Adenomyosis and Progesterone Dosage
I went off the pill (after 10 years) at age 40 to try for a baby. After two miscarriages, I had a textbook pregnancy and delivered my little girl (now 9) at 42. I decided not to go back on the pill as there was only really one week out of the month we needed to be careful and I had always experienced painful ovulation, so knew exactly when it would happen.
My periods have become heavier in the last 4-5 years but these years have been accompanied by unbelievable stress - loss of a business, the death of my mother, moving countries and losing a house deposit.
Heavy, heavy periods and a bout of mid cycle bleeding made me go to the doctor and they diagnosed the beginnings of adenomyosis, along with 2 small uterine cysts and a 1cm uterine fibroid.
I have tried to clean up my exposure to xeno-estrogens, eat well, exercise and thankfully, stress levels are much lower.
All my tests were normal except my iron levels were low (hardly surprising), my testosterone was slightly elevated and my vitamin d was 97 nmol/L. I was tested on day 21 of my cycle and my results were:
FSH 6.0 U/L
LH 17.3 U/L
Oestradiol 1024 pmol/L
Progesterone 2.0 nmol/L
I immediately started taking 5000 iu of vitamin d, plus 2000mg of taurine and NAC as suggested, magnesium citrate, B complex, and 3-6mg of iodoral.
I also started taking natural progesterone this month on day 6 of my cycle but I'm now getting brown discharge on day 16. Obviously I didn't ovulate, but I'm unsure whether to increase the dose beyond 200mg as any more makes me wake up HOT. This is not a hot flush, sweaty kind of hot, just a raised body temperature, but I was sick of it interfering with my sleep so I reduced the dose and I'm sleeping fine again.
I know I must be in peri-menopause but to date, I have not experienced any hot flushes and now that I'm no longer super stressed I feel great. My mother went through menopause at 57 but the thought of having another 6 years of heavy periods does not thrill me. My Gynae has recommended a uterine ablation which I'm very tempted by.
I have read all the relevant pages on the site, so any additional advice about progesterone dosage would be greatly appreciated. Many thanks