Bleeding During Use Of Progesterone

by Jill
(Belleville)

I have been using natural progesterone for about a year now. I use 1/8 of a tsp am and pm from day 15 to day 28 of my cycle.

Although most of my symptoms have disappeared I now have breakthrough bleeding during the time I am using the cream. Not sure why?

Comments for Bleeding During Use Of Progesterone

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Dec 14, 2007
Break through bleeding
by: Wray

Hi Jill. I'm not sure which cream you're using, but the dose to my mind is far too low. I recommend anything from 100-200mg/day of our cream, which is 3.33% progesterone. This is between 3-6ml/day of the cream.

As you still have your cycle you should be using about 4.25ml/day (just under 1 teaspoon), which would give you about 140mg/day of progesterone. The cream should only be used from ovulation, which is 14 days before you start bleeding. If your cycle is 28 days, then using the cream from day 15 is fine, if it's longer you will need to work back from the day you start bleeding.

I think you'll find that the bleeding will stop if you follow this. I would also hope all your symptoms will go soon, very soon! Take care Wray

Aug 18, 2008
Break through bleeding
by: Rachel

I have a similar problem. I have had short periods of around 23 days with spotting for about 3 days before each cycle. I started taking Natpro progesterone cream but this has brought the spotting forward to start at day 18.

I have been using just under 1/4 teaspoon of Natpro a day (2000mg is written on the 60g tube).

What is causing the breakthrough bleeding? Why has the spotting started earlier than it was when not using the cream at all?

I am also trying to get pregnant but I am now worried that the increased bleeding is going to interfere with maintaining a pregnancy.

Please help as I am beside myself with worry!

Thank you
Rachel

May 03, 2009
Following the above advice and still short
by: Tadie

I started progesterone (oral progesterone) because I completely quit having periods after the use of Orthotriclen (PCOS and Insulin Resistance have been ruled out). 3 months after starting, I was able to get pregnant. However, my cycles before pregnancy were still erratic and unpredictable.

I found your site and decided to use NatPro rather than the prescription I'd been taking due to your information on the inefficiency of oral pills. After 7 days of treatment (at 1 tsp. of NatPro per day), my period started. It lasted 5 days. I stopped the progesterone cream for 14 days (since I have no cycle length to go by I aimed for a 28 day cycle) and started on day 15.

I'm now on day 22 and my period just started. How should I adjust my dosage? I'm hoping to start trying for my 2nd baby in a month. Does the shortened cycle mean a shortened luteal phase? Or is it considered normal to have a 22 day cycle?

May 05, 2009
Following the above advice and still short
by: Wray

Hi Tadie. Our cycles vary between 21 and 36 days, the average being 28. So choosing the 28 days was a good option, hopefully in time your own will assert itself.

Progesterone can initially upset the cycle, which is why I recommend using it for 3-6 months for it to settle down. It could be your normal cycle is 22 days, but it's too early to tell. The thing to remember is ovulation occurs in all women 12-14 days before a period. So if you do have a 22 day cycle you would ovulate on day 8, which is when you should use the cream. But as it's too early to tell it would be far better to get a mini microscope to check when you do ovulate. We have more info on pregnancy at this link, please have a look, it should help you:

http://www.progesteronetherapy.com/faq-conception.html

Here are some companies who sell the microscope:

http://www.maybemom.com/about-saliva-ovulation-tester.php
http://www.amazon.com/MaybeMOM-Ovulation-Tester-Mini-Microscope/dp/B000E7VDKU
http://www.craigmedical.com/products.htm#PREGNANCY%20AND%20FERTIL
ITY
http://www.vitrodiagnostic.com/Fertility-test-kits.html
http://www.ovatel.com/how_ovatel_works2.htm

Apr 04, 2010
Progestrone
by: uzma

I have a bleeding during use of progestrone pessaries. Is it normal or not?

May 04, 2010
Use of Natpro in pregnancy
by: Anonymous

I just received my first tube of Natpro. I have had problems conceiving and have recently had a miscarriage.

I understand to use the cream for the last 14 days of my cycle after ovulation, however, if I did conceive should I continue in pregnancy? I'd like to know in case I was lucky enough to conceive again. Thankyou

May 06, 2010
Progestrone
by: Wray

Hi Uzma. Bleeding is normal if you still have a cycle. It's best to use the pessaries following your cycle, ie to start using them when you ovulate. And continue for the next 14 days, then stop and you should have a period shortly afterwards. For more info on how to use progesterone, please see here. Take care, Wray

May 06, 2010
Use of Natpro in pregnancy
by: Wray

Yes you should continue using it, and it should prevent another miscarriage. We do have a web page on pregnancy, please see here.

The problems conceiving could be you are not ovulating each month, which could mean your ovaries have been damaged by free radicals, causing inflammation. Please consider taking high amounts of the antioxidants arginine 1600mg/day, N-acetyl cysteine 1200mg/day and 5000iu's/day vitamin D. Please avoid all inflammatory foods, sugar, foods containing sugar, and all foods which convert to sugar, ie all grains, legumes, sweet fruit and vegetables, including the starchy vegetables like potatoes. You might like to read the web page on PCO, although you don't have it, I've found many women have low grade inflammation which doesn't cause full blown PCO, but it does affect them. Please see here. Take care, Wray

Nov 01, 2010
menopause and bleeding with progesterone
by: Glendale Mom

I have been prescribed a 10% progesterone cream (1 gram) to use at bedtime. However, when I use this, I have bleeding. What's going on?

