Re: Any advice on the PROs and CONs of BHRT.
Are you sure you did not make any mistakes on the ref ranges, esp progesterone?
I suppose with the low PSA your doctor won't be hesitant to give testosterone medication; however before that I suggest you get a DHEA test, but not DHEA-S.
DHEA is upstream from Testosterone as seen in this diagram.
http://en.wikipedia.org/wiki/File:Steroidogenesis.svg
If DHEA is low, I would start by taking it as a supplement. Some people don't tolerate it well, but I would expect you to tolerate it okay.
DHEA-S involves liver sulfation. Apparently you do quite well there. Do you eat lots of high sulfur foods and supplements such as NAC? Do you take taurine supplements? Do you do frequent
Epsom Salt baths, a source of sulfate?
I think zinc is involved in conversion of DHEA towards T. I hear that some of our crops have 30% or so less Zn than they did in 1900.
Aromatase is the enzyme involved in conversion of T and other androgens to estrogens. I think iron is the key mineral in it.
Is your iron high? Iron (Fe) is also involved in conversion of cysteine towards sulfate.
http://mercuryandmore.weebly.com/methylation-figure.html
There are some natural aromatase inhibitors. You can search the net.
I think methylation--another liver process--is involved in natual breakdown of estrogens. Are you low in B12, folate, zinc or have a heavy metal problem?
I encourage you to work with the doctor on this. Getting a nice hormone balance can feel quite nice. That has been the experience of a close female friend and I. We are both middle aged.
Hopefully before putting you on T3 the doctor mentioned selenium and zinc that are involved in conversion of T4 to T3. Se is very underappreciated in our toxic world.
http://www.wellnessresources.com/health/articles/seleniums_vital_role_in_thyroid_hormone_function/%20tionist