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Menopaus Estrogen dominance

by Margareta
(Sweden)

Hey!
I am 59 years old and have taken estrogen 50 mcg and gestagen for 7 years. Even before menopause had a lot of PMS trouble. My body is not feeling well at all and I am depressed, have allergies, sleep poorly, pain, fatigue, etc. Strongly suspect estrogen dominance and now wonder what should I do to stabilize this? Do you need any estrogen at all in menopause or is it enough with Progesterone? How much Progesterone do I dare, not want to be worse?

I understand that you can feel worse in the beginning when taking Progesterone if you have a lot of estrogen dominance. How long can it get worse in the beginning and what do I do then?

Comments for Menopaus Estrogen dominance

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Jan 13, 2020
 Menopause Estrogen Dominance
by: Joy

Hi Margareta

You are suffering from Estrogen Dominance which is being made worse by the estrogen that you are taking. This website explains that no women needs to take extra estrogen as there as well over 100 estrogen mimics in our Environment as it is. However, there are some women who feel that they need to take extra estrogen, which as mentioned, adds to estrogen dominance symptoms.

May I suggest that you try progesterone, between 100-200mg per day is needed. You will have to experiment with the amount to see what suits you best, more maybe needed. Symptoms often get worse before they get better so patience and perseverance is needed. It can take 2 - 6 months before the body adjusts to progesterone therapy. Please read the How to use Progesterone Cream and Menopause pages.
Jan 13, 2020
 Menopause Estrogen Dominance
by: Margareta

Awesome! Thank you so much!
Jan 16, 2020
 Menopaus Estrogendominance
by: Margareta

Sorry but I have more thoughts.
How do you know that you have been given estrogen and can lower your progesterone?

My progesterone value is 2.5 nmol / L and estradiol 380 pmol / L. What should my progesterone value be for being good?

Should I remove all estrogen at once or step down? I have 50 mcg estrogen patches.
Jan 18, 2020
 Menopause Estrogen Dominance
by: Joy

Hi Margareta

If you are using estrogen patches then you have been given estrogen which will add to estrogen dominance symptoms as mentioned.

The aim of progesterone therapy is to make progesterone the dominant Ideally, one should reduce HRT slowly using progesterone while you do so, but as you are using the patch this is difficult to do.

At the moment your progesterone:estrogen ratio is 7:1 is should be 600:1. The Hormone Testing page explains this in more detail. You will need to use a lot of progesterone to help make it the dominant hormone. I suggest using nothing less than 200mg per day to start with, you may even need to use more.
Jan 27, 2020
 Menopause Östrogen Dominans
by: Margareta

Thanks, Joy, for your answers!

I'm so thankful!
I am trying to work on this with the progesterone and have completely stopped using estrogen for a couple of weeks. Take an Utrogestan in the evening and 100 mg of Matriarch progesterone cream in the morning and 100 mg in the afternoon. Causes extreme headaches in the evenings and feels unwell, such as migraines and extreme brain fog and the body is stressed. Even very bad in the mornings. The more cream I take the worse it gets.

How should I make this work? Should I be without progesterone for a few days from time to time so the body gets to rest and release all the estrogen excess? Should I take lower doses?

I also have ME / CFS, histamine intolerance and asthma and am very sensitive to medication and stress.

What if I quit both progesterone and estrogen, what can happen?
Jan 28, 2020
 Menopause Estrogen Dominance
by: Joy

Hi Margareta

You will experience adverse symptoms when first using progesterone, plus you have stopped using estrogen. You need to give progesterone a chance to work. As mentioned, it takes time and patience and often things get a lot worse before they get better. Try increasing your progesterone, that usually helps. You will have to experiment with the amount to see what suits you best. Don't stop with the progesterone, keep going.

You could try stopping progesterone and estrogen and see how you get on, but usually symptoms will get worse.

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