So much of what you say rings true, right down to the bowel issues and fatigue. My previous doc wouldn't connect things, so I had to see separate consultants for each issue. This caused severe health anxiety, but the more things were apparently 'normal' the more I felt people disbelieved me. Luckily a lovely neurologist I saw said he'd seen random symptoms in people with hormonal issues. He sent me to an endocrinologist at same time I swapped GPs. Have not looked back!
My FSH was within normal limits but my estrogen was at post menopausal levels. He said as a result of my age I would need a higher level of estrogen . I started on Evorel 50 but had severe progesterone withdrawal - loved taking it but felt rough when I stopped and this was when pains would sometimes return. I am convinced my problems are linked to the prog/est balance rather than just the low estrogen. I had no problems at all until a month after a miscarriage - which I am convinced triggered things.
I then moved to Qlaira which is a bio identical HRT style pill averaging 2mg. Things have improved so much on this - especially the pains - but as it's such a low dose for a pill, I still get occasional problems eg spotting (usually day 19 on) and fatigue when the prog dose changes (it's a four phase pill).
For this reason, I am considering switching to a standard pill which will control my system more. I am not sure how old you are, but if in 30s or 40s, maybe you need something stronger? There are a number of us on here in that situation. See recent posts.
Things definitely take time to work - I reckon three months minimum. Qlaira was great from months 3to 6 but things seem to have now levelled, hence reason I want to try 3mg per day with a more consistent dose of progesterone (like others have suggested, I prob won't take a pill break). We are all different but I hope this at least helps you see you're not alone .
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