Just wanted to give everyone an update.
As I continued to deal with my BPH issues, I decided to switch TRT docs and went with Dr Brian Henry, who is a class act. He took the time to discuss the problems I was having, and with his honest input I decided that I needed to stop the TRT and really get to the bottom of my BPH problem.
I went cold turkey and it really wasn't bad at all. During this time I worked with my urologist and an interventional radiologist specializing in the prostate to figure out what was causing my problem. We tried several different meds, I had a cystoscopy,an MRI done, and even a DNA test for hard to detect infections. After 8 weeks off of TRT and trying a bunch of different meds there was no change in my BPH symptoms. After everything I went through the docs concluded that my prostate was normal and they diagnosed me with chronic nonbacterial prostatitis. I did some research on this and found that it was a fancy way for saying that they had no idea what was causing my problem.
I continued to search the internet for answers and I believe that I have found the answer to my problem- Pelvic Floor Tension. I am now taking steps to deal with this.
During the 8 weeks that I was off TRT I did notice a few things. First, it seems that going off TRT somehow reset my sleep cycle and my sleep got better, although I continued to get up 2 times a night to pee. Secondly, I noticed a bunch of negatives- my energy level was not as good, my recovery time for vigorous exercise increased a bunch, and my libido decreased.
Going off TRT cold turkey ended up being no big deal. I was a bit tired for a few weeks but by week 6 I was pretty much normal.
In the end, since it is now apparent that the TRT was not causing the prostate issues, I decided to go back on TRT. Hopefully I will get my pelvic floor healed and eliminate my BPH symptoms soon.