I cannot get balanced no matter what I do
I had one ovary and tube removed 7 years ago. A few months after the surgery, I started having insomnia, and low libido. Then rages began. I went to my gyno/surgeon and he tested me and said welcome to menopause, your FSH and LH are way high. He gave me Prempro. I knew enough then not to take that. I tried OTC vitex and cohosh for a year or two, not much help. Then in 2008 I started on bio HRT. I have been on low bi-est, 1mg, then just Estradiol, Estrogel .75mg, then 1.50mg, and Prometrium 200mg for 14 days a month along with the 1mg bi-est for a year. Then I switched to progesterone cream 50mg, then 100mg, along with my estrogel, then bi-est, it's hard to remember all the changes. I also have been on testosterone, 1mg, 2mg, 3mg, then 5mg, still no libido. My testosterone free was always in negative range.
Fast forward to today. I took a break from estrogen for three months and used only an OTC 20mg progesterone cream. I felt no different off the estrogen, except I seemed to get more muscle spasms in my back. That is one of my main issue, muscle spasms, muscle fatigue, joint pain.
I'm also on 4 grains of Natural thyroid since I have mild enlargement and had low T3 and T4 levels 3 years ago.
My thyroid doctor told me to go back on the bi-est and progesterone. It's in one cream and it is a dose I've been on for months before: 2mg bi-est, 200mg Progesterone, 1x a day. and .25mg of testosterone.
I struggle losing weight. I have read horror stories on another forum of women on progesterone and how they gained weight and it stays in the tissues and takes at least a year to clear.
THen I read about estrogen dominance. I have 30lbs on me again for three years, so I wonder if there is estrogen involved. My estradiol level comes in at 8, 12, when I have not applied the cream a day before a test, so it drops low.
I did the estrogen to progesterone ratio and mine came in at 14. That lab showed. estradiol 32, progesterone 0.7
I'm not sure what to do anymore. Part of my brain says, I have one ovary that is barely visible, and I've had months without cycles the last three years, even when I cycled progesterone, so I must not have much progesterone, but maybe in my body fat I have the estrogen, even though it come out very low in serum tests.
So you can be estrogen dominant with a low estrogen level, not optimum to feel good, yet the progesterone is not high enough. So how does one get estradiol up to 100 or higher to not have the dry vagina, dry skin, eye, no libido, migraines, muscle pain, and progesterone at a good level, and not be estrogen dominant?
What type of dose would I need to be on. My last dose of 3mg of estradiol brought my level to 60 when I applied it 3 hours before the test.
Is my 2mg bi-est, and 200mg of Progesterone not going to do it?