Dosage and Irregular Periods
I can't seem to figure out my needed dosage of progesterone and now can't figure out the timing as to when to start as my period has become very irregular. I have always had a 26-29 day period and after starting on natural progesterone 4 months ago, my period had been crazy to say the least. I now know I was using too low of a dose but have since increased it and am still having problems.
For example, the first month I was on 40 mg a day and began using it 14 days before I was suppose to start my period. I ended up spotting (dark brown in color) 7 days into using the progesterone. I stopped and continued to spot for about 5 days. I used the first day of spotting as the first day of my period. I started the progesterone cream again (decreasing the dose to 20 mg a day as I assumed that was the problem) 14 days before what was suppose to be my next period and again started spotting after 1 week. Same thing the following month.
I also have had symptoms of estrogen dominance increase such as full and tender breast, bloating, and more. I did, however, have an increase in libido and improvement with my acne. On the fourth month, I finally found this site and had started with 10 mg per day but when I started spotting 7 days in I had read about the recommended dosage on this site and increased it to 100 mg a day in divided doses. The breast tenderness and bloating went away, acne continued to improve, and libido remained good. I continued to spot that entire week. When I stopped on the day before what should have been my period, I have continued to spot for 5 days now (today).
I'm not sure if I should increase my dose and if so to how much and when I should start back. I am also wondering if not having a normal period but only spotting is ok or is it harmful to my body.
History: I am 37, have had regular periods for as long as I can remember. I have one child, have tried birth control pills on 3 different occasions, each a different one with terrible side effects and had to discontinue them each time. I have not had any testing for hormones done; however, I do feel my hormones are not in balance as after reading I do have several of the estrogen dominate symptoms, have felt so much better on the progesterone despite the mis-dosing, and have had good success using Spiro for excessive androgens that were causing moderate acne.
I currently take 50 mg of Spironolactone (antiandrogen) for cystic acne. My main motivation in starting the natural progesterone was to help regulate my periods on the Spiro. I have struggled with acne for a very long time and Spiro is the only thing that has helped me. Unfortunately, Spiro makes the period irregular and therefore the dermatologist recommends birth control to regulate it. That isn't an option for me. At my current dose, my acne isn't completely better but my period is only 4-5 days early (prior to the natural progesterone). I take a whole food multi-vitamin every day and 5000 of Vit D.
One thing I have found interesting is how the progesterone has seemed to help my acne. After much reading I am beginning to think it could help me get of the Spiro completely which would be a tremendous blessing!
Any suggestions you may have or thoughts would be great. I am currently using Pro-Gest but given the increased dosage that may be needed I plan to switch to the Natpro as I am having to use way too much of the other cream to get the dosage. Also, if there are any suggestions of how to know if I can come off the Spiro or how to go about that would be great.