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[Keeleyruth]

How do you know if you need to take more Oestrogen?

If you are on a regular dose, but are still experiencing symptoms, would this be an indicator to increase?

[CLKD]

Some find that increasing the dose 1 night then waiting a few days to see if there's a reaction, 1 doesn't want to over do it! 

[Vicky81]

What dose and method are you on? Xx

[laszla]

I am a strong proponent of measuring blood levels of oestradiol, testosterone and FAI in addition of course to monitoring symptoms.

[Vicky81]

Hi laszla... how many times a week or month do you get your oestrogen blood test?

[Keeleyruth]

My current regime is Estrogel 4 pumps daily, Esto tablet vaginally, three times a week. Testosterone daily and Ultrogestan, vaginally for 12 days a month.

I started on 1 pump Estrogel and was advised to slowly increase to 4, which I have done but still experience fatigue, joint pain, foggy head, tears and anxiety on a daily basis.

I wondered, due to the ongoing symptoms, if I should just increase my estrogel dose to see if it helps?

[Gnatty]

How long have you been on testosterone? This can take a while to kick in and can really help with anxiety, fogginess and energy.  So it might be just early days. How long since you went up to 4 pumps of oestrogel?

[laszla]

You are already on the usual maximum dose of estrogel (though I know occasionally some women take even up to 6 pumps) so I would want to know my blood levels of estradiol and testosterone before going over 4 measures.
Hi Vicky, until I get the blood levels I need, I 'm testing about every 3 months.

[Vicky81]

Thank you xx