Help - Search - Members - Calendar
Full Version: First-time Progesterone user
Power Surge Forums > Board Discussions > Progesterone, All Forms
Texasgirl
I had my annual yesterday and my Dr. prescribed Progesterone cream for my symptoms. I just picked it up from the pharmacy and plan to start using it tonight. I've read a lot of great information on this board about this cream, but I'm also a little nervous about how I'm going to feel after using it. Has anyone ever had any bad side effects? And is rubbing it on the inner thighs the best place to put it?

Thanks! biggrin.gif
Mopsy3
I use progest cream but it is just over the counter. I get it from my Natural foods store. The reason I started was it helped with my monthly migraines. I haven't had any side effects that are bad. It has actually replaced some anxiety with calm and has helped me sleep better. I know everyone is different but I am happy with the effects it has given me.

I rub the cream in different places all the time. I think it helps absorb better. I rub it in my neck, chest, inner arms and like you said, inner thighs. I hope you have good luck with it.

Mopsy
Interactive
I use a 3% Natural Progesterone cream prescribed by a doctor. When I first started using it, I did seem to react with mood effects. However when I first started using it I had also recently abruptly stopped taking oral HRT so was having dramatic menopausal symptoms anyway because my hormones were in flux, so it was difficult to tell what might have been due to stopping oral HRT and what due to starting progesterone cream. However it all settled down and pretty soon I had no reaction to it at all. I've been using it for two and a quarter years and feel fine on it. I do recall when I first started using it I felt as though I was in the early stages of pregnancy, bloated if I remember. The doctor told me to stop using it for a few days and restart, which I did and this feeling went away. I also recall that when I reported to the doc that applying it seemed to trigger - on different occasions - anxiety, depressed mood, a sedated effect, palpitations and a couple of times, euphoria(!), she told me that I must be sensitive to hormones and to reduce the dose to a pea sized amount and build it up gradually, which I did, and as mentioned, I quickly became fine with it.

Inner thighs are fine to put it on. However my understanding is that you should rotate the sites on the body where you apply it to give the receptors in each place a rest. I take it you're cycling it? I'm post menopausal so I use the cream for three weeks with a one week break.
Texasgirl
QUOTE (Interactive @ Mar 10 2009, 04:06 PM) *
I use a 3% Natural Progesterone cream prescribed by a doctor. When I first started using it, I did seem to react with mood effects. However when I first started using it I had also recently abruptly stopped taking oral HRT so was having dramatic menopausal symptoms anyway because my hormones were in flux, so it was difficult to tell what might have been due to stopping oral HRT and what due to starting progesterone cream. However it all settled down and pretty soon I had no reaction to it at all. I've been using it for two and a quarter years and feel fine on it. I do recall when I first started using it I felt as though I was in the early stages of pregnancy, bloated if I remember. The doctor told me to stop using it for a few days and restart, which I did and this feeling went away. I also recall that when I reported to the doc that applying it seemed to trigger - on different occasions - anxiety, depressed mood, a sedated effect, palpitations and a couple of times, euphoria(!), she told me that I must be sensitive to hormones and to reduce the dose to a pea sized amount and build it up gradually, which I did, and as mentioned, I quickly became fine with it.

Inner thighs are fine to put it on. However my understanding is that you should rotate the sites on the body where you apply it to give the receptors in each place a rest. I take it you're cycling it? I'm post menopausal so I use the cream for three weeks with a one week break.



Now I'm kind of worried. I sure don't want to feel "pregnant!" I'm suppossed to use 1/8 of a teaspoon and my Dr. said nothing about "cycling." I'm not the type of woman that's going to keep using something if it makes me feel worse, hoping that giving it "time" will help. We'll see how this trip goes.......... rolleyes.gif

Anyone else have any advice for me?
Interactive
The pregnant feeling passed off as soon as I stopped the cream temporarily and only lasted about three days if I remember. I think I was really depleted in progesterone when I started and perhaps that's why I reacted the way I did. Your experience will probably be entirely different.

It might take a little while to adjust to. Introducing hormones often does, so it might be worth persisting to get the full benefits if you do have any effects - hopefully you won't.

As for the cyling, no doubt your doc knows what he's doing. Women with periods normally cycle progesterone, using it for the last twelve days or so of their cycle. Some postmenopausal women use it continuously however.
Interactive
Hoping it works out well for you!
Texasgirl
QUOTE (Interactive @ Mar 10 2009, 05:47 PM) *
The pregnant feeling passed off as soon as I stopped the cream temporarily and only lasted about three days if I remember. I think I was really depleted in progesterone when I started and perhaps that's why I reacted the way I did. Your experience will probably be entirely different.

