So I apparently live in one of those states where you can't just go to a private lab for testing. Yippee.
I get my bloodwork done in a couple of weeks anyway, and a look at E2 is on the menu (although NOT the sensitive test).
As I have said before, I recently (about three weeks ago) started doubling my Clomid dose to 50 mg eod and taking .25 g Arimidex every fourth day.
Sexual response has been... Interesting. The first week, I was doing so well that I almost felt "cured". That didn't last unfortunately, but things have picked up, in part because I learned a technique that helps me keep my erections inside of my wife (I have to begin with very slow, long, and gentle thrusts and keep doing that for some time until my cock is "ready", and not be afraid to go back to doing that now and then if I need to). I've also pretty much stopped trying to have sex in the morning, because it very often does not work (I will lose my erection even if I use my new technique). The delayed ejaculation issue I was having is pretty much gone, although I have a suspicion that Cialis might have been causing it (and may experiment with Cialis in the future just to check -- I have not been taking it for close to a month now). No more pouring buckets of sweat trying to chase down an orgasm!
For the past six nights, I have had successful intercourse with my wife every night, with very little anxiety involved. A couple of nights ago I was even bold enough to change positions to take her from behind, and that worked very well (felt like the "good old days" of four months ago, in fact). On two of those nights I was able to stay hard inside of her after my own orgasm long enough to give her one more, which felt amazing. I have confidence that tonight will go well too, which also feels great.
I'm still concerned that my erections don't last as long as they should, especially in the mornings and on those few occasions I have tried to masturbate lately. Without constant stimulation they seem to wilt very quickly. I'm also not really getting morning wood and in fact seem to have more problems getting and staying hard in the mornings than at any other time. The best time for me seems to be late at night in bed with my wife.
I also wake up with anxiety. It usually gets better as the day progresses, and I feel pretty relaxed by nighttime. No idea why this is.
I still have moodiness and weepiness, especially in the mornings and during the day. Lately I have been feeling fatigue and weakness, which is new. I'm concerned that this may be due to low E2, as I have no idea what the combo of doubling Clomid and adding Arimidex has done to my numbers (last measurement had me at 366 total T and 38.4 E2).
Last night I skipped my dose of Arimidex to see what would happen. I may try cutting back to .25 mg once a week to see what happens. Does this sound reasonable given my situation? Doc originally prescribed 1 g twice a week but it was at my request (the script not the dose) and he didn't think I needed it so I don't feel bad about going lower.
Oh, continuing to lose weight. Down a titch below 175 now! That puts me at just 15 pounds overweight, and I am still striving to lose more.