Post Aromatase Inhibitor Syndrome

Where are you from (country)?
United States
How did you find this forum (Google search – if so, what search terms? Via link from a forum or website – if so, what page? Other?)
Google
What is your current age, height, weight?
21, 6’ 0", 190 lbs
What specific drug did you use (finasteride, dutasteride, saw palmetto, isotretinoin/Accutane, fluoxetine, sertraline, citalopram, leuprorelin, etc…)?
Exemestate
What dose did you take (eg. 1 mg/day, 1 mg every other day etc.)?
12.5 mg every 3 days
What condition was being treated with the drug?
High estrogen on testosterone cycle
For how long did you take the drug (weeks/months/years)?
9 months along with the high dose testosterone
How old were you, and WHEN (date) did you start the drug?
18 years old, 2019
How old were you when you quit, and WHEN (date) did you quit?
19 years old, 2019
How did you quit (cold turkey or taper off)?
Cold turkey
How long into your usage did you notice the onset of side effects?
After my usage
What side effects did you experience that have yet to resolve since discontinuation?
Constant crashed E2 symptoms. Dry skin, very poor libido and erections, joint pains, very flat mood, lack of emotion, everything ticked below.
Check the boxes that apply. You can save your post first, then interactively check/uncheck the boxes by clicking on them. If your symptoms change, please update your list.

Sexual
[X] Loss of Libido / Sex Drive
[X] Erectile Dysfunction
[ ] Complete Impotence
[Most days] Loss of Morning Erections
[X] Loss of Spontaneous Erections
[ ] Loss of Nocturnal Erections
[ ] Watery Ejaculate
[ ] Reduced Ejaculate
[ ] Inability or Difficulty to Ejaculate / Orgasm
[ ] Reduced Sperm Count / Motility

Mental
[X] Emotional Blunting / Emotionally Flat
[X] Difficulty Focusing / Concentrating
[ ] Confusion
[X] Memory Loss / Forgetfulness
[X] Stumbling over Words / Losing Train of Thought
[ ] Slurring of Speech
[X] Lack of Motivation / Feeling Passive / Complacency
[ ] Extreme Anxiety / Panic Attacks
[ ] Severe Depression / Melancholy
[ ] Suicidal Thoughts

Physical
[X] Penile Tissue Changes (narrowing, shrinkage, wrinkled)
[ ] Penis curvature / rotation on axis
[ ] Testicular Pain
[X] Testicular Shrinkage / Loss of Fullness
[X] Genital numbness / sensitivity decrease
[ ] Weight Gain
[X] Gynecomastia (male breasts)
[ ] Muscle Wastage
[ ] Muscle Weakness
[X] Joint Pain
[X] Dry / Dark Circles under eyes

Misc
[ ] Prostate pain
[X] Persistent Fatigue / Exhaustion
[X] Stomach Pains / Digestion Problems
[X] Constipation / “Poo Pellets”
[ ] Vision - Acuity Decrease / Blurriness
[ ] Tinnitus (ringing or high pitched sound in ears)
[ ] Hearing loss
[X] Increased hair loss
[ ] Frequent urination
[X] Lowered body temperature

[ ] Other (please explain)

What (if any) treatments have you undertaken to recover from your side effects since discontinuation of the drug?
Tried to go on TRT again with little Estrogen being produced.

If you have pre or post-drug blood tests, what hormonal changes have you encountered since discontinuing the drug (please post your test results in the “Blood Tests” section and link to them in your post)?
Very very low E2 production following my use of AI. Consistently getting single digit E2 in pg/mL

Tell us your story, in your own words, about your usage and side effects experienced while on/off the drug.
Two and a half years ago, I started using Testosterone Enanthate for bodybuilding at a dose of 500 mg a week. I used an AI to keep my E2 down on cycle. After coming off of steroids, my testosterone levels recovered to the 500s (which should be fine) but it seems like my body does not aromatize testosterone the way it used to. I now experience constant low E2 symptoms such as dry skin, joint ache, very poor libido, hair loss in a diffuse manner, very dry penis skin, high and tight hanging testicles, dull orgasm, flattened emotions, etc. At the same time, I developed some gyno which is very counterintuitive. There is almost no real way to raise E2 without taking E2, which would end up lowering my already suboptimal testosterone levels. I am in a constant near-robotic state following my use of Exemestane.

Even on 500mg you consistently get single digit e2 values?

Hey, have you managed to recover?