Hi D.---From my experience, I would recommend going to a doctor that practices integrative medicine. I know of one here in Clarkston. You might do a search of one in your area, or I could ask Dr. Kovalcik if she knows one. Dr. K is a board certified internist but uses homeopathic medicine first, and prescriptions as a last resort, depending on what you decide is best for you.
A traditional ob will likely order bloodwork which doesn't show a true picture of your hormones, as I understand it after going through testing for hormone replacement. I'm told that a saliva test is much more accurate. Unfortunately, your ob is probably not familiar with this method, and therefore will not know to order it. I also believe that the pill and any other hormone they put you on is not good for the human body. Did you know that they use estrogens collected from horse urine for hormone replacement?
Another point I'd like to share, one learned from my wellness class taken from a naturopath who has her PhD in nutrition, has to do with your diet. We really don't think about it, but to me it make sense that the food that we eat has a great influence on our hormones. Be sure that your diet consists primarily of fruits, veggies, whole grains and legumes, using high-quality animal protein sparingly (like a condiment or flavoring for soups or stews) and that includes milk. See www.strongbones.org and read the China Study by T Colin Campbell if you would like to learn more.
I've learned that many of the disease processes we suffer from today are a result of too much estrogen in the body. Eating enough fiber, AT LEAST 36-48 grams per day, will help to absorb and remove excess estrogen from the bloodstream, as well as removing excess cholesterol as well. Additionally, there are also many compounds that we are exposed to every day, particularly plastics, that mimic estrogen when it gets into our body. It is highly recommended that you do not microwave any plastics, and those will leach into food when heated.
If you have any questions about any of the topics I've raised, please feel free to contact me. I am taking this series of wellness classes to become a certified educator, and I am very passionate about helping others to learn how to optimize their health.
Hope this helps, and I applaud your efforts to make sure you are making the best informed decision possible. In health, D. ###-###-####