It might take a little while to adjust to. Introducing hormones often does, so it might be worth persisting to get the full benefits if you do have any effects - hopefully you won't.

As for the cyling, no doubt your doc knows what he's doing. Women with periods normally cycle progesterone, using it for the last twelve days or so of their cycle. Some postmenopausal women use it continuously however.



I'm not postmenopausal yet. I still have periods, although they are about every 50-60 days now. So am I suppossed to be cycling? I'm so confused! unsure.gif
Interactive
Awww sorry to confuse you. How did your doctor say to apply it? Does the cream have any instructions with it? When I was first prescribed my cream I wasn't entirely post menopausal but hadn't had a period for months (I did later have a few more). As I wasn't having regular periods, the doctor told me to use the cream on the post menopausal pattern of 21 days on the cream and 7 days off. If I started a period, she told me to stop using the cream for seven days, then recommence.

Why not ring your doctor's surgery and ask them to ask him for instructions if you're unsure? Our situations will be different and we're using different creams, so it's best to refer back to your own doctor. Or maybe your pharmacist could be helpful - although I suspect the best person to ask is your doctor.
Texasgirl
QUOTE (Interactive @ Mar 10 2009, 06:16 PM) *
Awww sorry to confuse you. How did your doctor say to apply it? Does the cream have any instructions with it? When I was first prescribed my cream I wasn't entirely post menopausal but hadn't had a period for months (I did later have a few more). As I wasn't having regular periods, the doctor told me to use the cream on the post menopausal pattern of 21 days on the cream and 7 days off. If I started a period, she told me to stop using the cream for seven days, then recommence.

Why not ring your doctor's surgery and ask them to ask him for instructions if you're unsure? Our situations will be different and we're using different creams, so it's best to refer back to your own doctor. Or maybe your pharmacist could be helpful - although I suspect the best person to ask is your doctor.



My Dr. just said to apply it to my inner thighs before bedtime. Nothing else. And it was the first time I've been to this Dr. I thought I would try our brand-new women's clinic that I've heard is wonderful. I did like this woman but she's pretty young and prescribed the progesterone based on my symptoms and nothing else. I had bloodwork this morning but don't know the results yet. I think I'll use it tonight, see how I feel and call her in the morning about the cycling thing. Thanks for your help, Interactive. smile.gif
Interactive
You're welcome Texasgirl. smile.gif

Sounds like you have a good plan. Let us know how you get on with the cream.
gillK
QUOTE (Texasgirl @ Mar 10 2009, 05:35 PM) *
Anyone else have any advice for me?


I'm one of those women who doesn't get on well at all with progesterone, but that may be because my Rx strength is too high (100 mg). Plus, I am several years' post, so maybe my body doesn't even know what it is. Regardless, I do want to suggest that you start with a very small application until you see how it agrees with you. I am a broken record about this, but: keep a simple log to track when and where you apply it, your dose, and how you feel. Also, take care where you apply it, since it can build up in fatty tissue. For now, your wrists, inner arms etc might be the way to go. Good luck. I hope you and progesterone get along well.
Sariah
I agree with gillK, be careful with the P. Even a small amount for me causes awful anxiety and higher BP. It builds up after a few months, so be alert for any adverse symptoms you might start having if you didn't have them initially. And do apply it on the thin-skinned areas, it builds up quicker in the fatty tissue.

In my experience, docs have women start with way too high of a dose. Start with a tiny dose and wait a couple of weeks for that to build up before increasing.
Texasgirl
QUOTE (Sariah @ Mar 10 2009, 08:11 PM) *
I agree with gillK, be careful with the P. Even a small amount for me causes awful anxiety and higher BP. It builds up after a few months, so be alert for any adverse symptoms you might start having if you didn't have them initially. And do apply it on the thin-skinned areas, it builds up quicker in the fatty tissue.

In my experience, docs have women start with way too high of a dose. Start with a tiny dose and wait a couple of weeks for that to build up before increasing.