Nov 03, 2010
menopause and bleeding with progesterone
by: Wray

Hi there Progesterone can cause bleeding after menopause. We still make oestrogen in our fat cells, even if our ovaries have stopped producing it. This small amount is sufficient to build the lining of the uterus. Progesterone is 'cleaning' out the uterus, not a bad thing, although generally the lining is absorbed back into the body. It should only occur once, rarely twice. The 1g of cream is giving you 100mg progesterone, if you find this helping your other symptoms then continue. I have found between 100-200mg/day is needed, certainly more if stress is experienced. Stress drops progesterone levels and symptoms can return. it's essential to use progesterone twice a day, if not more. Levels drop after about 13hrs. For more info please see our page on Menopause.
Take care Wray

Nov 23, 2010
Use of progestrone while bleeding lightly
by: san

Hi All, I'm 28 years old and I have been diagnosed with PCOS and havenot got my periods for nearly 2 months. Hence the doctor had prescribed progestrone (200 mg)for 5 days. Before starting progestrone I have started bleeding. But the bleeding is little (5 to 6 drops). This does not look like a menstrual bleeding. For past 4 days this type of bleeding is continuing. Please advice me whether I can still take progestrone during this type of bleeding. Eagerly waiting for an answer.

Dec 02, 2010
Use of progestrone while bleeding lightly
by: Wray

Hi San Yes you can still use the progesterone. But 5 days is insufficient to help with PCOS, it needs to be used for months to help. I'm assuming he's given it to make you bleed after the 5 days, which it probably will. Having regular periods is not the problem in PCOS, but whether you are ovulating. PCOS is caused by oxidative stress, progesterone is an antioxidant, but it's advisable to take others too, notably vitamin D, please have a test done. This is low in most of us, and affects the ovaries greatly when it is. For more info on vitamin D please see the Vitamin D council website. You mention 'taking' the progesterone, if this is the case, oral progesterone is not the best delivery system. Please see this page we have for more info on Progesterone application methods. We also have a page on PCOS, please read through it as it gives info on what causes it, and how to reverse it. Take care Wray

Mar 29, 2011
Continued spotting while on Progestrome
by: Anonymous

I am perimenopausal and did not have my periods for 2 months. When it did start I continued to have spotting for 8 days. My doctor put me on Progestrone 10mg/day for 10 days.Initially the spotting got better but restated after 2 days.What is going on?Previously my Endometrial biopsy has been normal but my doctor is going to schedule me for it again. Any suggestions?

Apr 20, 2011
Continued spotting while on Progestrome
by: Wray

Hi there Peri-menopause is a very difficult time. Our periods come and go when they feel like it, sometimes spotting, sometimes flooding. Sometimes weeks between periods, sometimes days. It's impossible to follow the cycle with progesterone, it's best if it's used daily. I don't know what other symptoms you have, maybe it is only the spotting? But the page I've given you explains P-M, and how to use progesterone. The amount you were given is to my mind worse than useless, I recommend 100-200mg/day to get any meaningful results from it. Please consider using more, but if you do, please see our page on Oestrogen Dominance first, as this can occur. Take care Wray

Jun 14, 2011
PCOS, bleeding lightly everyday during the course of application
by: Madhumita

Hi, I have PCOS and trying for pregnancy. I take metformin for insulin resistance. Starting this month, my doctor who is a naturopath asked me to apply 25mg of natural progesterone creme starting day 12. I figured I generally ovulate on day 15 so I have started applying it from day 15.

But every day I am having light bleeding wafter I started applying progesterone. I am very much worried. I do not want my hormone balance to get disturbed any further. This is my first month of application. Please advise.

Jul 26, 2011
ttc
by: tryingtobeamom

I have endometriosis, and my doc and I believe a luteal phase defect as I get my period 7 days after ovulation. I just started using progesterone vaginal suppositories 50mg 2x daily. I have been more than spotting everyday. It seems like my period is trying to come. I have been very consistent taking them 12 hours apart. I started taking them 4 days after ovidril trigger shot. Am I do something wrong? Do I need a higher dose?

Nov 22, 2011
hope this helps
by: Anonymous

After two years of excessive spotting (more so on the pill than off, at least then it was only around the period) I started taking N-Acetyl cysteine, zinc, Alpha Lipoic acid and liver longevity and its the only thing to have helped. I had endometritis, inflammation, but no PCOS. I am overall very healthy, vegetarian but have been on and off the pill which seemed to cause these problems. I really hope this helps someone else.

Dec 09, 2011
On Progesterone after egg retrieval
by: Anonymous

Hi
I had an egg retrieval on December 2nd. I started endometrum 100mg 3 X's a day on December 3rd (day after my retrieval). I had IVF transfer (2 embryos) on Monday December 5th.
I am concerned becaaue Tuesday night I noticed a little pinkish color spotting (just when I wipe after going to bathroom) I have been noticing this probably once a day since Tuesday night. This morning there was a little bit more blood present. Is this normal? Could the progesterone be causing this to happen? Not sure what to do? I am concerned and hoping that the IVF worked! Would appreciate some advice. Thank you!

