HELP! I basically have NO progesterone

by Judy
(London, Ontario)

47 year old female.

It started in October (it's December 8th as I write this post). I had my first late period ever (other than pregnancy). My normal cycle is 26 days. In Oct it was 35 days. It was lighter than my normal periods which have always been heavy. Then on November 6th I started bleeding lightly and it's still going 34 days later. I had blood drawn and here are my results:

Estradiol - 193 pmol/L
Progesterone - 0.5 nmol/L
Testosterone - 0.5 nmol/L
FSH - 22.2 IU/L
LH - 11.7 IU/L

Obviously I have no idea what phase of my cycle I'm in. I also have an ultrasound booked for two days from now.

I am looking for any input or advice on my hormone levels.

Thank you in advance. I'm freaking out here a bit!

Comments for HELP! I basically have NO progesterone

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Dec 10, 2018
HELP! I basically have NO progesterone
by: Joy

Hi Judy

You are in Peri-Menopause. It can be a terrible time for most women. The cycle often becomes irregular, clots/heavy and continual bleeding is very common. The protocol below has helped so many women, you might light to try it.

* 400-500mg Natpro Progesterone Cream per day
* 2000mg N-Acetyl-Cysteine (NAC) per day
* 2000mg Taurine per day
* 5000iu's Vitamin D3 per day
* 1000mg Bioflavanoids per day

Your progesterone:estrogen ratio is 3:1 it should be around 600:1. Please read the Hormone Testing page for more information on your hormone tests. You are definitely low in progesterone. Usually between 100-200mg progesterone cream is suggested, but as you are experiencing continual bleeding more is needed. The higher amount will also help to raise your progesterone level. Please read the How to use Progesterone Cream and Estrogen Dominance pages.

Vitamin D3 is very important. Nothing less than 5,000iu's per day is needed. Optimal range is between 70-100ng/ml. Magnesium and vitamin K2 with no soy are important co-factors needed when taking vitamin D3.

Dec 13, 2018
Thank you for your reply
by: Judy

Thank you so much, Joy, for getting back to me! Wow, that is a pretty low progesterone to estrogen ratio! No wonder I feel so terrible (emotionally) and have bleeding. I have started on the progesterone cream as recommended.

One more question.....will progesterone cream mask menopause when it comes? Basically, I am asking if the cream will cause me to bleed as per a normal menstrual cycle if I keep taking it on a 21 day course. OR, do you suggest taking it every day? When taking progesterone cream will my periods still stop once I actually enter menopause?


Dec 14, 2018
Thank you for your reply
by: Joy

Hi Judy

Progesterone will help you greatly now and as you enter Menopause. A missed period for 12 months puts one in menopause. It is difficult to say how progesterone will affect you as we are all different. You may also find that you will bleed at odd times and the bleeding could become worse as the body needs time to adjust, it can take 2-6 months for this to happen. Between 100mg-200mg progesterone is needed, more if symptoms are severe as in your case. Use half the amount in the morning and the other half at night. This will help progesterone levels to remain stable. I suggest that you use progesterone every day with no breaks. Once your excessive bleeding improves you can slowly start to reduce the amount of cream used if you are following the amount suggested in the protocol. Reduce by 25mg for a week, stay on the reduced amount then reduce by another 25mg etc. I do find that women in peri-menopause and menopause need to use progesterone cream every day. You will have to see what suits you best.

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