Well it is a life long commitment unless you try finding an endo who might beable to get your levels to normal, or read alot here and figure it out. Other then that HRT is good because you'll feel great. Is your dosing 1cc a week? If it isn't tell your doctor you want it that way so you don't roller coaster your blood levels. you'll feel much better. For your original question, a low dose of a suicidal aromatase inhibitor is preferred, start at 10mg aromasin (exemestane) every other day and see if that works. If not try ED.