Thanks to all of you for your help. I'm going to take your advice and start with a very small drop tonight. Here goes....goodnight and wish me luck! smile.gif
Texasgirl
QUOTE (Texasgirl @ Mar 10 2009, 09:22 PM) *
Thanks to all of you for your help. I'm going to take your advice and start with a very small drop tonight. Here goes....goodnight and wish me luck! smile.gif



Well, I used the cream last night and so far I have no complaints. I started with about 1/4 of a teaspoon on my inner thighs. About the only thing I noticed is that I slept much better that I have been. I didn't even wake up to pee which NEVER happens! biggrin.gif
Interactive
Thanks for reporting back Texasgirl. Glad it had a good effect and hope it carries on for you. smile.gif
davinci817
I am half way through my third week with an oral P. I have slept soundly since day one, the first week I did have a lot of headaches and felt very tired by mid afternoon but that has all subsided and I have lots of energy.

Just keep a journal so you know what is going on while you are using it so that it can be tweaked as needed.
goingcrazytoday
Great news Texasgirl!!I'm glad you slept well. Is it still working out for you?I was just going to add that I rub my P cream on my forearm and tops of my feet. Hope you are still doing good with it!

I have been sleeping all night pretty much until about 4-5am. I think that is much better than waking up at 2-3 tossing and turning all night!I lay in bed trying to fall back to sleep and it never happens. I need to accept it and get up I guess HAHA.

Hope you are doing well.
Amber
Texasgirl
QUOTE (goingcrazytoday @ Mar 14 2009, 08:15 AM) *
Great news Texasgirl!!I'm glad you slept well. Is it still working out for you?I was just going to add that I rub my P cream on my forearm and tops of my feet. Hope you are still doing good with it!

I have been sleeping all night pretty much until about 4-5am. I think that is much better than waking up at 2-3 tossing and turning all night!I lay in bed trying to fall back to sleep and it never happens. I need to accept it and get up I guess HAHA.

Hope you are doing well.
Amber



I'm still doing well with the cream. It's been 4 nights now. The main difference I think is that I feel calmer. And I'm not feeling so much anger all the time, which is a very good thing! I'm still sleeping better too. Should I up the dose or wait a little while longer? I'm not using as much as the prescription calls for, after reading other ladies advice here. dry.gif
Janetteso
Hi all and Texasgirl

What a shame I didn't read here before I tried my bioidentical progesterone cream a few days ago.

I have a friend who is doing fine with it she has a thyroid problem.

I have been having meno symptoms: short term memory loss (most disturbing one), less comfortable getting to sleep, hot flushes, twangy headaches, tears and mood swings all over the place, I even had my first seizures a few months ago??!?!? I'm 50 and perimenopausal.

Anyway, I thought I'd try the bioidentical prog like this friend and had read about it too. Dr Lee and all that. I didn't like the idea of taking Premarin (since it comes from pregnant mare's urine). The bioid coming from wild yam etc sounded OK and I now see is gaining lots more credence after being in Oprah etc. Here in Australia we can only get it from compounding chemists, it's not legal in the shops.

WELL it must be an individual thing how you react, because my friend is fine she says. BUT ... I started it, on my full prescription strength 2 x 2gms, that's 4 grams a day. I was keen to start feeling better.

Only a couple of days later (it's still hard to remember when) it HIT! ALL of the above symptoms exploded and I am still feeling what I could only describe as HIGH, even after having stopped using it for two and a half days. I was wandering around my own home crying, thinking dark thoughts too, then when I recovered babbling to my children like a happy babbler (which I'm not). Things seem weird like I am on another planet, like my mind and thinking was full of holes my memory my mind couldn't get it together. I had head pains and whilst at the shops felt, right out , dizzy. My head is weird when trying to get to sleep as if I was in some kind of action movie whenever I drift off and my head can't get comfortable either, tossing and turning. Needless to say I have stopped using it after just those couple of days. I am still recovering but things have improved.

I see some of the wonderful women on this board have battled all the way through for years and years with no HRT and plenty of symptoms. I have to say, that if I fully recover from this, rather dreadful experience this will prob be me also. I mean even if I took less, and slowly built up, how would I have known if it was the cream or the real symptoms I was experiencing, sure I prob would have felt 'good' high but it's just not right imo.

I mean when you think about it, just as with epilepsy and the brain, doctors are still trying to work out and understand what it's all about in women. Some doctors prescribe the Premarin, others things like the bioidentical hormones, still others vitamins and herbal remedies. I'm taking some vitamins and Remifemin too.

I'm still recovering from this, things have improved over the last 48 hours, I can't wait to have a good night's sleep without drifting off full of dreams as though I'm in an action movie WEIRD!

So keep a good eye on it, Texasgirl. I'm sorry to tell you this but I feel it's my duty after what I've been thru. I sure hope it works out for all those trying it!!

