Perimenopause or Uterine Cancer?
Hi, I am 48 years old. Normal weight (130 lbs, 5'4), non-smoker, non-drinker and in good health. I eat all organic food, etc. and do a lot of preventative health measures such as a lot of supplements like Vitamin D, etc.
About 20 months ago (when I was 46) I went in for my annual woman's exam and during my pelvic exam, the nurse said she felt something on my ovary or it was enlarged. After getting an ultrasound and MRI, turns out they found several fibroids (they weren't too big).
For two weeks while I was getting all the tests and waiting on results, I was terrified I had ovarian cancer. The fibroids weren't bothering me at the time though and my periods were ok. Fast forward about a year later (about 8-9 months ago) and I noticed my periods started getting worse with cramping and heavier flow. The cramps could be intense at times and I had to take Advil to control the pain, which I haven't needed to take since my 20's. Migraines were also increasing as well as night sweats and anxiety. I had one period in the last 9 months that was very light with no cramps but all others have been heavier and crampier. Keep in mind though that the duration of my periods was still normal (3-5 days) and I didn't see any change to duration just a change in flow and cramping.
I tried a vegan gluten-free diet and tried different supplements and juicing and none of it helped. But, as soon as the period was over, I felt normal again. Now we get to this last month. I had some PMS symptoms such as a headache, itchy and burning vagina, and pimples. My period then started out ok. I was bleeding but it wasn't too bad. Then, we get to day 7 or 8 and flow started increasing and I started seeing clots. Now, I am at day 14 and I still have my period. One day it can be medium or light flow, but then I can have floods, big clots and heavier flow another day.
I had plastic surgery a few weeks ago and had a really stressful month so not sure if that has contributed. Luckily cramps aren't terrible the last 7 days (they were worse earlier in the cycle this month). I called my general doctor and he said start progesterone or I can look at a hysterectomy or an ablation. I used to take 100 mg/150mg of Progesterone over a year ago (for 3 weeks during my cycle) but when my periods started changing, I stopped taking it as I thought it was making it worse. So, I hadn't taken Progesterone for the last 9 months. So, I re-started the bioidentical pills I had. I took 100 mg for a few days and it did nothing. Then I started 200 mg two nights ago and I haven't seen a change. I was still flooding today and clots. I am going to go up to 300 mg tonight. I did have a salivary hormone panel back in April and it did show I was really low in all hormones (progesterone, testoserone, DHEA and I was high in cortisol).
I am really worried now about ovarian or uterine cancer. I have PTSD from my prior exams and so have avoided going back to the gyno for more scans.
My question is whether the cream would be better than the bioidentical progesterone pills? And, if the pills are going to work, how long before I should see improvement? Should I start iron pills or is it too soon only having one cycle like this that won't stop? Also, I wonder why my periods were getting worse 9 months ago while I was on the progesterone? Perhaps the dose was too low?