46 years old - spotting and pms mid-cycle (usually have regular periods) just started progesterone cream (High estradiol AND high progesterone lab results luteal phase)
Hi, I'm 46 years old. Not on birth control (only once for 6 months 25 years ago). I take thyroid medication for 10 years (hypothyroid) and was diagnosed with peri-menopause 10 years ago. I used to be on natural progesterone and estradiol, but got off estradiol years ago when my hormones leveled out and took progest cream for like 5 years after - and have been off all (natural) hormones for at least 5 years.
I have been having symptoms of: sore breasts 10 days before my period, which recently changed to all the time. PMS, moodiness and hormonal emotional feelings, bloating, night sweats and hot flashes (sweating out of nowhere) and most recently - spotting (which I never have - I have regular cycles that I track with an app that are not late and are very regular). I've been spotting for almost 2 weeks now - (varies from very light brown discharge to light red spotting) and I'm worried.
My labs from 4/11/18 show (23rd day of cycle so in luteal phase): estradiol: 215 (range is 56-214 for luteal phase) and
progesterone: 22.9 (range is 2.6 - 21.5).
I started taking DIM in May, per my naturopathic doctor - to see if that would resolve the issues. It didn't. It did help with the night sweats (still get them but less often), but the mood and pms type symptoms got worse.
I read here yesterday about taking 100-200mg minimum of progesterone cream/ day (I Ordered the Natpro yesterday) and started taking about 240mg of progest yesterday (up from probably about 80 mg / day before) .
I have a few questions: since I'm still spotting and my period is set to start in 6 days according to my cycle tracker - do I stay on the progesterone cream through my period? As in - do I not get off the progesterone cream / take it daily for 6 months as I read here?
I believe this is what I've read here - but haven't seen this elsewhere. (my doctor is not communicating very well at the moment due to holiday and her moving cities / her office and her family, and she has no assistants so I'm looking for external support while I wait for instruction from her). I'm also getting headaches and very bloated.
Also - I started panicking that I have cysts or endometriosis or something since this is very new for me (the spotting is not normal nor are my raging pms cramps / emotional state) - so would love some insight on whether or not I need to freak out about the spotting and other symptoms.
Any guidance and insight would be helpful. I am told I have estrogen dominance - but my lab results showing BOTH high progesterone AND estrogen are very confusing to me.