Love from down under, Nette

QUOTE (Texasgirl @ Mar 14 2009, 08:21 PM) *
I'm still doing well with the cream. It's been 4 nights now. The main difference I think is that I feel calmer. And I'm not feeling so much anger all the time, which is a very good thing! I'm still sleeping better too. Should I up the dose or wait a little while longer? I'm not using as much as the prescription calls for, after reading other ladies advice here. dry.gif

joyceveronica
QUOTE (Janetteso @ Mar 15 2009, 01:54 PM) *
Hi all and Texasgirl

What a shame I didn't read here before I tried my bioidentical progesterone cream a few days ago.

I have a friend who is doing fine with it she has a thyroid problem.

I have been having meno symptoms: short term memory loss (most disturbing one), less comfortable getting to sleep, hot flushes, twangy headaches, tears and mood swings all over the place, I even had my first seizures a few months ago??!?!? I'm 50 and perimenopausal.

Anyway, I thought I'd try the bioidentical prog like this friend and had read about it too. Dr Lee and all that. I didn't like the idea of taking Premarin (since it comes from pregnant mare's urine). The bioid coming from wild yam etc sounded OK and I now see is gaining lots more credence after being in Oprah etc. Here in Australia we can only get it from compounding chemists, it's not legal in the shops.

WELL it must be an individual thing how you react, because my friend is fine she says. BUT ... I started it, on my full prescription strength 2 x 2gms, that's 4 grams a day. I was keen to start feeling better.

Only a couple of days later (it's still hard to remember when) it HIT! ALL of the above symptoms exploded and I am still feeling what I could only describe as HIGH, even after having stopped using it for two and a half days. I was wandering around my own home crying, thinking dark thoughts too, then when I recovered babbling to my children like a happy babbler (which I'm not). Things seem weird like I am on another planet, like my mind and thinking was full of holes my memory my mind couldn't get it together. I had head pains and whilst at the shops felt, right out , dizzy. My head is weird when trying to get to sleep as if I was in some kind of action movie whenever I drift off and my head can't get comfortable either, tossing and turning. Needless to say I have stopped using it after just those couple of days. I am still recovering but things have improved.

I see some of the wonderful women on this board have battled all the way through for years and years with no HRT and plenty of symptoms. I have to say, that if I fully recover from this, rather dreadful experience this will prob be me also. I mean even if I took less, and slowly built up, how would I have known if it was the cream or the real symptoms I was experiencing, sure I prob would have felt 'good' high but it's just not right imo.

I mean when you think about it, just as with epilepsy and the brain, doctors are still trying to work out and understand what it's all about in women. Some doctors prescribe the Premarin, others things like the bioidentical hormones, still others vitamins and herbal remedies. I'm taking some vitamins and Remifemin too.

I'm still recovering from this, things have improved over the last 48 hours, I can't wait to have a good night's sleep without drifting off full of dreams as though I'm in an action movie WEIRD!

So keep a good eye on it, Texasgirl. I'm sorry to tell you this but I feel it's my duty after what I've been thru. I sure hope it works out for all those trying it!!

Love from down under, Nette

Dear Nettie
Just goes to show how we all react differently to Hormones,Medication etc. The only thing I would comment that your starting dose seems rather high.When the body has been deprived from Hormones for a while it will go into shock from overload. That is why a small dosage building up to optimal levels is ususally safer.

However,as you so rightly point out a lot of ladies get through with no hormonal supplements and rely on Herbal and Vitamin supplements to get through very successfully.Exercise and Yoga also help too.Get off the caffeine and keep sugary foods to a minimum.herbal Teas are great.Alcohol,except an occasional glass of wine is not great either..

Hope all will be well with you soon
Best Wishes
Elizabeth
Janetteso
So true Elizabeth!

I don't think the doctor I went to was really that clued in. Or maybe I've just forgotten what she said ... rolleyes.gif LOL

I'm not kidding, that's how bad I've been, but worse since the cream ...

I just went and looked at the calendar properly, it was actually a full week before the above symptoms hit on that dose each day. I also read you should put the cream where you blush so I changed from upper arms and thighs to chest and armpit area. Maybe that made the impact more intense.

All the best to everyone trying these things!!!

God bless you!

