by Nicky West
(United Kingdom)

I am 47 years old and have adenomyosis and I am in peri-menopause. I have suffered with frequent heavy bleeding and painful cramps, irritable bowel syndrome and severe premenstrual syndrome for the last 10 years. I went for an endometrial ablation 5 years ago which successfully stopped the bleeding and has ever since. I recently had a scan which showed no problems with my ovaries, just adenomyosis.

I have tried almost everything my gynaecologists and doctors have prescribed but it has NOT helped. They all suggest a hysterectomy or start using hormone replacement patches which I'm also reluctant to use. I don't want a hysterectomy because I don't want another set of problems trying to balance my hormones, I have enough of a struggle trying to balance them now!

So I bought progesterone cream and have used it for one cycle only so far. I have only used one pump a day which is equivalent to 20mg for 14 days from ovulation and then I stopped and I have my period now which has not improved. When I was using it I felt better but I know I'm using the lowest suggested dosage. After reading your informative website I realise that I should consult you as to how I should use this cream. Clearly I am not using enough.

My hormone levels blood tests revealed that they have dropped down 50 %. Another blood test revealed I was vitamin D deficient as well which would explain why I have been ill for the last 10 years with Hidradenitis Suppurativa as well! I am therefore now taking a Vitamin D supplement everyday.

Could you please inform me as to how much I progesterone I should be using and whether I should use it continuously or not.


Comments for Adenomyosis

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Feb 24, 2017
by: Joy

Hi Nicky

Adenomyosis is similar to Endometriosis, both are caused by oxidative stress. Unless the inflammation is dealt with you will always battle. Please consider taking the nutrients mentioned on the Endo page before the suggested hysterectomy which I do not believe you need. How convenient of them to suggest that, the easy way out! Please do not go the HRT route either, all drug based HRT's have a potential to cause harm.

Normally a dose between 100-200mg per day of Natpro progesterone cream is sufficient however, the higher dose should be used to start with. In severe cases a dose higher than 200mg will be needed, it's best to go by symptoms, adjusting it higher or lower as the weeks go by. The 20mg per day is not going to help you at all, in fact it will just make things worse. You should also be using progesterone cream every day with no breaks. Progesterone therapy is not an overnight fix, it can take 2-6 months before benefits are felt.

I am a little confused though, usually an ablation stops bleeding totally, never to be seen again, I know because I had one 15 years ago. Are you saying that you still have a monthly cycle? If so, I find that most strange. Anyway, you are in Peri-Menopause, please use progesterone cream every day.

This Heavy Bleeding/Continual/Spotting protocol has helped so many women, perhaps it will help you. It will also help with your inflammation. It should be followed exactly, otherwise it will not work.

* 400-500mg Natpro Progesterone Cream per day
* 2000mg N-Acetyl-Cysteine (NAC) per day
* 2000mg Taurine per day
* 5000iu's Vitamin D per day
* 1000mg Bioflavanoids per day

Regarding your test results, what exactly are they? Please read the Hormone Testing page. A Vitamin D3 deficiency reduces the benefits of progesterone and is connected to every single function cell in our bodies making it vital. Co-factors are needed, Magnesium being considered the most important but the others are also important.

Hope this helps.

Please read the following pages and the references:

How to use Progesterone Cream
Estrogen Dominance
Hormone Testing
Vitamin D3

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