Increase or decrease progesterone dose?

Hi all,
I have been using progesterone cream to treat hormonal hair loss for two cycles now (10%, 300mg a day, transdermal, day 10-26). I was prescribed bioidentical progesterone cream due to low progesterone levels caused by the pill, which I had been taking for 10 years and which was expected to have caused the hair loss. After going off the pill, I had my first period after 7 weeks.

I started using the cream during the second “post-pill” cycle, and my hair loss got better immediately after only one week of using progesterone. I had no period after this cycle. I continued using the cream for the next cycle on the (calculated) day 10. In the second cycle, the hair loss worsened a lot again. I experienced a spotting for 3 days (day 19-21), but again had no period after ending the cycle.
I was now told by my doctor to further increase the dose of progesterone cream for the next cycle, starting with 100mg on day 6 and then steadily increasing to 400mg during the last days of the cycle.

I am a bit worried because the hair loss has worsened a lot and I did not get my period since I started using the cream. Should I really further increase the dosage?

Any advice is much appreciated, thanks!!

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May 11, 2018
Increase or decrease progesterone dose?
by: Joy

Progesterone does disrupt the cycle when first using it, the body needs time to adjust. You are using a 10% cream, advice given on this website is for a 3% cream where 100-200mg progesterone cream is recommended, increasing if no positive results are achieved. The cream should be used during your luteal phase but as your period has not returned I suggest that you use the cream every day until the body adjusts and your cycle becomes regular. I feel that you do not need to increase the amount of cream, but please discuss with your doctor.

Please read these pages.

How to use Progesterone Cream - https://www.progesteronetherapy.com/how-to-use-progesterone-cream.html

Estrogen Dominance - https://www.progesteronetherapy.com/estrogen-dominance.html

Hair Loss - https://www.progesteronetherapy.com/hair-loss.html

May 12, 2018
Thanks!
by: Anonymous

Thanks Joy for the links and info. I will increase the dose for one more cycle and then see how things go..

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