Looking at your profile, you need to change your life style and probably drop a few lbs since your profile is showing signs of potential hypo metabolism. High e2 has many causes some complex some simple. Go with simple one first loose body weight and provide the body the nutrients to help keep metaboism in check. Since your are 37 HRT would be an option recommended to Dr's, however one needs to dig digger before committing one to HRT when there may be hidden factors which need to be resolved first before starting. Adrenals and thyroid are showing potential signs of imbalance here, but need to be validated by proper evaluation. For proper evaluation look at my Lab testing getting to the core thread which will give you a nice set of comprehensive labs to get you started. Again one needs to treat the person and use the labs as a diagnostic tool in order to base decisions off of, but not end all be all. For now go with the obvious, but there are other hidden factors which needs to be explored such as insulin, hypothyroid, adrenal imbalance. With out the proper information one can not even begin to look at underlying pathology.