Saliva test shows excessive high levels after using bioidenticals
I went to the functional doctor because I was getting hot flashes and gained 20 lbs while taking the bioidenticals for the past 2 years. I was taking biest 50:50 2mg every night and nightly 150mg oral progesterone, both from the compounding pharmacy. The results of my saliva test showed excessively high levels of estradiol, progesterone and estrone. My estradiol was 20.4, progesterone 421 and the Pg/E2 ration only 21. Vitamin D was 40.
With 2 small fibroids found from the vaginal ultrasound, I stopped taking everything thinking my estradiol and progesterone levels were too high and didn't want to grow the fibroids with hormones. After 5 weeks, no weight loss and pretty moderate hot flashes and sweating in the day and my sleep. I kick off the covers at least 3 times and am sweating on my face, neck and chest. At least the bed is staying dry, so it's not drastic.
The doctor prescribed biest 50:50 .8mg and 185mg oral progesterone. I haven't taken it and after reading the studies and blogs from this site, not sure what to do about this estrogen dominance, with saliva test results as they are.
I'm feeling like I could open the 185mg progesterone and mix it with cream and apply topically, but I do not want to exacerbate the ED since that level is pretty low, compared to the 400mg recommended. Also, I am concerned that the saliva test showed progesterone at 421 while taking the oral 150mg dose.
Needless to say, I am confused and if anyone has any advice, I would appreciate it!