Perimenopausal migraines and heavy bleeding during period

by JR


I just turned 52 years old and I still have a menstrual cycle every 26-28 days (lasting 4-5 days). I am using Emerita Phytoestrogen Cream and Emerita Progesterone cream for the following symptoms:

Migraines towards the end of my period (days 4-5)
Heavy menstrual bleeding with clots
Menstrual cramping
Dry heels
Hair loss
Heart Palpitations

I feel myself ovulate almost every month (for the past year) around days 11-14, however, I'm not sure why I have heavy menstrual bleeding. My questions are:

1. Should I use progesterone cream every day of the month through my period? (Shouldn't there be a break as recommended so al the lining of the uterus is shed?).
2. Are the migraines during menstruation due to low estrogen?
3. How much progesterone should I use daily? I noticed I get really warm and drowsy if I apply more than 60 mg.



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Sep 05, 2019
Perimenopausal migraines and heavy bleeding during period
by: Joy


You are in Peri-Menopause. It can be a terrible time for most women, periods become irregular, heavy bleeding and clotting. The correct use of a good progesterone cream such as Natpro which is a 3% cream will help you. Usually in peri-menopause progesterone is used every day as it becomes difficult to use the cream by following the cycle.

Heart palpitations usually happen when not enough progesterone is being used. As you will read on this website, between 100-200mg is recommended, often more is needed. Please read How to use Progesterone Cream. The cream should be used no less than twice a day, half in the morning and the other half at night. This will help to keep progesterone levels stable. Your other adverse symptoms are due to Estrogen Dominance. Try using progesterone every day to see if it will help you, it usually does. Migraines appear to be a hormonal problem and excess estrogen can cause them.

Vitamin D3 is very important, a deficiency reduces the benefits of progesterone. 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. See The Vitamin D Council.

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