Therapy Advice

by Sandra
(Victorville, CA, USA)

I have been on projestrone for about a year. It is a natural form and I used it with 1.25mg of premarin. I backed off the premarin 7 months ago and only used the projestrone cream. I was miserable and was put on a natural estrogen cream. To no avail, I am still suffering. One thing I've noticed is that I have naturally lost weight. I had a complete hystorectomy in 1994. I am 62 years old and my doctor says I should not be going through all this. Needless to say, I don't think he knows what he's talking about.

I recently ordered your organic cream and pray it helps me. I am still waiting for it to arrive. Should I continue the estrogen cream also? If not should I back off slowly or just stop.

Any suggestions?

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May 12, 2012
Therapy Advice
by: Wray

Hi Sandra I'm relieved you've stopped the Premarin, I don't believe we need extra oestrogen. We make more than enough oestrone in our fat cells after menopause. But typically this is never checked, only the pre-menopause oestrogen which should be low. There's more info about levels on our Hormone Testing page. Oestrogen is oestrogen, no matter how natural, even plant based phytoestrogens, all varieties have the same effect. There's more info on our HRT page. So yes I feel you could stop the cream. It's safe to do this cold turkey, but can be very unpleasant. We do have a page on how to reduce slowly, see Coming off HRT, the Pill etc. It appears you weren't given a high enough amount of progesterone, too low and it just stimulates oestrogen. There's info about this on our Oestrogen Dominance page. I recommend 100-200mg/day, more if symptoms are severe. So I would suggest you try the higher amount, but keep a watch for oestrogen dominance. If it should occur please increase the amount. Finding the optimum is trial and error, some women preferring to go really high initially, then reducing very slowly once symptoms have gone. Let me know how you get on. Take care Wray

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