ED issues with TRT absolutely lost and local doctors dont seem to have any answers.

[Spartan1985]

Long story but thought overview would be best. Major health issue 2020 with oesophageal bleed which was put down to long term steroid use. Nearly died, double blood transfusion and was told to not take any PCT as my body would recover in time (was 35 at the time) over a year later and no recovery so TRT company started me on TRT. Absolute nightmare ever since, various dosage alterations, different TRT companies and ED plus low libido etc still as bad as before it started. Been on low dose, high dose, various esters and nothing seems to work for more than a few weeks then crashes again. Pretty sure it’s something to do with oestrogen levels and AI use not sitting well with my body, seems even low dose fortnightly can crash things. Last blood tests (attached) came back and TRT doc said I should feel great on those numbers. No sex drive, brain fog and ED issues still major problem. Can’t remember my last morning erection and need high dose viagra 200mg to do anything and even that’s only 7/10 at best. Thought I’d reach out and see if anyone at all has any ideas or input at this stage? Tempted to just taper off and accept defeat but at 39 and the mrs blaming herself that’s going to be a disaster also.

Anyone not responded to TRT at all or had major issues finding any balance? Or anyone else really struggled with oestrogen management?

NHS endocrinologist has said to stop listening to TRT company as they promote bad protocol and said 250mg of sustanon once every 3 weeks is all they would suggest. Urology have said nothing physically wrong so must be hormonal.

Really wish I hadn’t started and feel completely lost at this stage