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I am 14 months post op, no ovaries and have been on Vivelle Dot .0375 since just after surgery. I'm having some mild symptoms that "match" the list for low estrogen. A recent blood test showed estradiol level of 32 PG/ML. My doctor described that reading as "a little low." Bone density and thyroid tests are normal....my symptoms aren't horrible, but bothersome. Is there a level of estradiol that is considered optimal? I know it is best to keep replacement levels as low as possible but I want to get the most benefit I can without overdoing it. Should I look at taking the Vivelle in a .050 dose? Thanks.
In the end optimal will be determined by how you feel. You don't mention your age but if you are younger than menopausal that would be pretty low. Unreplaced menopausal levels might be in the 20's. or even teens.
You don't sound like you are even close to overdoing it. Ask your doctor what range he/she would like to see you in considering your age, ect.
one other thing he siad was that the levels do drop and raise during day as your body uses it, so just b/.c my level said 800, it could havebeen b/c I had only taken my 3mgs about 2 hrs before i had the blood drawn