So after my disaster of a hormonal storm...I have realized that I am not able to menstruate on my own, despite eating strict Paleo for 1 year now, exercising 5-6 times a week, and generally being quite healthy. I must admit this is rather disappointing. Moving forward my options will be as follows, if anyone could help me understand what would be best, that would be great. Thank you.
Currently on Diane 35 - very high estrogen pill - been on it since 16 ~ Option #1 Just stay on this pill
Move to a lower dose pill such as Yaz or something with 20MC of Estrogen rather then 35
Progesterone Only Pill - which will limit the amount of synthetic estrogens
Bio-identical Progesterone Cream Day 14-28 of cycle to help ovaries to ovulate
Metformin - No pill - or Metformin with Pill
My biggest concerns are as follows - I have never been able to build muscle properly and move forward with getting leaner while on this pill (it suppresses androgens.test. so much that I just stay round and a little flabby rather then getting toned) - So i would like to be able to move forward with fitness goals...
Also, I would like to choose an option that will of course not just delay the obvious, having to deal with this eventually.
I would like to choose the option that will provide with me with the ability to have the greatest amount of STABILITY>>>as of lately...i would say 12-17 days of each MONTH is a complete write-off with me being immobilized with menstrual issues.
I just want to minimize that and feel good for more than 7 days max.
One other question - If I choose the Bio-iden. Hormones...so i will be using my own estrogen..and balancing that with the progesterone cream...will be own extrogen levels be likely higher or lower than say the 20mcg i would get from a low dose pill?
Thanks in Advance!!!