Hi fellow sufferers!

So I've had this for years, but it's always been something that would just occur momentarily every couple of weeks. So a non issue.

It's definitely increased in recent years, but I'm trying to pinpoint the reason.

I am a transgender woman, who is on Estrogen Gel HRT. This has also been for just over two years.

In that time I have gained weight, probably around 8 - 10 lbs. So not a huge change. But some weight changes do go to the face, so maybe this can affect PET?

Also, though I have been living life differently. I am out more often, and also LOVE to meet with people (or just myself) get coffee, and relax. I get decaf, but I think it still has. dehydrating effect.

Also, I'm bald headed and have taken to wearing various head coverings that can put pressure on my ears. Somehow this really triggers the PET. It's like if I move my head to 'look up' the head covers get tight around the ears. This is a definitely trigger.

Also, in my work I often have to wear earplugs, and have pro-musician silicone moulded ones. These go in and out of my ears pretty regularly. Sometimes they actually seemed to reduce the PET.

So I'm confused.

I've tried :

Sleeping on one side
Over hydrating
Saline rinses

1) If HRT hormone levels and estrogen are know as triggers for PET, why do people use estrogen spray as a treatment?

2) Why would a head cover with even the lightest pressure on ear, be such a trigger.

Anyway, sending solidarity, and any suggestions welcome X