Thank you, yes, that is very helpful indeed
I have been giving this a lot of thought lately. Five years ago, when I first went to see this hormone doctor (a so called Hertoghe doctor), I was told anyone over 40 needs HRT, which of course includes both estrogen and progesterone for women. However, since, I have started to read more, be more critical and, above all, discuss these things with others in the same situation. Sometimes, I believe people here are more knowledgeable than even those so called top doctors...!
I have read, over and over again, that most women can make enough estrogen on their own, as estrogen levels only drop 40-60% in menopausal women compared to what they were in their mid-20s when they are said to be optimal. But progesterone levels can drop by as much as 90% during that same time, which means estrogen dominance is more likely than estrogen deficiency in many women approaching menopause.
The main reason for this is said to be that most women can make enough estrogen from fat, but progesterone only comes from the body itself. Also, unfortunately, it seems a lot of things we are surrounded by contain bad estrogens or estrogen-mimicking substances contributing to this problem...including plastic water bottles. Apparently, we are supposed to limit our exposure to plastic materials as much as possible, but how do you do that in modern society...?!
It makes a lot of sense to me. That your body's progesterone production decreases much more rapidly and drastically than estrogen production, that is, creating a hormonal imbalance which many doctors, unfortunately, diagnose as estrogen deficiency.
I have thought for a long time that since I have been diagnosed with adrenal fatigue, after being hypothyroid for years, I probably need to replace all hormones normally produced by the adrenal glands. However, last month, I decided to experiment and not use Estrogel. I did this because my cycle was only 21 days long, and that is shorter than it has ever been. I said to myself "I am either approaching menopause (after all, I'm 47), or this is related to estrogel". So I did not start Estrogel again on day 5 of cycle. This time, my cycle was 25 days. Granted, only four days longer so maybe not significant in any way, but I feel quite good (I did take Utrogestan from day 15-25), and have had no ill effects from not using Estrogel this last cycle. I have no idea if it's related in any way, but I have been peeing like crazy. Things have finally calmed down but, for a week or so, I had to locate the ladies' room first thing I did wherever I went.
All this makes me wonder if I have been estrogen dominant all along, rather than estrogen deficient...?
I have mainly found this information on US sites, in articles written by MDs, NDs, RNs etc. I am not saying everything in the US is better than here, but the fact remains that there are so many practitioners there who really focus on hormone replacement treatment and get really good at it, and that includes thinking outside the box and using unconventional methods instead of "one size fits all" approaches. I don't know about the UK but, in the Benelux countries, which I know best, it's a disaster...hormone specialists are few and far between, and not all of them are knowledgeable either. My personal experience is also that they are too focused on "one size fits all" solutions. First, they all prescribed Armour until it was reformulated. Then, they switched to Erfa. If you are diagnosed with adrenal fatigue, you are prescribed either hydrocortisone or Medrol, depending on whether or not you tend to retain fluid (in which case you are put on Medrol). Every woman over 40 is supposed to use Estrogel and Utrogestan, etc. I have all of Doctor Hertoghe's books, but I find no mention of estrogen dominance in any of them.
Grey Goose, you know as much or possibly more about those docs than me, so I'd really love your input on this! Am I being unfair...?