Mar 22, 2012
abnormal bleeding
by: Anonymous

I am on 0.9mg cenestin and prometrium 100mg for the first 10 days of the month. My cycles have been starting a couple days before I start my prometrium or on day one or two. Is this normal?

Mar 24, 2012
abnormal bleeding
by: Wray

Hi there I don't believe any women needs extra oestrogen, particularly HRT. And why have you been told to use the progesterone for the first 10 days? It should be used from ovulation. We do have more info on our page How to use progesterone cream. Take care Wray

Mar 30, 2012
Progesterone use by troche & bleeding
by: Jackie

Hi Wray! Here's way too much information for you, but it may help you give a better answer...I take a troche(oral losenge)daily which contains a compound of the following bioidentical hormones: 1mg Estriol/100mg of Progesterone/2mg Testosterone. I'm 33 yrs. old, have endometriosis, fibroids and a 21-23 day cycle. I started to take the full dose on day 7 AFTER my period started & felt amazing...then on day 13 I started to bleed heavily, similar to a period, which continued for 3 days & subsided on day 4/5. So, is that considered "breakthrough" bleeding & do I continue taking my troches through this or should I consider that day 1 of a new cycle and start again on day 7? What is considered reasonable for this type of bleeding...should I tolerate this for a couple of months? Thanks so much...appreciate your feedback.

Apr 02, 2012
Progesterone use by troche & bleeding
by: Wray

Hi Jackie The more info I get the better! I don't believe you need extra oestrogen, or any testosterone. Because the hormones are mixed up, it makes taking it difficult. Troches are not the best Delivery system as much of the progesterone gets destroyed in the gut and liver. Please see our page on HRT for more info on oestrogen. And these on testosterone here, here, here, here here, here, here, here and here. Plus here and here. It can increase the risk of ovarian cysts, visceral fat, insulin resistance, heart disease and cancer. Progesterone should be started at ovulation, ie mimicking the luteal phase when we naturally secrete it. So starting on day 7 is correct as you have a 21-23 day cycle. Unless symptoms are severe, then I suggest using it daily for 2-3 months, through any bleeding to ensure progesterone becomes the dominant hormone. Continued below.

Apr 02, 2012
Progesterone use by troche & bleeding Part 2
by: Wray

Hi Jackie Endometriosis and Fibroids are caused by oxidative stress, high dose antioxidants are needed to reverse it. Plus high amounts of progesterone, I normally suggest 500mg/day for endo, particularly if pain is present. And to use it daily as described above. Oestrogen is a mitogenic hormone, it's also excitatory and inflammatory. It exacerbates endo and fibroids, causing cells to divide and multiply, plus inflaming them. Progesterone can upset the cycle when first using it but it does settle down, with the cocktail you're on, it will be equally upset. Treat a heavy bleed as a normal period and wait till day 7 before starting them again. Please have a vitamin D test done, it's a potent antioxidant and you are probably low in it. For more info on vitamin D levels, test kits etc see the Vitamin D Council, GrassrootsHealth, Birmingham Hospital and Vitamin D Links websites. Blood levels should be 70-100ng/ml or 175-250nmol/L and not the 30ng/ml or 75nmol/L most labs and doctors regard as adequate. The minimum daily dose should be 5000iu's per day, although the latest research indicates it should be 10,000iu's per day, see here. Take care Wray


Apr 18, 2012
progesterone pill (20mg) and bleeding..
by: Anonymous

I am 46 years old, i have been taking progesterone pills (20mg)17 days. Last Monday ( my 15 days), I started bleeding very ligh or spoting. Because I have endometriosis, I also have pain. I am wondering if this is normal. My doctor is not answering my phone calls. thank you,

Apr 19, 2012
progesterone pill (20mg) and bleeding..
by: Wray

Hi there 20mg will do nothing for you, particularly as it's oral progesterone. This is the least effective Delivery system. Most of it is destroyed by the gut and liver, leaving very little to have any effect. We do have a page on Endometriosis, I recommend 500mg/day particularly if there's pain. Endo is caused by oxidative stress, high doses of antioxidants are needed. Please consider changing to a progesterone which is absorbed well. If you do, please read our page on Oestrogen Dominance. This shouldn't occur if you use the 500mg/day, but there's no guarantee. Please have a vitamin D test done, this is often lacking in inflammatory problems. For more info on vitamin D levels, test kits etc see the Vitamin D Council, GrassrootsHealth, Birmingham Hospital and Vitamin D Links websites. Blood levels should be 70-100ng/ml or 175-250nmol/L and not the 30ng/ml or 75nmol/L most labs and doctors regard as adequate. The minimum daily dose should be 5000iu's per day, although the latest research indicates it should be 10,000iu's per day, see here. Take care Wray

Jun 19, 2012
Brown Discharge 10 years menopause on Progesterone
by: Anonymous

Hello,

it has been 10 years since my last period.
only once when I was diagnosed with hypothyroidism did I have brown spotting/discharge/ It was after I started levothyroxine. I have been using the Emerita
Progest cream one teaspoon am/pm (total 160mg day)and Vaginal Estriol Oil every other day. My breast were very sore and tender yesterday and I felt like I did when I was premenstrual.

