Been on trt for just over 2 years; 200 mg T Cyp e2w. Last November I convinced doc to up to 400 e2w. He did so with condition I see endo to get confirmation this is ok. Saw endo Last week (took 5 months to see her) and she ordered blood work. Got results yesterday and psa was 7.6, where high range is 4. She recommended stopping trt and get psa taken again to rule out bad test. T-test was 350 and estradiol was little over mid range at 43.
I suggested not to stop trt suddenly but should have some kind of restart protocol. She said no. I have a month supply left and will wean off of trt and troubleshoot high psa in the meantime. While on 400 e2w ( actually injected once a week) my total estrogen went to 120, where upper range is 115. Doc didn't order the e2 sensitive test at that time. Total t at that time was only 600. T was aromatizing to e. don't have any AI.
Question is; can high estrogen cause elevated psa?
Anything I can do to lower psa ( assuming its not cancer and is a little infection or an anomaly )?
What's the best protocol to wean off trt and jump start own production of hormones?
If my psa doesn't come down dox will shut me off and I will crash.
Appreciate any comments, suggestions.