I’ve struggled here as well. I was 43 and struggling with the too much or too little issue, not knowing where I was at. Using 4 pumps estrogel daily, although my OBGYN was not happy. I finally got her to agree to test my estradiol and it ended up being over 3000! Higher than the mid cycle peak of a fertile woman. As soon as I saw that, I stopped the gel entirely, because I expected a chastising phone call, and because I figured I had enough in my system for a while. I just wanted to stop everything and do a reset. I took the progesterone to have a bleed, and then nothing for a while. I felt fine. Really fine! At 6 weeks, I felt my tendonitis start to re-emerge and I wanted to nip that in the bud. I started back on a half pump of gel a day. That seemed fine. I was having some palpitations at the time as well, which is why I went back to the gel. I had a Mirena placed two weeks ago and I’ve increased the gel to 1 pump a day and I’m feeling fine; not sure if the extra half pump has made a difference either way.
So I also think that a you’re young, you need more estrogen approach is too broad of a stroke.