I came home from work today and have brownish discharge. I called GYN and have an appointment tommorrow. I am really scared. The secretary said sometimes its just old blood.

Is it normal to have brown discharge after
menopause while using progesterone cream. I have felt wonderful since using it.

Thanks

Jun 20, 2012
Brown Discharge 10 years menopause on Progesterone
by: Wray

Hi there Please don't be scared, it's not unusual to have a discharge, particularly as you're using oestrogen too. All oestrogens, even the mildest oestriol can cause cells to proliferate. It appears your lining has grown slightly over the time you've used it. It can increase anyway with the oestrone our fat cells make. And if it was brown this is definitely old blood. Often progesterone helps clean out the uterus. The Breast Tenderness is also due to oestrogen. One woman wrote in saying she had a full blown period after starting progesterone, she had been 12 years in Menopause. Nothing untoward was found. I'm pleased it's helped you, at least you're using a good amount! Take care Wray

Sep 22, 2012
Bleeding after starting BHRT
by: Anonymous

Hi,

I was evaluated for BHRT and received 1 testosterone pellet of 50mg and daily troches at bedtime of 100mgs. No estrogen.

I have had the pellet for 10 days and have been on the troches for 7 days. I have started bleeding but not heavily, more like spotting.

Do I stop the progesterone? It's the weekend and I can't reach my dr. Thanks


Sep 23, 2012
Bleeding after starting BHRT
by: Wray

Hi there Progesterone can upset the cycle when first starting it, making it either earlier or later than normal. It usually settles down within a cycle or two. But are you maybe in Peri-menopause, when cycles become very erratic anyway? I recommend 100-200mg per day progesterone, so you are using the lowest amount I've found works. It should also be used a minimum of twice a day too, as levels begin dropping after about 13 hours. There's more info on our page How to use progesterone cream. But you are also using testosterone too, so I don't believe it will be enough. Testosterone is also converted into oestrogen by the enzyme aromatase. It also causes visceral fat to increase too, see here and here. Plus it has a dark side in women, see here, here, here, here here, here, here, here and here. If the bleeding is just spotting then continue with the progesterone. If it becomes a full period then stop, and start again at ovulation. Troches are not the best Delivery system, as much of the progesterone is swallowed. Take care Wray

Sep 23, 2012
Bleeding during use of progesterone
by: Anonymous

Thanks Wray for the quick response. I am now sorry I got the testosterone pellet and I won't get it again after reading your attachments. I find this entire subject so confusing. I am just trying to stop the mood swings and hot flashes, feel like myself again and get my body fat situation under control. I stopped having periods almost a year ago and have put on 30 lbs. I have never had a weight problem in my life. Dieting and exercise have no effect and I am not exaggerating. I run 3 days a weeks and eat 1200-1500 calories a day just to maintain. Any more calories and I gain. I never lose any weight. I am so frustrated.

Being that I don't have periods anymore and don't think I am ovulating should I just stop the progesterone for a week and restart? (bleeding has increased to more like a period). Thanks in advance for your help

Sep 23, 2012
Bleeding during use of progesterone
by: Wray

Hi there It's not info I enjoy giving to someone who's been given testosterone. But feel there is too much evidence against it not to. Why it hasn't filtered down yet amazes me. According to this one paper here, the menopausal ovary is an androgen producing organ. I've just complied a page on libido for our web site. Some interesting findings too. One study found as women entered menopause there was a decline in sexual function, but there was no significant decline in circulating testosterone levels. Other studies found progesterone plays a significant role in libido. So if sexual function declines during peri-menopause, and progesterone has been dropping for years, it doesn't surprise me! The weight gain over the stomach is definitely related to hormones, particularly testosterone. Oestrogen simulates subcutaneous fat to proliferate, so we have to contend with both sorts of fat! So you are in Menopause, I didn't give you this page. Or the one we have on Oestrogen Dominance. Dieting and exercise won't affect the weight gain, you need to lower both the testosterone and the oestrogen. In spite of the myth we're fed that it's the decline in oestrogen which causes all the adverse symptoms we get, it's not. Progesterone begins dropping from about age 35, when we begin getting anovulatory cycles. These increase in frequency throughout peri-menopause, until we stop producing viable eggs at menopause. Then oestradiol declines, but our fat cells continue secreting oestrone, the menopause oestrogen, to the day we die. Unfortunately the cells do not secrete a counter balance of progesterone. As you haven't had a period for almost a year, this should be the only one you'll get. I've often found women who start progesterone shortly after entering menopause do get one, rarely two. There's still sufficient oestrogen to stimulate the lining to grow over that year. Using progesterone can often cause this bleed to occur. Because of this I don't think you should stop the progesterone. I don't find there is any need to take a break at all in menopause. In fact I didn't during the end stages of peri-menopause when I still had periods, as each time I did my symptoms came back. I've also found that 400mg/day, sometimes more, is needed to stop Hot Flushes. This will also help your mood swings too. Please use a progesterone which is absorbed well, the best are injections, suppositories or creams. Take care Wray

Nov 21, 2012
Spotting after periods
by: OPtimistic

I am 38, I have a 8 year old daughter and trying to conceive. I had a miscarriage in January, did a D&C. My periods came back normally for 5 months, then in August my periods came and after the first 5 days i was just spotting and would not stop. My OBGYN put me on progesterone and the bleeding stopped at the end of September. My periods came back in on November 15 and now not stopping again. I am worried that I will not be able to get pregnant. My OBGYN will put me back on the pregeterone pills twice a day again. I am very worried though. Any advice?

