@vgkime The issue with taking continuous progesterone is that it's not the way our body works naturally. If you take it continuously, there's a build up in the uterine lining. By cycling it, going off for a few days, there will be some minor bleeding but that is the body sloughing off the uterine lining, reducing risk of cancer. I haven't done it yet cause I was a bit freaked out by essentially getting a period at my age but it's only spotting for a couple days and it really makes sense to do it that way so I'm going to make the switch. My specialist didn't discuss estradiol dose with me yet but she wasn't happy that I was on the lowest dose.

I don't know if you are familiar with Alloy Health but they are an online pharmacy for HRT with MDs on staff. You can plug in your info and they will get back to you with their recommended dose. You can do that for free with no obligation to buy from them. If you want a consult with one of their MDs, it's available for a $35 fee but it's not required. I did the free assessment because I wanted to see what dose they would recommend and they came back with .5 mg estradiol which didn't surprise me. I suspect my specialist will recommend at least that but we'll see.