Estrogen Dominant or Progesterone Deficient?
by Amy H.
(Palmdale, Ca, USA)
I am 38, have two children and normal weight. My normal periods are 7 days, 4 heavy, 3 light/spotting. I have always had cramping, lower back ache, and mittleschmerz.
About a year and a half ago my periods started to get longer, heavier, eventually huge clots. Two weeks, three weeks, then everyday. It was so heavy I was bleeding through ultra tampons and an ultra pad every 45 minutes. The Dr. put me on various dosages of birth control pills, but nothing worked. I was advised to take iron sulfate supplements to avoid anemia. I was also then only allowed to use the pads. The Dr. wanted me to try the Mirena or the Depo shot, but I refused because I had previously had the implants, and had them removed after 3 years due to the awful side effects.
I had a vaginal ultrasound done and the Dr. told me I had a very tiny fibroid, but because it was so small and was in the uterine muscle it was not the cause of the bleeding. He put me on Wellbutrin for the depression per my request. I went to get my hair cut for the holidays, gushed when I got to the counter, went home changed, was determined so I used the ultra tampon and pad, went to another salon, and ended up bleeding all over the stylists chair, just after a trim and not even a wash. I was mortified. The bleeding was so bad I dropped out of my online classes, was missing a ton of work and couldn't even accomplish daily activities. I was depressed and crying all the time.
My life was being run by menstrual cycle. I couldn't have anything that contained alcohol or aspirin. The bleeding continued so the Dr. did a D&C in 12/09. The following week the bleeding continued and I couldn't focus, drive, or take care of my children (luckily they are 16 and 12 and pretty self sufficient), and was just plain exhausted. I had gone to the post office, was the second in line and had to sit down cause I was going to pass out and throw up. I had someone take me to urgent care and they sent me to the hospital to have a blood transfusion (2 bags). My CBC said my hemoglobin was 6.2 and I was severely dehydrated. My original Dr. referred me to the Hospital (teaching hospital) for a hysterectomy. They schedule another ultrasound and put me on provera. I really didn't want to take it but did anyway until my records were transferred & ultrasound results came in. Thankfully the bleeding has stopped.
I stopped taking ibuprofen and started taking iron chloride per an RN. My next appointment the Dr. wanted to put me back birth control pills. I refused and also told her I didn't want to take the provera anymore as it was making me moody, depressed and weepy. I asked her about natural progesterone. She didn't have a clue. She told me my fibroid was small, but in my uterine cavity. I advised her of what the last Dr. told me and asked for a sonohysterogram (which was suggested when the head of the ultrasoud department did my last vaginal ultrasound). The Dr. said it wasn't necessary. I insisted and she consulted another Dr. who agreed and requested it rushed to determine exactly where the fibroid is. This is scheduled for 7/26/10. He also scheduled a preop appointment for a myectomy to remove the fibroid on 08/05/10.
I started the Kokora bioidentical progesterone cream on 07/07/10. It's 1020mg in a 2oz jar. I started out using 1/8tsp (10.5) twice a day in a rotation between my neck, chest, breasts, inner thighs, inner arms, behind my knees, the thin skin on my feet. My breasts became supper tender and sore, I am tired, craving carbs like crazy and bloated. So I increased to 1/4tsp (21mg) twice a day, plus I also rub some additional on my breasts as I have read to do to alleviate the tenderness. I am still having the same symptoms. From what I have read, these symptoms could be from either estrogen dominance or too much progesterone. So I don't know which to do, increase or decrease? Any advice would be appreciated.