Nov 24, 2012
Spotting after periods
by: Wray

Hi there In all likelihood the 'progesterone' you were given was not, but a progestin. Please check the label, as obgyn's usually only give these, very rarely progesterone. Miscarriages are often caused by a lack of progesterone, low vitamin D too. We do have a page on Pregnancy you could look through. There are excellent videos at the end about the importance of vitamin D too. And another page here. Both Progesterone and Vitamin D are essential for ovulation, conception and a successful pregnancy. Both are critical to the health of the growing foetus too. Progesterone does stop bleeding, but often amounts of 400mg/day or more are needed. We have mrs info on our page about Menstruation. Take care Wray

Jan 26, 2013
Endometriosis
by: Anonymous

Hi Wray,

I have been taking 200mg of progesterone daily (without a break) for 2 years to treat endometriosis. Feel great. I have not entered menopause, but i get no period due to the progesterone. except for last month suddenly I did. Are my receptors desensitized? If so how should I handle that? Do I still ovulate when taking progesterone daily? Many thanks for your thoughts.


Jan 27, 2013
Endometriosis
by: Wray

Hi there I'm pleased the 200mg/day has helped, as I've usually found it has to be much higher. You say you are taking it, do you mean oral progesterone? Because if you do, I'm really surprised it's helped, as very little gets into the system. It's the least effective Delivery system. "The liver and gut region removed a mean of 96 per cent of the progesterone entering these tissues" see here. I'm also surprised it's stopped any bleeding, as again I've found levels much higher are needed. I live and learn! It would help to know your age, as you could be in Peri-menopause now, when progesterone levels are dropping. It could mean you need to use more. Using 200mg/day every day, if in a cream, or as a suppository or injection, would stop ovulation, it can act as a contraceptive, see here. Maybe you could come back to me with answers to my queries. Take care Wray

Jan 29, 2013
Endometriosis Further Information
by: Anonymous

Thanks so much for responding Wray. Let me give more details. I am 43. I began taking 400mg of progesterone in year 1. (200 mg suppositories night, 200 cream in am) This stopped my period. This became too much (bloating, breast pain). So I weaned down to 200mg year 2. 100mg suppositories at night and 100 mg cream in am. No menses for a year until last week. Not sure why. Your thoughts are appreciated.

Jan 29, 2013
Endometriosis Further Information
by: Wray

Hi there Then you could very well be in peri, this starts 5-10 years before Menopause. Daughters generally follow their mothers, so if you could find out when yours went into menopause, it will give you an idea of whether you're in peri now. Ah that explains why the progesterone worked, I also recommend 400mg/day to stop bleeding. The bloating and Breast Tenderness are actually caused by oestrogen, prolactin too. Plus a lack of iodine, but not progesterone. Oestrogen causes water retention, hence the bloating, see here, here, here and here. It's also an inflammatory hormone, it also stimulates Prolactin another inflammatory hormone, and substance P, a nociceptive neuropeptide causing pain and nausea. Progesterone is essential for Endometriosis which is caused by oxidative stress. But large amounts of antioxidants are needed to reverse it, although progesterone is one, but it's best to take others too. Particularly vitamin D, please have a test done. Something has disturbed the progesterone, many things can do this. Large meals and sugars drop levels, see here. Insulin drops levels too, see here. Dark winter days, this is often due to a drop in vitamin D over winter, as low vitamin D reduces the benefits of progesterone, see here, here and here. If progesterone drops, SHBG (sex hormone binding globulin) drops. With this drop testosterone rises, as all our oestrogen is converted from testosterone, this only means oestrogen rises too. But if bound to SHBG testosterone becomes inactive, progesterone raises levels of SHBG, see here. Continued below

Jan 29, 2013
Endometriosis Further Information part 2
by: Wray

Hi there SHBG drops if sugars are eaten, even those found in all grains, legumes, processed milk and sweet starchy fruits and vegetables. Fructose, sucrose and glucose, reduce SHBG by 80, 50 and 40% respectively, see here. Thereby allowing testosterone to rise. It's best to avoid all the foods and sugars mentioned. Wine and beers contain carbs, so it's best to avoid those too. Plus alcohol affects hormone levels in women, see here and here. It decreases progesterone levels and increases androgen levels, both the total testosterone and free testosterone become higher. If you live in the northern hemisphere, you are now in winter, so this could well be the problem. Take care Wray


Feb 23, 2013
bleeding
by: Anonymous

i have 35 days from my periods but light bleeding even taking progestrone. this cause not pregnancy?

