Prolactinoma and progesterone - does it supress the already low estrogen levels? or help?
I am a 39 year old woman. I have a small prolactinoma causing my estrogen levels to be very low (high prolactin levels suppresses the estrogen levels). I have chosen not to treat with Cabergoline (the normal medicine to shrink the tumor) as it has terrible side effects, and my prolactinoma does not grow.
I was suffering a lot from the effects of low estrogen: foggy brain, depression, anxiety, very stiff aching muscles, tendon inflammations, hairloss (it took a couple of years before I found out about the prolactinoma.
In my country there is no practioners of treating with bio identical hormones. I was offered a standard HRT combination pill with estradiol + a synthetic gestagen.
My doctor and endocrinologist will not test for progesterone deficiancy, they say it is not important.
The HRT i am taking has helped some, depression and foggy brain is much better, but my body don't feel normal yet. I still suffer a lot from muscle and tendon pain/inflamation + hair loss.
My question for you is do you think it would be beneficial for me to use the progesterone cream? (I have 26 points in your progesterone defficiancy test)
I have read elsewhere here that progesterone suppresses estrogen, so maybe it is not for me?
Can I use progesterone cream now that I am taking the HRT pill with estradiol + synthetic gestagen?
I have read elsewhere here that you recommend Tyrosine against elevated prolactin. Is L-tyrosine good? and what daily doses do you recommend? I really appreciate your help, you are the source of the best knowledge on this subject I have found yet, and I have researched a lot! Thank you!