@kathleen1314 thanks very much for the reply. Your opening question was, “ Did your D&C show hyperplasia or estrogen stimulated tissue?”. I had some thickening prior to the D & C. My lining was 5mm, which is considered too thick according to my Gyn. She said they like to see 4mm or less. I don’t know how to find out if I have estrogen stimulated tissue. My Gyn didn’t mention that, though she wants me to go lower on my estradiol patches, which I have started doing 2 weeks ago (from .2mg to .1mg). My N.P. for hormones said yesterday that estrogen does not cause polyps. That was surprising to hear and contrary to what you said. I told her the Gyn did not say that.
What you said about switching to localized estriol over estradiol is interesting. My gut is telling me that the Yuvafem is the culprit for the new bleeding. It’s just so hard to convince my providers, since from what I read online, this is not wildly reported. All they say is bleeding after menopause is not normal.
I was on .2mg patches twice a week, for the systemic portion of my estrogen. The reason I was on a higher dose than usual was based on a blood test I had 2 years ago where my estrogen was 30. At that time I was on .1mg patches. My last blood test, in Dec. 2025, estrogen was 134. I have gone down to .1mg patches again, as of 2 weeks ago, though started on the Yuvafem because of vaginal discomfort (thinning, pain, etc). I take 200mg of oral micronized progesterone and my test result was in a normal range last Dec. You mentioned taking it vaginally. I asked my Gyn about it. She said, “I guess you could place the pills up inside of you”. She never heard of it before though. I hesitate to do so because they smell awful. I looked up why that is and, supposedly, the capsules are beef gelatin rather than vegan. Not really something I would like to place up in me. She also offered an IUD. I am terrified of that type of pain though. I have chronic pain and have a low tolerance for acute pain, esp. in that area. My Gyno said it’s no big deal. My friend who works as a PA in women’s health said to stay away from IUD’s. Many women online have reported awful pain, whether during insertion or removal. I also never had kids, so that may play a part in having low pain tolerance for that, according to what I have heard.
As you discussed, I’m thinking I just might be extra sensitive to estradiol. Though, unlike you I don’t think my body produces it on its own. Based on how things were 2 years ago when I got tested and had a low number. I could feel that it was low then. Figuring all this stuff out has been so challenging. I would just like to be at a place where I have enough hormones and no bleeding.
I hope your new system works out well for you.