Feb 23, 2013
confused, please help
by: Michelle

I am 50 years old and still have monthly period. I had my hormones checked and I am estrogen dominent and low on Progestrone. Began the Progestrone cream on day 14, 50 MG/ML. The instruction is to apply daily from day 14 to 28. I applied 1ML at night and my symptoms got so bad that I got scared. My breasts were beyond tender, and my heart was beating out of my chest and I couldn't sleep at night. I found your site and learned that this has excited my estrogen and I should stick with it and increase it. So, I applied 1ML in the morning as well. I started a full blown period after 7 days of application. I continued applying the progestrone and I am not sure if I should. Please let me know if I should continue to apply or stop, and then begin applying 14 days from the first day of my period. Or should I continue applying through this bleeding until full two weeks?? Thank you

Feb 23, 2013
Confused, please help
by: Michelle

I am sorry but also in addition to my previous question, I have found that I have two small fibroids. Would 100MG be sufficient???

Feb 24, 2013
confused, please help
by: Wray

Hi Michelle Do you have a 28 day cycle, if so using it from day 14 is correct, not if it's longer or shorter. It should be used from ovulation to bleeding, i.e. for 14 days. Progesterone can upset the cycle when first using it, it does settle down in time. You are now in Peri-menopause when cycles do become erratic. No amount of progesterone will correct this, but it does help with adverse symptoms. Unfortunately the 50mg/day you used initially was too low, and did stimulate oestrogen. This is an excitatory, inflammatory hormone, hence the Breast Tenderness. Plus oestrogen causes prolongation of the QT interval, which results in palpitations, arrhythmia, Torsades de Pointes and sudden death. Whereas progesterone shortens the QT interval, see here, here, here, here, here, here and here. This is why more women get these problems than men, they have very little oestrogen, whereas we have a great deal more. I'm pleased you increased the amount, do you find it's helped? I find that's the minimum amount to have any real affect. I would suggest continuing with the progesterone through the bleeding. And it might be an idea to use it daily like this for 2-3 months. This will ensure excess oestrogen is suppressed and progesterone becomes dominant. Then when you feel stable you can begin following your cycle again. Please bear in mind these could become erratic soon, unless your mother went into Menopause in her late 50's. Daughters tend to follow the same pattern as their mothers. Continued below

Feb 24, 2013
confused, please help Part 2
by: Wray

Hi Michelle Please have a vitamin D test done, there's evidence to show that Fibroids are caused by oxidative stress, in particular a lack of vitamin D. Taking it does shrink them, see here, here, here, here and here. Progesterone does help too, although I doubt 100mg/day will do much. For more info on vitamin D levels, test kits etc see the Vitamin D Council, GrassrootsHealth and Birmingham Hospital. Blood levels should be 70-100ng/ml (175-250nmol/L) and not the 30ng/ml (75nmol/L) most labs and doctors regard as adequate. The minimum daily dose should be 5000iu's per day, although recent research indicates it should be 10,000iu's per day, see here. Take care Wray

Feb 24, 2013
bleeding
by: Wray

Hi there If you are still having light bleeding for 35 days, you are not using enough progesterone. Please consider increasing to 100-200mg/day, you might need more. There is further info on our page How to use progesterone cream and our Menstruation page. Take care Wray

Feb 25, 2013
confused, please help
by: Michelle

thank you very much for your feedback. Increasing the progestrone definitely helped with my symptoms. I did get my Vitamin D level checked and although I was low in previous years, I have been able to increase the level. My question is by taking progestrone until I become progestrone dominant, what symptoms am I going to be facing??? I have heard that the symptoms are the same as estrogen dominance. When would one know to ease off???

Feb 26, 2013
confused, please help
by: Wray

Hi Michelle I'm pleased the increase helped the symptoms. Please make sure your vitamin D level is high, between 70 to 100ng/ml. If you have your test results you could check. Yes the confusion between symptoms is extraordinary. The problem lies in getting adverse symptoms when using too little progesterone. So everyone thinks these are caused by progesterone, but they're not. It's the stimulating affect it has on oestrogen. So in fact all those symptoms are caused by oestrogen. I wouldn't begin easing off until at least 3 months suing the progesterone. But symptoms are the best guide, have they gone or not. When you do reduce do so by no more than 20mg per reduction, staying on that for a few days or a week or two before reducing again. There's more info on our page How to use progesterone cream. Take care Wray

Apr 27, 2013
Bleeding
by: Anonymous

I started taking progesterone cream on day 10 because I missed it by 2 days and did not want to wait another month. After three days taking the progesterone, my period began again. I was wondering if this is normal. The package (Emerita Pro-Gest), said that if you start to bleed then stop the cream and count that as day 1. This is what I did, but I was wondering if this is normal.

Apr 28, 2013
Bleeding
by: Wray

Hi there I'm not sure why you say you started the progesterone on day 10 because you missed it by two days. Are you saying you should have started it on day 8? If so why on day 8, do you have a 22 day cycle, ovulating on day 8? Progesterone does upset the cycle when first using it, making it earlier or later than normal. It's nothing to worry about it will settle down in time. We do have more info on our page How to use progesterone cream. Take care Wray

Jul 20, 2013
in menopause and dry or fresh spotting
by: Dee

Hi
been on bio identicals for years memopause for two years.
at 55 I take 100 of projest. and the Vivelle dot patch 00.5 I was on 00.7 and was doing great until my dr. did an ultra sound and said the lining was too thick. put me down to the now oo.5 month later with dry old blood spots and occasional fresh, just drops then she told me to increase my projest by 100 (pill form) I was nervous and am just taking 50 more in the A.M. .. now this morning I see its like a real period.. was always light anyway but ... now what.. I get nervous buying the nappro because there are months on end when the supply is not in. don't want to get caught in that.. so what do you suggest.. I take 4000 of Vit. D. and Natureroid..(thyroid) I do have fibroids but always have. Otherwise I feel fantastic.