Warm regards
Nette


QUOTE (joyceveronica @ Mar 15 2009, 06:59 AM) *
Dear Nettie
Just goes to show how we all react differently to Hormones,Medication etc. The only thing I would comment that your starting dose seems rather high.When the body has been deprived from Hormones for a while it will go into shock from overload. That is why a small dosage building up to optimal levels is ususally safer.

However,as you so rightly point out a lot of ladies get through with no hormonal supplements and rely on Herbal and Vitamin supplements to get through very successfully.Exercise and Yoga also help too.Get off the caffeine and keep sugary foods to a minimum.herbal Teas are great.Alcohol,except an occasional glass of wine is not great either..

Hope all will be well with you soon
Best Wishes
Elizabeth

Sariah
Janet,
Your symptoms can all be attributed to low E and using P is exacerbating that. Many of us do very poorly on progesterone and thrive on the estradiol. You might want to try some Estrogel or an equivalent.
EveningPrimrose
QUOTE (Interactive @ Mar 11 2009, 01:16 AM) *
Awww sorry to confuse you. How did your doctor say to apply it? Does the cream have any instructions with it? When I was first prescribed my cream I wasn't entirely post menopausal but hadn't had a period for months (I did later have a few more). As I wasn't having regular periods, the doctor told me to use the cream on the post menopausal pattern of 21 days on the cream and 7 days off. If I started a period, she told me to stop using the cream for seven days, then recommence.

Why not ring your doctor's surgery and ask them to ask him for instructions if you're unsure? Our situations will be different and we're using different creams, so it's best to refer back to your own doctor. Or maybe your pharmacist could be helpful - although I suspect the best person to ask is your doctor.


Hi Interactive,

Just a question - When I started taking progesterone cream, my doctor told me to apply the cream for 3 weeks and then stop the cream for 7 days and wait for a period. I did this for 3 months and didn't see a period at all. Did you see your period within the 7 day progesterone free time frame? I felt so much better not having a period, but I became concerned about uterine lining build up. Therefore, I stopped the progesterone cream for 4 months, because it took this long for my periods to become regular again and I thought it would be better to shed the uterine lining. However, since the periods returned I dont feel good and I wanted to resume the cream because the cream DID make me feel better. I decided to cycle the cream every two weeks but I've been spotting and bleeding on and off and I feel like crap. I called my doctor yesterday and told her what I'd done and she said to go back to the original plan. I explained that I dont see a period when I cycle the cream every 3 weeks and she said "does it matter?" well actually it doesn't matter to me at all since I hate having a period but I'm also concerned about the lining building up. I've noticed that during my period I feel really ill and periods are starting to last longer -- ie lasting for 2 or 3 weeks. So I'm going back to the original plan to see what happens. I resumed my dose again two days ago and my headache, bodily twitching and insomnia is starting to improve although I still dont have any energy, and I'm very tired. I hope this post makes sense and you can all uunderstand it. It took so much effort to type!

Thanks.
Interactive
So sorry for what you're going through EP (((hugs)))

When I started the cream, my periods weren't as regular as it sounds as though yours were/are. I hadn't had a period for several months. I'd had some spotting, having abruptly stopped oral HRT some two months before, but nothing resembling a regular cycle. It was for this reason I think, that the doctor directed me to use the cream on the post menopausal pattern of 21 days on the cream and 7 days off - I couldn't possibly tie in the use of the cream with periods because I wasn't having any at the time.

I think it was about five months after starting the cream that I suddenly had a full-blown, normal period, much to my surprise. I rang the doctor and she said to stop using the cream for seven days and then resume. For future reference, she said if I experienced spotting in the middle of the 21 days cream use, to carry on using the cream. If I had a full period however, to stop using the cream for seven days and then start another 21 day cycle of using it.

After that surprise period, I had two more normal periods, all at two monthly intervals. Then nothing more ever. I think one of those periods did occur during the seven day break from the cream, but at least one, and I think two, occurred in the middle of 21 days use - so as directed, I stopped using the cream for seven days, then started another 21 days use at the end of seven days. The three periods all lasted for five days, which is exactly how my periods had been when I had them regularly, pre-peri. I never experienced prolonged periods in peri (one symptom I didn't get!)

So to attempt to answer your questions, I have used the cream for months on end (on a 21 days on, 7 days off pattern) without any periods occurring. I think the reason I didn't get any periods was because my own hormones were at too low a level for most of that time to produce periods. Even when I took conventional, oral, cyclical HRT prior to using the cream, my periods became scant and then eventually stopped, despite at that time, supplemeting with estradiol and a progestogen on a 28 day cycle. Whether or not periods appear has always seemed to have more to do with my own, underlying level of hormones, than the hormones I'm supplementing with.

