In the decade leading up to menopause proper when I was not on HRT, the worst symptoms for me came in the 10-12 days leading up to a bleed, however long the cycle. These were increased number & intensity of flushes & night sweats, ectopics at their worst & my pre-existing pain related insomnia also became much worse - just seemed too alert for sleep despite feeling exhausted by day. On some nights, close to a bleed, I would have no sleep at all. I felt almost permanently too hot, anxious & wired. The same happens to me with Utrogestan postmenopause, to the extent I that I can't tolerate it. I can feel a similar reaction to the MPA phase of my current sequi combo, but as I'm on such a low dose, this is less marked & therefore bearable. So like Stella, I would say you are reacting to the Norethisterone in Evorel Sequi, or suffering from the way its effects oppose oestrogen. Over the years I have read reports of other women on here also feeling wired & hot on Utrogestan, so not everyone feels sedated on progesterone.
Are you hypothyroid on replacement by any chance? I ask because exogenous thyroid hormone is said to increase sensitivity to progesterone.
Wx