Jul 20, 2013
in menopause and dry or fresh spotting
by: Wray

Hi Dee It doesn't surprise me your uterine lining is thick, this is what oestrogen is supposed to do. Progesterone does prevent hyperplasia, and is essential if it's endogenous oestrogen causing it. But I can't see any point in giving you progesterone to thin the lining, why not stop the cause, i.e. the oestrogen. There's more info on our HRT page. You say you feel fantastic, so it seems you don't need either hormone, besides the one is cancelling the other. But as you're taking oral progesterone, which is the least effective Delivery system, "The liver and gut region removed a mean of 96 per cent of the progesterone entering these tissues", see here, it's not doing a good job at countering the oestrogen if your lining is thick. We have had stock outs which generally last a week to 10 days, which I hope have now been solved as we've increased production. Fibroids are probably caused by a lack of vitamin D, they are certainly reduced by taking it, see here, here, here, here, here and here. I suggest you increase the dose to at least 10,000iu per day, see here. Take care Wray

Jul 22, 2013
Your comments are great and thoughtful!
by: Tara

I first want to say how loving and educated your comments are for the people who ask you questions. This was so apparent for me that I am compelled to ask you a detailed question. Only because I seem to be stubborn and irritable about my doctors response to my care.

Jul 22, 2013
Concern about bleeding while on 3 hormones.
by: Tara

I take Oral Progesterone 300 to 400 mg a day depending on what capsule I remember to take.
I suck on 1 to 2 lozenge compounded blend of 2mg estrogen/2mg testosterone depending on when I can remember to do it.
I have been doing this for 60 days now and bled for 20 days on my normal time for the cycle -lightly - then stopped bleeding for 7 days and now bleeding very lightly for 7 days - during my ovulation time. I am 'supposed' to start my period today, but its just tiny spotting with cramping and soreness.
I know I need to see the Dr. but I am hesitant to go without first becoming educated. So I am asking what your opinion is and reading as many texts as I can find.

Jul 23, 2013
Concern about bleeding while on 3 hormones
by: Wray

Hi Tara Bless you for the kind words! I can't agree with giving any women more oestrogen, see our page on HRT for more info. And certainly not testosterone, see here, here, here, here here, here, here, here and here. Besides which it's a sure fire way to give a middle aged women a middle aged spread! See here and here. Oestrogen builds the lining, the withdrawal of progesterone causes us to bleed. By giving you oestrogen it just means it's continually building your lining. We do have more info on our page about Menstruation. Finally oral progesterone is the least effective Delivery system, "The liver and gut region removed a mean of 96 per cent of the progesterone entering these tissues", see here. So you are in effect getting very little progesterone. We have two more pages you could look through How to use progesterone cream and Peri-menopause. It's essential to use progesterone from ovulation for the full 14 days of the luteal phase, when bleeding should start. The luteal phase is always, in all women, 12-14 days before bleeding, irrespective of the cycle length. It's also essential to use the same amount each day and not vary it. This will confuse the uterus and moods no end! Take care Wray

Feb 06, 2014
Not sure what to do
by: MerryKate

I started on NatPro about a month ago, after reading Suzanne Somers' book on perimenopause. It was a life-saver for me...I've had a terrible struggle with PMS my whole adult life, which only intensified with perimenopause (6 years of cyclical misery). After 28 days on the NatPro I took a week off, per the instructions for menopause (since I hadn't had a period in 3.5 months, I couldn't go by my cycle). 4 days after stopping the NatPro, I started spotting, very lightly, with no cramps. Should I start using the cream again on schedule, or wait until any spotting has stopped?

Feb 10, 2014
No withdrawal bleed!
by: Anonymous

I have been using natural progesterone to have a monthly withdrawal bleed for several months. (Off and on for years) It has always worked great for me. The past two months I have applied 2 times a day for about 2weeks and no period. No withdrawal bleed at all! I have gone over 60 days with no period. Sore breasts but negative pregnancy tests. No cramps or pain. I have always had irregular cycles but why would the cream just stop working?

