HRT Evorel Conti.

[WendyW1964]

I am 57 and have been on Tibolone 2.5 for 3 years and my recent bloods show:

PROGESTERONE 0.5 nmol/L, TESTOSTERONE <0.4 nmol/L, PROLACTIN * 627 mIU/L, 17-Beta OESTRADIOL <44 pmol/L. They said my estrogen was unreadable as it was that low it was under the level to read. I have started Evorel Conti today but I'm not sure it will be strong enough now I've seen these results. Am I overthinking this or should I be looking for adding testosterone. Also what can I do about Prolactin? I'm fed up of feeling low and having no interest. Any help/advice would be appreciated.

[Hidden]

Hi well you need Testosterone estrogen and progesterone to remain healthy have you been checked for a pituitary tumour/Prolactinoma?

I have one my Prolactin was very high like yours.

But you need referring to an Endocrinologist promptly!

[WendyW1964 in reply to Hidden]

Thank you for your reply. Did they give you any treatment to reduce your Prolactin?Also did this affect you loosing weight?

[Hidden in reply to WendyW1964]

Hi not really just Testosterone but no one monitored it so ended up having a stroke as one hospital don't talk to other so didn't show up on others system so kept kicking me out as blood was way too thick had many clots they found one side of lung now and said looks like on other one also so now on Warfarin.

[RedApple]

WendyW1964, This is a forum for people with Thyroid Disease, so most here may not know enough about HRT for sex hormones to be able to offer much support.

Do you have a thyroid problem? Are you also taking thyroid hormones e.g. levothyroxine?

[WendyW1964 in reply to RedApple]

Thank you for your reply. As far as I am aware I don't have a problem with my thyroid as far as I now so it looks like I've posted in the wrong site.

[SlowDragon Administrator]

Are you diagnosed as hypothyroid and on levothyroxine?

High prolactin is frequently linked to being hypothyroid especially autoimmune thyroid disease

What were most recent thyroid levels

TSH, Ft4 and Ft3 plus have you had thyroid antibodies tested

Essential to regularly retest vitamin D, folate, ferritin and B12

Please add most recent results and ranges

[WendyW1964 in reply to SlowDragon]

Thank you for your reply. As far as I am aware I don't have a problem with my thyroid as far as I now so it looks like I've posted in the wrong site.

[SlowDragon Administrator in reply to WendyW1964]

With high prolactin you definitely need full thyroid testing including thyroid antibodies

[Hidden in reply to WendyW1964]

After The Pituitary gland Thyroid gland is the next major gland that causes those issues but all and everything is interlinked unlike what many Quacks seem to think "It's this or that" like they sit on a shelf on there own! No they all work together yes often parts are semi autonomous ie Pituitary-Ovaries/Testes-Breasts-Pituitary circuit but it still links into other glands/organs along the way so as things change/need rebalancing they add/alter/lessen other elements to try to keep a balance.

Many find when the thyroid is out of Kilter they get these issues but it's different for everyone there is a sort of general catchment they pigeon hole everyone into but we are all different as come from two blood/gene lines.

Trouble with so many Quacks is apart from blind to the Science of Thyroid/Hormones etc they only look at a few things as it's the "That Will Do" Approach.

All seem to Dismiss Vitamin D which is so important (Everyone is low) No Sh!te Sherlock so help then don't hinder us!

[SlowDragon Administrator]

pubmed.ncbi.nlm.nih.gov/235...Patients with hyperprolactinaemia have significantly increased thyroid volume, thyroid autoimmunity and nodule prevalence.

pubmed.ncbi.nlm.nih.gov/915...

The incidence of hyperprolactinemia in the overt primary hypothyroid group was 42.4%

[PiggySue]

I take transdermal oestrogen, progesterone capsules and transdermal testosterone. I use Estrogel, I really liked Evorel, but have a problem with patches, so reverted back. Evorel comes in different strengths, so you can usually go up depending on symptoms and blood results, The testosterone has made the final big difference to me. I get them all on the NHS, which has now started to prescribe Testogel to women at last! It isn't easy to use, as you need about a 10th of the 5mg sachet, which is not easy to divide.

My SHBG is very high, which might be caused by the T3 I take, or just the fact that I have hashimotos...so I need the full level of oestrogen. I think my protlactinoma is within normal levels.

I hope you find levels that help, and if you need further investigation for the prolactin that that is followed up!

[WendyW1964 in reply to PiggySue]

Thank you