Ask your doctor why she would feel more content at a lower level? Why does she feel uncomfortable with these levels when ciswomen all over the world get pregnant, some up to 5-6 times in a lifetime, with levels reaching up to 75,000 pg/ml? Birth rate is certainly not dropping or remaining low due to complications during pregnancy; in fact, quite the opposite and since a looooooooooooooong time, long before medical advances of the 20th-21st century were made.
Explain to her you don't have a uterus like ciswomen. That you aren't taking estradiol orally or Premarin or birth control pills that contain a form of estrogen that is different and that affects the body differently. Tell her the breast cancer rate is VERY low in transsexual women despite quite high doses, especially in the past, much higher than in birth control pills. Prof. Gooren, a leading expert in the field, even noted that breast cancer rate in TS women was similar to genetic men who never took female HRT.
Ask to check blood tests, test other factors she may be concerned about...and see if it is having a negative impact on your health. If everything is fine and keeps being fine, test after test, then she might change her mind, I think.
The only concern, as I have stated before, is that estradiol cypionate is active before it is converted to estradiol such that it may actually be somewhat harmful...but first find out how EC is affecting your health right now...and if anything is suspicious, perhaps suggest to the doctor to be switched to EV and retest.
These are all suggestions that need to be ABSOLUTELY shared with the doctor and that the doctor needs to approve. Best of luck.