Apr 16, 2014
estradiol 2mg and progesterone 400mg for gettin pregnant
by: Anonymous

I am having pcos and want to get pregnant. I was for 4 months on contraceptive to regularise my periods My doctor gave me estradiol 2mg to start on 5th day after periods starts and progesterone 400 mg after 16 days from when the period started and do the same for three months andif I don't get pregnant in these three months they will do a xray to rule out why am I not getting pregnant please help is this the right prescription....waiting eagerly for your answer

Jun 17, 2014
bleeding every 2 weeks on Oral Progestrone
by: BevM

Hi,

I have been on progesterone for 2 years - I am 52. I had a failed oblation surgery and the started bio-identical therapy -which was just natural progesterone. That works for a few months great 50 mg. - light bleeding - normal period every 28 days - then started going back to every 2 weeks. Kept upping my dose -to 200 but did not regulate. Switched drs - she put me back on 200 mg (regular oral microcrystal progestrone) from pharmacy and has not changed. Still get period every 16 days - very tired of living like this! I only have 7 days of the month when I'm not. Can I try doubling my dose 200 in am and 200 at night? Or should I swtich to a cream - I'm ready to just have a hyster. which my last 2 female doctors recommended - but I don't have endo,polps or any other issues (I've had all the tests done) and bloodwork - I was anemic, low vitamin d and do take vitamins - but no change in my horrible cycle.

Jun 19, 2014
Get tested
by: MerryKate

BevM -

Before you start upping your dosage, I'd encourage you to get a tests of your hormone levels. It sounds like the balance between your estrogen and progesterone levels is already out of whack, and if you add more of either hormone to the mix, it could make things worse. If your current doctor isn't doing a good job, find one who really understands how these things work. You deserve good healthcare...heaven knows you pay enough for it. ;)

Sep 03, 2014
need some guidance-just got my period
by: JC

Hello,
I have been using Natpro for just over one year after not having my period for 2 years- I am 56 years old. I started the progesterone on the advice of my MD for treatment for prolactoma and fibroids. My hormone levels when I started Natpro were estogen 5.0 and progesterone was 0.1 and prolactin was 103. (I had very bad side effects to the prolactoma medication called parlodel, which did lower the prolactin initially, but I could not stay on it.) My MD also suggested taking a DHEA supplement as my DHEA level was very low.
After a couple of months of being just on the natpro (stopped the Parlodel) I started to feel less tired and achy and less depressed. 5 months ago, I got my period, again it had been over two years since I had it last. It was a normal period for me, some cramping and pain, but it lasted about 6 days and there was no 'flooding'. So I talked myself into not panicking and did a little research on the web. Got the whole range of answers from it is OK...to uterine cancer! I calmed myself down and now just today after 5 months I got my period again. Now I am really scared. The only change I can think of is that 5 months ago, I started using the Natpro cream vaginally to combat dryness and again, 2 weeks ago I thought I would try it again for the dryness and now I am in this situation with all these questions. Any information will be most helpful. My vitamin D levels are 83 ( I take a supplement). My prolactin, although still high at 40, has at least come down a lot. I have not had my estogen or progestrone retested yet. Peace.

Sep 04, 2014
Periods again...
by: MerryKate

Hi JC,

Are you using the Natural Progesterone cream on a daily basis? It can cause your period to resume if it's used cyclically, even in women who have gone through menopause. It's the trade-off you get for having all the benefits of progesterone. If it concerns you, see your doctor.

Sep 04, 2014
menopause, increased progesterone, bleeding
by: jean

Hi, I've been on BHRT bi-est 1.5 mg and progesterone 50 mg morning and 100 mg at night for about nine months. My night sweats were severe and I began to have bad anxiety. All of that is in the past, but I've been questioning the need for estrogen at all, so I decided to go off of it and have increased my progesterone at night to 200 mg which has helped sleep even more. But, I did get a full blown period this week (I am two years into menopause, 50 years old). Is that because of the increase of progesterone clearing me out so to speak? And is this a temporary thing as I acclimate to the new level of progesterone?
Thanks,
Jean

Oct 10, 2014
Please help
by: Anonymous

I am 47 and in menopause. Hot flashes, dryness, no energy, weight gain, and absolutely no sex drive! My thyroid was low but not enough to be medicated. Doctor recommended taking metagenics i3c, Thyrosol, and b complex supplements. I was depleted in vitamin D, I'm am taking 50,000 IUs once a week. . I recently started hormone therapy in July using estrogen pellets along with progestrone pills(100mg) I missed a progesterone pill and I started my period. I haven't had a period in a year. . The doctor told me to stop taking it for two weeks and schedule an ultrasound next week. I am having major mood swings and feel the pellets are not helping at all. I can't afford to spend hundreds of dollars on the pellets and progestrone pills for it not to work. The rapid weight gain is almost too much too handle. Doctor gave me a water pill but it hasn't helped much. I hope I'm making enough sense to give you information as to what I need to do. Please help. I want to feel normal.

Oct 12, 2014
Some quick answers
by: MerryKate

Jean, progesterone is the chemical that regulates periods, and it's the one that drops off to nearly nothing when you enter menopause. As a result, if you add progesterone to your HRT you will get periods. It's not a one-time thing - it will be an ongoing cycle in your life. On the good side, it helps protect your system from breast and ovarian cancer (as opposed to taking estrogen alone).

Anonymous, it can take a while for your hormones to even out after starting HRT – 3 to 6 months is not uncommon. The symptoms you listed are indicative of an estrogen and progesterone imbalance, so give the HRT some time to work. If the mood swings are overwhelming, talk to your doctor about adding an antidepressant until your hormones adjust. There is scientific evidence that they help even out the mood swings of menopause. I personally prefer St. John's Wort since it has far less side-effects than the synthetics and available over the counter (and therefore much less expensive).

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