Primary Care Doctor just says "menopause" no abnormalities, labs say P:E2 is 1.68:1
My progesterone to estradiol ratio is 1.68:1 and my doctor thinks that it is fine! So I now think she has no clue. I am 40 years old, have irregular periods (always short) and bleeding, on birth control pills (the highest dose available apparently). For the past 10 months, I have experienced sweating and overheating, red face, with any form of movement, not even exercise. It is hard to clean my house, do laundry, or even get ready for work, I get too hot and start sweating! It never comes on while I am just sitting still. I do get night sweats, however, while sleeping. My doctor just says I’m going into menopause. I am hypothyroid, my TSH was .43
Last September, I saw an OBGYN due to irregular and sometimes heavy bleeding and low pelvic pain. Via ultrasound, he said I was producing ovarian cysts and increased my dosage on birth control pills (Sprintec). The bleeding got lighter, but I still spot for 2 days around week 3, more than one week before my period. It was after this new BCP dosage that the sweating started.
I went to my primary care doctor last week for my annual exam, and told her about my concerns. Since I was 25, my periods had begun to skip an entire 24 hour period of time on about day 5 of my period, then come back and bleed for days 6 & 7. No doctor I've ever mentioned it to had a clue why this was happening. At age 30, when I tried for my third baby, I had three miscarriages. My basal temp chart was showing ovulation but a very short luteal phase of 10 days or less. My original OBGYN put me on Prometrium used vaginally, and I was successfully pregnant within 2-3 months. I stayed on Prometrium until 15 weeks pregnant, when the placenta was making enough progesterone to support the pregnancy. The last time I actually felt good was when I was pregnant.
Rational thinking says if I had progesterone problems when I was 30, I probably still the problem (only worse) at 40! My current family doctor says “prometrium level (0.15) is a postmenopausal level, and estradiol (77.2) is a pre-menopausal level. Endometrial biopsy was normal, with proliferate cells preparing for ovulation and menstruation.” She thinks my estrogen just hasn’t caught up yet. Yeah, right. So my ratio comes out to 1.68:1 (I figured this up, she didn't even mention my ratio). Even if I am perimenopausal, that can’t be a healthy ratio.
I have so many low progesterone symptoms, weight gain and horrible cravings, fatigue including when I wake up in the morning, dry hair and skin, ovarian cysts, near constant breast tenderness, chronic headaches, muscle aches and pains. And my current doctor thinks this is all fine. I hope to consult with an actual endocrinologist, somewhere near southeast Wyoming, northern Colorado, or eastern Nebraska, but it is hard to find one qualified/really experienced in this kind of women’s health issue. Either way, I think I will go on progesterone replacement therapy, with or without a doctor!
What do you think about my ratio and history? Thank you so much!