I understand what you're saying, dealing with many endos and urologist can be frustrating, but so can dealing with many other types of doctors. I'd be willing to bet you $100 the majority of endos and urologist would not check your LH, would not check your free levels and would not monitor your E2 during treatment. It's not that they're bad people, it's just that many physicians are clueless when it comes to TRT.

Your direct situation - it's highly unlikely that you have a pituitary tumor with a total reading of 250 ng/dl - a prolactinoma will almost always result in testosterone levels well below 100 ng/dl, most often below 50 ng/dl. Could you have thyroid issues? I have no idea, but lowtestosterone.com can have that checked for you as well. Thyroid testing is around $50. There are a whole host of things offered beyond the standard testosterone checkup.