I went through early menopause (age 42) and decided to go with bio-identical HRT. I have taken Estrace (bio-identical pharmaceutical) and Prometrium (bio-identical pharmaceutical progesterone) for over 6 years.
I have struggled with hot flashes, slight osteopenia and vaginal dryness.
I have tried for years to reduce and eliminate the estrogen, but the hot flashes and bone loss keep on coming.
Even with bio-identical hormones (never unopposed estrogen) I am now facing a diagnosis of Complex hyperplasia with atypia (pre-cancer) leading to a hysterectomy (I'm now 54). I have to factor in genetics.
I have drastically changed my diet to a cancer diet (raw organic fruits, vegetables and nuts). Now, I finally seem to be able to start reducing my estrogen dosage. Wish I had know about this diet before my bad news diagnosis.
I have read that progesterone alone can take care of a lot of the issues. The diet changes have quieted my body inflammation and immune response. I am taking supplements to support the bone issues and working on resistance exercises.
A dab of estriol oil (that I buy online) does wonder for vaginal lubrication and atrophy.
My plan is to get to where I am using progesterone alone with the occasional estriol oil vaginally, plus a little testosterone, if needed (I am having a full hysterectomy including ovaries). I have read that testosterone impacts bones and depression issues also.
My main goal is to get away from the estrogen as much as possible.
I hope you are able to figure out what works for you.