It sounds as though our stage in peri and experience of periods is somewhat different during introduction and use of the cream. I never had long periods for example, so wouldn't know what advice to offer as regards use of the cream in those circumstances. If you're in the UK, and have access to London, I can let you know the name of the doctor I see who specialises in menopause and who's prescribed the cream to me and advised on its use if that would help? She's only available privately, but her rates are much lower than I thought would be the case for a private consultation, within a manageable range. She also does telephone consultations. I don't know what other advice to offer and wish I could help more.

All the best.
davinci817
QUOTE (EveningPrimrose @ Mar 15 2009, 10:24 AM) *
Hi Interactive,

Just a question - When I started taking progesterone cream, my doctor told me to apply the cream for 3 weeks and then stop the cream for 7 days and wait for a period. I did this for 3 months and didn't see a period at all. Did you see your period within the 7 day progesterone free time frame? I felt so much better not having a period, but I became concerned about uterine lining build up. Therefore, I stopped the progesterone cream for 4 months, because it took this long for my periods to become regular again and I thought it would be better to shed the uterine lining. However, since the periods returned I dont feel good and I wanted to resume the cream because the cream DID make me feel better. I decided to cycle the cream every two weeks but I've been spotting and bleeding on and off and I feel like crap. I called my doctor yesterday and told her what I'd done and she said to go back to the original plan. I explained that I dont see a period when I cycle the cream every 3 weeks and she said "does it matter?" well actually it doesn't matter to me at all since I hate having a period but I'm also concerned about the lining building up. I've noticed that during my period I feel really ill and periods are starting to last longer -- ie lasting for 2 or 3 weeks. So I'm going back to the original plan to see what happens. I resumed my dose again two days ago and my headache, bodily twitching and insomnia is starting to improve although I still dont have any energy, and I'm very tired. I hope this post makes sense and you can all uunderstand it. It took so much effort to type!

Thanks.

Ep I am one that has the lack of energy as well, the first week was really bad for me on the P. My doctor is having me supplement b-12 by injection monthly. Maybe ask about this as well. I can tell it has worn off after a month I was back to being tired for the last three days.
Interactive
davinci's post reminded me, the doc directed me to take several supplements too, writing out the specific type and dose. I tend to forget I've been taking these for as long as I've been using the progesterone cream, attributing the improvement solely to use of progesterone cream whereas obviously other things have been instrumental too.
EveningPrimrose
QUOTE (Interactive @ Mar 15 2009, 04:13 PM) *
So sorry for what you're going through EP (((hugs)))

When I started the cream, my periods weren't as regular as it sounds as though yours were/are. I hadn't had a period for several months. I'd had some spotting, having abruptly stopped oral HRT some two months before, but nothing resembling a regular cycle. It was for this reason I think, that the doctor directed me to use the cream on the post menopausal pattern of 21 days on the cream and 7 days off - I couldn't possibly tie in the use of the cream with periods because I wasn't having any at the time.

I think it was about five months after starting the cream that I suddenly had a full-blown, normal period, much to my surprise. I rang the doctor and she said to stop using the cream for seven days and then resume. For future reference, she said if I experienced spotting in the middle of the 21 days cream use, to carry on using the cream. If I had a full period however, to stop using the cream for seven days and then start another 21 day cycle of using it.

After that surprise period, I had two more normal periods, all at two monthly intervals. Then nothing more ever. I think one of those periods did occur during the seven day break from the cream, but at least one, and I think two, occurred in the middle of 21 days use - so as directed, I stopped using the cream for seven days, then started another 21 days use at the end of seven days. The three periods all lasted for five days, which is exactly how my periods had been when I had them regularly, pre-peri. I never experienced prolonged periods in peri (one symptom I didn't get!)

So to attempt to answer your questions, I have used the cream for months on end (on a 21 days on, 7 days off pattern) without any periods occurring. I think the reason I didn't get any periods was because my own hormones were at too low a level for most of that time to produce periods. Even when I took conventional, oral, cyclical HRT prior to using the cream, my periods became scant and then eventually stopped, despite at that time, supplemeting with estradiol and a progestogen on a 28 day cycle. Whether or not periods appear has always seemed to have more to do with my own, underlying level of hormones, than the hormones I'm supplementing with.

