If nolva can correct matters, that'd be great. 40mg ed if it's underdosed UGL stuff (I find that lots of UGL stuff is underdosed or bunk) or 20mg ed until it starts to subside. I like using a bit of arimidex and nolva. Letro really hits you hard and fast but I've used it with great success. Never jumped up to big doses like most people do though.
But if you try your other options and you're in a pinch, get some Cialis so you don't have to soft dick your gf and blast your tits with letro. It's sort of brute force but suffering with sore joints and zero libido for a few weeks is a much more viable option than shelling out thousands to have it removed (which it may spring up again). Best of luck, man.