrease one, you may increase other. Check both levels when checking testosterone. Both can be adjusted/lowered by manipulating your regimen, perhaps w/o aromatase inhibitor.
Dr. Alvin Lin
Dr. Alvin Lin
Thank
Dr. Patricia Vuguin
Pediatrics
1 doctor agrees

In brief: Only testosterone

No need to be concern with that, please stick to the recommended treatment.

In brief: Only testosterone

No need to be concern with that, please stick to the recommended treatment.
Dr. Patricia Vuguin
Dr. Patricia Vuguin
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Dr. Michael Sinclair
Family Medicine

In brief: Yes

Some patients will convert too much testosterone into estrogen leading to enlarged breasts.
This tends to happen more in obese men, but it can happen to anybody. Having an estrogen level that is too high or too low can be detrimental to men. Your level should be checked, it is too high, you should get treated. If the testosterone level is too high then you cut the dose. If not Arimidex (anastrozole) can help.

In brief: Yes

Some patients will convert too much testosterone into estrogen leading to enlarged breasts.
This tends to happen more in obese men, but it can happen to anybody. Having an estrogen level that is too high or too low can be detrimental to men. Your level should be checked, it is too high, you should get treated. If the testosterone level is too high then you cut the dose. If not Arimidex (anastrozole) can help.
Dr. Michael Sinclair
Dr. Michael Sinclair
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Dr. Bryan Treacy
Gynecology

In brief: Male?

If taking testosterone for replacement, you need to monitor Dht (dihydrotestosterone) levels & estrogen levels.
If you are concerned about breast enlargement, Arimidex (anastrozole) can block that conversion.

In brief: Male?

If taking testosterone for replacement, you need to monitor Dht (dihydrotestosterone) levels & estrogen levels.
If you are concerned about breast enlargement, Arimidex (anastrozole) can block that conversion.
Dr. Bryan Treacy
Dr. Bryan Treacy
Thank
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