Help with dose and estrogen dominance and heavy bleeding (sheesh!)
I am 42 and have been on progesterone for appx 6 months. The first 3 months, I was only on 30 mg/day. I had blood work, and increased to 50 mg/night. Then the really bad estrogen dominance hit me like a flood. I got so bloated I gained 16 lbs in 3 weeks, had awful headaches, acne, couldn't sleep, and was the most irritable and angry person I ever met. I almost lost my fiancé over this. I started doing research and found this site and several good books. I raised to 100, then up to 150, then 200, then 250. I have been on 250 mgs for appx 1.5 weeks now. The bloating is almost entirely gone. I was feeling pretty good, as well, for the first week. Then, 2 days ago, the irritability, anger, and insomnia returned with a vengeance. I began picking fights with my poor fiancé (who is an absolute saint for putting up with me), and noticed I just wanted to be alone. Everything annoyed me badly and I found myself hating life. This paired with the fact that I have ZERO libido AND have been having a very very heavy period every 10-14 days have left me desperate for answers.
After reading through the posts here, I think I need to go up in my progesterone cream. I get a compounded cream that contains nothing but USP micronized progesterone cream. I apply it vaginally at night, and topically in the am and afternoon. Yesterday, I increased to 350, doing 150 at night, and 100 mg am and afternoon. I feel a bit calmer but still not myself. My bleeding, which was ridiculously heavy for the past 2 days, seems to be slowing down today.
My question is, could I be estrogen dominant again at the 250 where I needed to increase to combat this? Should I go higher than 350, as this site says that for heavy bleeding and stubborn estrogen dominance the dose should be 400-600. How do I know how much to raise and how long to hold the dose before raising again? Do I know when I start having periods again every 28 days? Any advice would be appreciated!