by Margaret

I am 55.

I've had heavy periods for many years and in the last 6 months I started having them closer together and much heavier.

Looking at my symptoms I've concluded that I have oestrogen dominance since my early 40's when I started getting heavy periods and spotting?

I was diagnosed with a fibroid in January.

I started using progesterone cream of 20mg morning and evening and then didn't have a period during February or March but did have spotting on most days.

I continued using the cream all through a period that I had in April, which wasn't heavy and lasted 5 days, but then I continued spotting everyday for the rest of April.

I raised the amount of cream that I am using to 60mg morning and evening from the end of April.

I'm now spotting every other day still, not all day, seems to start mid afternoon. I haven't had a period in May as yet, it's only 9 days into the month.

Is spotting nearly everyday normal in my situation - fibroid, peri-menopausal and using this level of cream? Or is it possible to stop the spotting eventually. It's freaking me out as I'm imagining all kinds of terrible diseases.

The spotting is also making it impossible to have cervical smear done. I'm due to see a gynaecologist next month but really don't want to take any synthetic hormones or have any operations, particularly as I'm hoping that at my age, menopause should be arriving?

Am I using a high enough amount of cream?

Does endometrial ablation seem a possible option to stop the spotting or is it better to stick with the cream?

How many months can I be safely using the cream?

Should I take a break?

Comments for Fibroids

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May 11, 2017
by: Joy

Hi Margaret

You are now in Peri-Menopause, just as you were in your 40's, it starts at around 35 when progesterone levels start to drop. It can be a torrid time for most women, but it need not be with the correct use of progesterone.

Continuous bleeding, spotting and clotting is a common symptom of Peri-Menopause, so please try not to stress so much about it. This is the natural process of a women's body that is taking place. I am surprised that your doctor didn't tell you this! It's a time when most doctors suggest a hysterectomy which is totally unnecessary unless it is cancer related.

Sadly you have not been advised on how to use progesterone cream correctly. Between 100-200mg is needed but using a good quality cream that has the correct progesterone concentration such as Natpro for instance, often more cream is needed in the beginning of the therapy.

Now in your case, because of your Fibriods who need to use between 400-500mg per day. This following heavy, continual bleeding protocol is needed to help with your fibroids and your heavy bleeding.

Fibroids are caused by oxidative stress and unless the inflammation is dealt with you will always battle. If the fibroid is small, progesterone will help to absorb the fibroid back into your body, if large, surgery may be needed.


•Natpro Progesterone Cream - 400mg to 500mg/per day
•N-Acetyl-Cysteine (NAC) - 2000mg/per day
•Taurine - 2000mg/per day
•Vitamin D3 - 5000iu's/per day more if Vitamin D3 level is low. Vitamin D3 actually helps to shrink fibroids
•Bioflavanoids - 1000mg/per day

The above must be used and taken exactly as stated otherwise it will not work.

I am 61, at the age of 47 I had the ablation for heavy/continual bleeding and massive clots. Had I known about progesterone therapy then, I would never have had it done only because it is so evasive and surgery always carries a risk.

Only you can decide if you want to have the ablation or not, but I can assure you that in most cases it is not necessary as the protocol really does work.

You should be using progesterone every single day with no breaks at all. I have done so for about 15 years now, I never miss a day. Taking a break will set you back and allow estrogen to creep back up again.

Please read these pages and the references:
How to use Progesterone Cream
Estrogen Dominance
Vitamin D3

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