Persistent Ovarian Cysts
I've been using natural progesterone cream along with supplements, lifestyle changes and exercise in hopes of shrinking/completely getting rid of simple ovarian cysts that haven't gone away after at least 2 years. I quit drinking alcohol in June 2020 and don't ever plan to drink again. I kept being told that the cysts would go away after a few menstrual cycles and when I would have a bleed, I kept thinking, OK, I'm having intermittent bleeding so the cysts should have gone away by now. I'm 45 and have been in perimenopause for at least 4-5 years. The cysts were discovered in 2019 after I saw my primary Dr because I was having bright red spotting after exercise. The spotting eventually stopped, but I'm convinced that I haven't ovulated in quite some time. I had a full work up, normal estrogen, my FSH was in the low 30's on two tests, endometrial biopsy was normal and turmor markers were normal. First gynecologist said that I had two simple cysts stuck together, they were nothing to worry about and nothing further needed to be done. Me being the worry wart, wanted to take another look inn 6 months. Then COVID-19 turned life upside down and I did see a new gynecologist as my former left in early 2020. The cysts were still there, my periods were non existent and while I had been taking 7 days of 200 mg Prometrium nightly to initiate a bleed, one low hormone test in May 2020 and my Dr wouldn't let me take Prometrium anymore, even though I knew I needed it. The Dr told me at my July appointment that while my uterine lining was consistent with menopause the cysts would go away after a few menstrual cycles. How? Hello, I'm not having any bleeding!
In March of this year, I had another ultrasound, truly believing the cysts would be gone because I'd had several bleeds from August to February, but there they were, plus another one that the sonographer called a dominant follicle. I found Dr. Lee's book and cancelled my surgery for the end of April. After starting natural progesterone cream at a fairly low dose, around 1/8 tsp at night, I started spotting after 11 days. I slowly upped my dosage and had a major uterine cleanout that lasted around 3 weeks in June and July. I've tried using it twice a day and I can't because I get a headache and I can't go about my day with a nagging headache. I've muddled through 26 days of cream usage with a headache and its miserable.
I saw a new gynecologist last week who did another ultrasound that showed the cluster of simple cysts on the left ovary appear to have shrunk slightly since March, there is a tiny simple cyst on the right ovary, my fibroid has stayed stable and I had a very light bleed in October, so light that I didn't even need a tampon. For once, my endometrium thickness was described as normal, but would be a bit thick if I was truly post menopausal, which I don't think I am yet. She did bloodwork for hormones and tumor markers and she wants to follow up on the cysts in 6 months, but meanwhile the possibility of a hysteroscopy and D&C loom depending on the results on the bloodwork.
I'm taking a probiotic, 500 mg chelated magnesium, 5000 IU vitamin D3, vitamin K1/K2, a B Complex, Inositol and a muiltimineral, with Boron, Zinc, Selenium to name a few. As far as the natural progesterone cream, I've upped my dosage to a little over 30 mg at night because after trying several times to do it twice daily, I can't do the headache. I tried 40 mg the night before Thanksgiving and not sure if it was anxiety about being around maskless family with unknown vaccination status, but I felt a little off that day. I know you say to use a super high dose, but I'm afraid of going too high. I thought balance was the key and that more isn't always better. Plus I did read that 30 mg of natural progesterone cream is equal to 200 mg Prometrium. I know that this takes time, but is it truly possible for these cysts to completely go away with what I'm doing? I've never worked so hard for anything in my life and I want so badly to avoid hospitals and surgery. No way am I letting the doctor talk me out of using natural progesterone cream!