Frequent Bleeding After Starting Natural Progesterone Cream Two Months Ago
In 2019, I had a little bit of spotting after I'd exercise, so I went to my PCP, had full bloodwork, hormones checked and a transvaginal ultrasound which found an ovarian cyst. I had been diagnosed with a uterine fibroid in 2014. In 2015, I began to experience longer time between my periods and I finally brought this up to my ob gyn in 2017. He checked thyroid, FSH, LH and said my FSH was 88 or 86 and consistent with menopause, but I've had subsequent FSH readings in the low 30's. So, I know I'm in perimenopause.
I'm 44, no children. The ovarian cyst has been under observation since 2019, I've had a normal endometrial biopsy, CA-125 and all tumor markers were normal and in October 2019 after yet another pelvic and transvaginal ultrasound my obgyn told me the cyst was actually two simple cysts stuck together and nothing to worry about. During that time, she told me my uterine lining was thickened - no big surprise because I wasn't really having periods - so she gave me 7 days of Prometrium to clean things out. And I had a period shortly after taking it.
The 6 months of all these tests was very nerve wracking so I asked her if could check the cysts again in 6 months. Meanwhile, I was getting to take Prometrium for 7 days and I'd usually have a period, but it didn't work the last time I took it in April 2020.
Then COVID-19 shut everything down about the time I needed to have the cysts checked again. I finally saw a new obgyn, as my current one left the practice and had another ultrasound. At this visit, the cysts were still there, my uterine lining was in her words, consistent with menopause and she said the cysts would go away after a few menstrual cycles. Hello? How can they go away if I'm not even having menstrual cycles? I went about 5 months with no period, then got one in August 2020, another one in October 2020 and then one in November 2020. I then didn't get another one until February 2021. At my March ultrasound, the cysts were still there, but frankly, I've never had any pain or symptoms from them at all. I was supposed to have a Hysteroscopy D&C and laparascopic cyst removal on April 28, 2021. In the meantime I came across Dr. John Lee's book about Premenopause and Menopause and I fit the bill for estrogen dominance - fibrocystic breasts, Ovarian cyst and uterine fibroid. When I asked the doctor how we would proceed with monitoring things after surgery she said we wouldn't unless I had abnormal bleeding. That didn't sit well with me, so I postponed the surgery, and decided to try a natural route.
I take a B Complex, 500 mg Chelated Magnesium, Vitamin K1 and K2, a multimineral complex, 5000 IU Vitamin D and a daily probiotic. I began using a 1/4 tsp natural progesterone cream at night following one of Dr. Lee's recommended ways to use it. 21 days straight and take a break. I had spotting about 11 days after starting the cream. I then took a break and started it back up and made it 11 days and began to have more than spotting, so I stopped it per Dr. Lee's advice to not use it during a period. I think I might've ovulated that month, because my cervical mucus was very plentiful and somewhat stretchy, I might add before I began the cream and supplement regimen, I didn't really have any lubrication down there. So after taking a break, I began the cream again and two weeks later am bleeding again. I am aiming for balance which is why I take 1/4 tsp. I've also changed my diet a lot and eat kale, either raw or cooked almost everyday. Other than very irregular periods and higher FSH readings , I have no menopausal symptoms. I've never had hot flashes, I sleep pretty good except for waking up to use the bathroom during the night, I exercise daily, my energy level is off the charts, I quit drinking alcohol completely last year and don't even plan to do so again. I am going to start using DIM pretty soon. I don't expect a regular monthly cycle, but maybe this frequent bleeding is just the uterine lining being cleaned out. Its never excessively heavy bleeding either. Sometimes I need a tampon, sometimes I don't. I plan to see a new obgyn in September or October of this year to see what's going on with the cysts which I hope are gone. I've noticed my breasts don't feel as lumpy either. I've also changed many of my personal care and cosmetic products to safer ones using EWG Skin Deep as my guide.
Any input is very appreciated!