Menopause Discussion > All things menopause

Progesterone intolerance OR not enough estrogen? Advice please!

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BlueButterfly:
Misstowers,

I know for me, I don't ovulate every month anymore (Still bleed mostly regular though). When you don't ovulate, your body produces less natural progesterone. If you ovulate, you produce more. If you are producing more (Ovulated) and take the HRT progesterone, that could make it too high giving you symptoms...but on months where you don't ovulate, the HRT progesterone could be enough to put you at normal. During peri, your body stops ovulating reguarly. For me, progesterone has been my life saver honestly. I am higher on estrogen so I end up with symptoms because I don't have enough progesterone to keep things balanced out. I think my body has always been a bit this way but worse now after entering peri.

I know for some women, they take a contraceptive pill to balance out because it takes over your own hormone production. Less swings and shifts which are so common and challenging during peri. Since you are young, that could be an option. I have some on hand (just the mini pill for me) that I can start anytime...the progesterone is working so well for me I don't want to mess with that right now. I'm only 36 by the way.

Misstowers:
Hi Sheila99, thanks for clarifying, I understand what you mean now. I guess I have an ovulating cycle then. Just not regular. So before I started the pill and hrt I was having no period for 6 or 7 weeks, then 2 within 3 weeks, then nothing for a couple of months just spotting, then a really long period etc it was all over the place etc... now with the hrt, I don't know what's going on.

For example, can anyone make sense of this?:
Day 1...started taking prog Utrogeston
Day 6... my period started - which I think was my ovulating period - lasted 5 days.
Day 12 ... ended the course of prog since then I have had no withdrawal bleed from the prog...
Day 20... I was ovulating I'm sure as I felt really good and really wanted sex.
Day 22... I slumped right back again emotionally, gradually getting worse and not sleeping, having little cramps as if I'm going to get my period but no spotting, nothing...

It's like WTF!!! When I looked at it closely, I could understand not having a withdrawal bleed as I had had a period the week before so maybe no lining to shed... and ovulating a week after my period finished also makes sense but why the depression? It's either far too much estrogen or not enough estrogen or not enough progesterone - simples!😂

Bluebutterfly, thanks for your comments, what progesterone do you take and how much and how often?
X

BlueButterfly:
I am one of those odd balls that use the progesterone cream. I'm in the US so it is easy to get. Doctors weren't much help but I did get tests done and know I wasn't ovulating regularly anymore and was on the lower end of progesterone. I've sadly had to self-treat but glad I have that option. I also have a genetic clotting mutation so can't take estrogen...but I have endometriosis and a fibroid, so estrogen isn't really what my body needs right now either. I use 20mg of that a day. I'm very sensitive to hormone changes (could tell I was pregnant a week before a missed period and sadly mood changes from the slightest change it seems). All my mess started when I was on the contraceptive pill (Combined-didn't know I had clotting issues at the time). I was on it for almost 7 years when I suddenly started having anxiety and panic attacks (never had the attacks before) during my placebo week. Anxiety would stay after but the panic attacks were always worse as well as palpitations, chest pains, etc during that placebo week. Started skipping it and the constant hormones helped even me out more but felt strongly I needed to get off them. I did so I could get my hormones checked as well because I really didn't believe that things getting worse during the placebo pill week was "just a coincidence". I have had more than half of the menopause symptoms already with no explainable reason-had ever test done they could think of...but nobody wants to say perimenopause because of my age. Just want to give me another contraceptive or do surgery to remove my uterus and/or ovaries.

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