Progesterone for Interstitial Cystitis and IBS?
I am a woman in my late twenties and have suffered from Interstitial Cystitis (IC - urgency/frequency) and IBS (colon cramping, stool issues, etc) for two years. In a 24 hour urine hormone test, all my hormones showed up as being in the normal range except testosterone, which was low. My progesterone was on the lower end of normal, my estrogen was normal, etc.
I was just treated for H Pylori, which has reduced my IBS symptoms by about half and has helped my IC symptoms some, and I am on vitamin D for a significant deficiency in D that was also just discovered recently. I continue to have symptoms, however, and I think a hormonal issue might be going on.
I was on birth control for ten years (stopped about a year ago), and the last two years of that (so a year before I got sick and another year after) I was on continuous Seasonale because it seemed to make my migraines better, which were at their worst premenstrually. My migraine issues have resolved in the meantime.
As further info, my cholesterol appears to be elevated and has shown up as elevated once before a few years ago, which I understand can be linked to long-term BCP use. I don't think I am quite insulin resistant, however (based on insulin levels and fat distribution on my body, etc), though I might be leaning that way a bit for all I know. I am trying to cut down on carbs and have more protein etc.
Of course, despite the "normal" progesterone results, I wonder if I am estrogen dominant and need progesterone cream. If so, what dose should I try? Some books seem to say 20mg and some 200mg. Should I start high or low, and what number should I work towards? I have a lot of other symptoms of progesterone deficiency such as irritability, PMS, attentional issues, etc. I also have a lot of pain in my hips and lower back (a la fibromyalgia), and some books suggest that progesterone cream can help with this as well, plus I suffer from fatigue (potential adrenal fatigue). Please advise. Thanks!