Also from my doctor, I learned that one can be both estrogen deficient and
estrogen dominant at the same time if progesterone and
estrogen are
low, and due to our exposure to estrogens & phyto estrogens in environment and foods. So alot of balancing is required and diary your symptoms for your doctor, and balancing your doses of the creams based on your symptoms, always start low and work up, also know that with estrogen, the symptoms of too much and not enough, are the same.