This is something I have been meaning to ask here for a while:
I read recently that adrenal fatigue is bound to cause estrogen dominance as the body will use progesterone to make cortisol when the adrenal glands begin to struggle, and this in turn will lead to estrogen dominance.
All the so called Hertoghe doctors seem to prescribe both E and P to all women in their 40s. As so many other patients with Hashimoto's having spent a decade on T4 only drugs, I ended up with adrenal fatigue diagnosed by this hormone doctor.
I was put on both Estrogel (day 5-25 of cycle) and Utrogestan (200 mg day 15-25 of cycle) and have been on them for the past five years. I was 42 at the time I went on them, and I am still having regular periods. My OB-Gyn told me a few months ago that, based on my LH and FSH readings, she expects me to continue to have periods for at least three or four years.
I am honestly not sure which symptoms are peri-menopausal (if any), but I recently read that one way of deciding whether you are estrogen dominant or deficient is to notice how you feel in the week following your period, when estrogen levels start to rise. If you feel good during the first two weeks following your period, and only then, said this article, that means your body likes higher levels of estrogen. Then, you will start feeling worse about two weeks after your last and two weeks before your next period, as that is when E levels will start to decrease and progesterone levels rise.
I have noticed something in the past few months: that I seem to feel terrible during the week following my period. I am moody, have difficulty controlling my anger and lack motivation more generally. Of course, I always go back on Estrogel on day 5 of cycle.
I don't know if this means anything; could this indicate estrogen dominance rather than deficiency? Has anyone else experienced this, and noticed that stopping estrogen helped?
One thing is certain: the Hertoghe doctors may be much better than mainstream doctors, but they are far from perfect. I have learned a lot from posts here, and this has caused me to question some of their advice. I am especially wary of the assumption that all women in their 40s need to take both E and P. These doctors just look at your levels of each hormone and compare them to what they should optimally be in a healthy patient your age but, from what I gather from various article I have read on estrogen dominance vs deficiency, you should also compare the two to each other, in order to determine whether you are in fact estrogen dominant or deficient...?