It sounds as though our stage in peri and experience of periods is somewhat different during introduction and use of the cream. I never had long periods for example, so wouldn't know what advice to offer as regards use of the cream in those circumstances. If you're in the UK, and have access to London, I can let you know the name of the doctor I see who specialises in menopause and who's prescribed the cream to me and advised on its use if that would help? She's only available privately, but her rates are much lower than I thought would be the case for a private consultation, within a manageable range. She also does telephone consultations. I don't know what other advice to offer and wish I could help more.

All the best.



Thank you so much, Interactive, for your post. I've been struggling with perimenopause for nearly 6 years and although my test results show mild deficiency in progesterone and oestrogen, it's still having a big impact on the way I'm feeling. At least when I supplement with progesterone I do feel better. My cortisol, DHEA, and testosterone levels are also low but I need to fix one thing at a time. At least by using progesterone it could replenish the other hormones that I'm deficient in. I've been to see a doctor in Harley Street, London -- She's the one who prescribed the cream in the first place - I would see her more often but it's a 3 hour journey!

I hope things are going well with you and thanks for your post - it DID help!

(((hugs)))
EveningPrimrose
QUOTE (davinci817 @ Mar 15 2009, 04:39 PM) *
Ep I am one that has the lack of energy as well, the first week was really bad for me on the P. My doctor is having me supplement b-12 by injection monthly. Maybe ask about this as well. I can tell it has worn off after a month I was back to being tired for the last three days.



Hi Beth --

The lack of energy is really getting to me lately - Dont even know how you managed to go grocery shopping today wink.gif .. I've had a bunch of tests a few weeks ago including Vit D- still waiting on those --- I will discuss the B12 with my doctor -- it's worth a try ....

Good luck with the BHRT -- I'm sure you'll feel better once you've found the right dose smile.gif

((hugs)))
EveningPrimrose
QUOTE (Interactive @ Mar 15 2009, 04:51 PM) *
davinci's post reminded me, the doc directed me to take several supplements too, writing out the specific type and dose. I tend to forget I've been taking these for as long as I've been using the progesterone cream, attributing the improvement solely to use of progesterone cream whereas obviously other things have been instrumental too.



I keep adding to my supplements but I'm still struggling - The progesterone cream so far has been a big help to me.... I hope that my symptoms will settle down and I gain more energy when I start taking it regularly again..
EveningPrimrose
Texas Girl - Good luck with the Progesterone! smile.gif
Texasgirl
QUOTE (EveningPrimrose @ Mar 15 2009, 02:32 PM) *
Texas Girl - Good luck with the Progesterone! smile.gif



Thanks! So far, so good! I slept like a baby last night. I'm still using only about half on my dosage. biggrin.gif
Interactive
QUOTE (EveningPrimrose @ Mar 15 2009, 09:24 PM) *
Thank you so much, Interactive, for your post. I've been struggling with perimenopause for nearly 6 years and although my test results show mild deficiency in progesterone and oestrogen, it's still having a big impact on the way I'm feeling. At least when I supplement with progesterone I do feel better. My cortisol, DHEA, and testosterone levels are also low but I need to fix one thing at a time. At least by using progesterone it could replenish the other hormones that I'm deficient in. I've been to see a doctor in Harley Street, London -- She's the one who prescribed the cream in the first place - I would see her more often but it's a 3 hour journey!

I hope things are going well with you and thanks for your post - it DID help!

(((hugs)))


I'm sorry to hear you've been dealing with this for so long EP. Did the doctor advise on your concern about endometrial build-up if you don't have a period whilst using the progesterone cream? I also see a doctor in Harley Street. I wonder if it's the same one. I'll pm you about it if that's OK.
Interactive
QUOTE (EveningPrimrose @ Mar 15 2009, 09:30 PM) *
I keep adding to my supplements but I'm still struggling - The progesterone cream so far has been a big help to me.... I hope that my symptoms will settle down and I gain more energy when I start taking it regularly again..


Indeed, I hope so too. I found things kept on getting better the longer I'd been using the cream and supplements.
Texasgirl
QUOTE (Texasgirl @ Mar 15 2009, 04:07 PM) *
Thanks! So far, so good! I slept like a baby last night. I'm still using only about half on my dosage. biggrin.gif



Well, I started a heavy period yesterday and I don't know if I'm suppossed to keep using my progestrone? I've read where some women "cycle" the cream and don't use it during a period. My Dr. said nothing about this to me, so I have no clue what I should do! unsure.gif
Sariah
I wouldn't use it, your estrogen is naturally low during a period and needs to gradually come up. Using P will make you feel worse at that time. P naturally is higher during ovulation and up until onset of period.
Texasgirl
QUOTE (Sariah @ Mar 21 2009, 05:00 PM) *
I wouldn't use it, your estrogen is naturally low during a period and needs to gradually come up. Using P will make you feel worse at that time. P naturally is higher during ovulation and up until onset of period.



