My progesterone deficiency story and query re dosage of natpro
I am a 35 year old female, and my history is that in 2009 I suffered from secondary amenorrhea for 9 months. The Dr put me on meliane to regulate my periods, which I stayed on for 3 years, and indeed my periods were regular during this time. However 8 months ago I started experiencing breakthrough bleeding even when on the pill. 5 months ago I came off the pill, as I did not want to be on artificial hormones long-term and also want to shortly start trying for a baby. I was however very worried that my amenorrhea would start up again after I came off the pill, so I was delighted when I got 2 periods, on schedule for the 2 months following stopping meliane. However they again stopped 3 months ago. As the gynaecologists here are not proactive in the least, I researched the internet to find out which blood tests I should do, and while most of the results were normal I pinpointed the problems as being that my progesterone was 0.02 and estriadol was 204, and from this I self-diagnosed myself as estrogen dominant. I also had an ultrasound test and have a 2.5 follicular cyst.
With these results I went back to one of the gynaecologists who prescribed me duphaston for 21 days. I queried that I had read on the net that creams are better and the oral synthetics do more harm than good, but she disagreed, and as the internet had also said that the progesterone therapy must be done in consultation with your dr as it is a tricky balance to get right, I felt no option but to start on the medication she was prescribing. I have now completed the 21 days, and regret doing so and do not intend to start the next cycle, as both my own side effects of water retention and weight gain, and what I’ve read on the net, makes me convinced that natural remedies are the answer. To that end as of yesterday, based on net reading, I have started taking a teaspoon of turmeric every day, and have also bought a bought a bottle of Vitex (chasteberry) though I wanted your views before starting it (the Drs here have scoffed at the idea of using a herb to regulate hormones, but I don’t place much faith in what they do and don’t endorse anymore). I would also like to start a progesterone cream, but I am unclear on which ones to get - Natpro seems the best in terms of ingredients but I do not understand why you advise 100-200 mg per day when other websites prescribe 20 -30 mg per day?
My main queries are 1) What could have caused such low progesterone levels either in 2009 (though it was never tested then), or now, since I follow a healthy pescatarian diet, I exercise, and have no more or less stress than before the amenorrhea started. 2) Which progesterone cream should I get, and what is the dosage/frequency I should apply it as? 3) If and when my progesterone levels rise to normal do I still keep using the cream? 4) What are your views on Vitex, and should I take either Vitex OR the cream, or both together? I have read that one must not take Vitex when on progesterone therapy but was unclear as to whether that applied to synthetic therapy or natural cream therapy as well?
Would be so grateful to hear from you as I feel alone in this journey (my weight is ballooning despite a healthy diet, and I am v concerned about future fertility implications, as may be marrying soon) since none of the Drs here seem to have done right by me, be it from never testing my progesterone to prescribing me synthetic progestin!