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[GJP]

My main menopausal symptom is insomnia occasionally get hot but no flushes. So was started on HRT. I am on Oestrogel 3 pumps and my Utrogestan is now 300mgs orally daily at night.( has been that for the last 3 weeks) I am post menopausal. have been on regime 10 weeks but cyclically until 3 weeks ago.

I was told to apply the Oestrogel in the morning but noticed someone said they applied theirs in the evening. tried it the last 2 nights first night helped but last night awake from 5am having woken 4 times already.

My blood results 4 weeks ago showed my Oest and Prog levels were rock bottom.

Most people would be flat out with the amount of Utrogestan I am taking.

Last week things were so bad that I had to resort to Nytol for a couple of nights as well which was fine for 1 night but by the next dose I was spaced and could barely function.

My Dr is using Nick Panay's regime as she has worked with him.

I am due for review in a couple of weeks time

Up until this insomnia kicked in in menopause I occasionally struggled with tiredness.

 I can't work at the minute as am too tired. There are days when I have to take to the settee as I cannot survive on 3-4 hrs interrupted sleep. I can barely function some days.

Any advice/wisdom would be appreciated, feeling at my wits end.

[Tinkerbell]

I split my three pumps of Estrogel, two at bedtime and one late morning, i had terrible palpitations at night so thats why i apply more then.
I couldn't sleep whilst taking Utrogestan, i abandoned it and went for a Mirena instead.

[GJP]

I split my three pumps of Estrogel, two at bedtime and one late morning, i had terrible palpitations at night so thats why i apply more then.
I couldn't sleep whilst taking Utrogestan, i abandoned it and went for a Mirena instead.

Thanks Tinkerbell, have you slept ok since changing from Utrogestan to the Mirena?

I'd give anything a go at the minute to get some sleep!

[Dotty]

Hi are you taking 100mg of Utrogestan or 300mg? X

[GJP]

Hi are you taking 100mg of Utrogestan or 300mg? X

Thanks Dotty as I mentioned up above I am on 300mgs now continuously, was cyclically until 3 weeks ago (300mgs)

[Dotty]

That's a lot of progesterone . What's the reasoning behind taking so much ? X

[Tinkerbell]

I have slept very well since I had the Mirena, but that may be down to the Estrogel  helping with the palpitations and VA symptoms that were particularly bothersome at night.

[GJP]

That's a lot of progesterone . What's the reasoning behind taking so much ? X

Progesterone is our sleepy hormone so I think that was the rationale behind it. My gut feeling is I may not be absorbing it so might ask for vaginally or Mirena

[GJP]

I have slept very well since I had the Mirena, but that may be down to the Estrogel  helping with the palpitations and VA symptoms that were particularly bothersome at night.

Thanks Tinkerbell that's worth knowing will be due bloods and a review in a couple of weeks.I have suffered from palpitations over the years since my 20's but never linked it to hormones! I take magnesium glycinate now which I find helps

[GJP]

I think that's an awful lot of progesterone. I take 100mg daily.
Progesterone can convert to cortisol. Maybe you need to lower your dose?

Thanks Birdy, I was wondering if the ratio O to P is too high, I'll try lowering and see.