So when do you think I should start using it again? When my period is over? cool.gif
Sariah
QUOTE (Texasgirl @ Mar 21 2009, 07:16 PM) *
So when do you think I should start using it again? When my period is over? cool.gif


Most women feel at their best prior to ovulation, before there is much P and when their E is the highest. Unless, of course, your E is diminishing, which is the case for many of us in peri, and then the P will make you feel worse.

If you are ovulating you don't need P since P levels rise with ovulation. But if you really think you want to use P, keep a diary of how you are feeling and how much P you use each day.

Did your doc do blood levels of E and P? How does he/she know you need P?
Texasgirl
QUOTE (Sariah @ Mar 21 2009, 05:51 PM) *
Most women feel at their best prior to ovulation, before there is much P and when their E is the highest. Unless, of course, your E is diminishing, which is the case for many of us in peri, and then the P will make you feel worse.

If you are ovulating you don't need P since P levels rise with ovulation. But if you really think you want to use P, keep a diary of how you are feeling and how much P you use each day.

Did your doc do blood levels of E and P? How does he/she know you need P?



I really appreciate your help, Sariah. My Dr. prescribed the progestrone just by my symptoms, my age, and the irregularity of my periods. I'm almost 55, have had a period about every two to three months for the last year, and I have tons of symptoms. I've only seen her once two weeks ago and she has not done any blood levels yet. I was feeling better when I started the P but I just didn't know if I was suppossed to stop it during my periods. Today being a Saturday, I can't call her till Monday. Thanks again! smile.gif
Interactive
Texasgirl, when I was first prescribed progesterone cream it was during a time where my periods were very irregular - I hadn't had a period for several months when the doc first prescribed it. She told me that if I started a period, I should stop the cream for seven days, and then resume using it at the end of that time. However as mentioned, I'm cycling the cream on a 21 day on, 7 day break pattern, so I have a 7 day break in every 28 day cycle anyway, even though I'm now post menopausal. I did have three periods subsequent to being prescribed the cream and did as she directed, stopping for seven days, then starting a new cycle.

Maybe cycling the cream, and what to do when a period starts is something you should discuss with your doctor. With the cream I use, the pattern of use is given in the accompanying leaflet. Women who still have regular periods are advised to use it only for the second half of their cycle and those who are irregular or post are advised to use it on the 21 day on/ 7day off pattern. Does your cream have instructions in the accompanying leaflet? Possibly not if it's compounded.

My doc said something about progesterone being a cyclical hormone. There are women here using progesterone in various patterns - some who are post menopausal using it continuously and some, I believe, cycling it every few months, depending on what other hormones they're supplementing with and their particular circumstances - as well as people using it in the two cyclical patterns mentioned above. Perhaps they'll add their experience. It might be worth asking the doc why she thinks you should use it continuously when you still have periods.
Sariah
QUOTE (Texasgirl @ Mar 21 2009, 08:07 PM) *
I really appreciate your help, Sariah. My Dr. prescribed the progestrone just by my symptoms, my age, and the irregularity of my periods. I'm almost 55, have had a period about every two to three months for the last year, and I have tons of symptoms. I've only seen her once two weeks ago and she has not done any blood levels yet. I was feeling better when I started the P but I just didn't know if I was suppossed to stop it during my periods. Today being a Saturday, I can't call her till Monday. Thanks again! smile.gif



I really think, if you are skipping periods, that your E is low and using P will make you feel worse. I think E would help you much more.
Texasgirl
QUOTE (Sariah @ Mar 22 2009, 10:29 AM) *
I really think, if you are skipping periods, that your E is low and using P will make you feel worse. I think E would help you much more.



Hi Sariah, I plan to call my Dr. tomorrow about my progestrone. It is compounded and the instructions just say to rub 1/4 tsp. on inner thighs or arms every night. Nothing about stopping if a period starts. I'm still going heavy today and I stopped using the P a few days ago. Hopefully, I can find out what she wants me to do when I call. smile.gif
This is a "lo-fi" version of our main content. To view the full version with more information, formatting and images, please click here.
Invision Power Board © 2001-2010 Invision Power Services, Inc.