I'm 57 years old and until about a year ago, my periods had stopped for 2 years. Before they stopped, I had a very difficult couple of years with extremely heavy bleeding and clotting for LONG periods of time... sometimes months. My OB did not seem too concerned and an ultrasound tech told me that she thought it was probably due to fibroids which had been a problem in breast tissue in recent years and were now showing up in my uterus. I was experiencing extreme fatigue and many other troubling symptoms after my periods ended so about a year ago, I went to a doctor for bioidentical hormone therapy. Blood tests showed that I was extremely low in progesterone, estrogen, testosterone, and thyroid. My doctor immediately started me on Armour Thyroid and 100 mg of compounded progesterone in pill form. She also implanted estrogen and testoterone pellets. I felt so much better and ALL of my postmenopausal symptoms were gone. The pellets lasted for 4 months and were reimplanted. The other meds continued as prescribed.
My doctor told me at that time that I would probably have light periods again. In a couple of weeks, that did happen. My periods were a bit more than what I would call light but nothing like what I had dealt with before. By the time the next 4 months went by and implants were due again, my financial situation took a great hit due to the US economy's impact on my husband's business. I was unable to get implants at that time. I thought that continuing to take the progesterone without the other hormones might not be a good idea so I stopped taking the compounded progesterone. I continued to have periods for the next 5 months, very irregular, sometimes heavy, sometimes light.
About a month ago my husband's business picked up significantly and I was able to go back for hormone treatment again. I discussed my bleeding issues with her and she felt like I needed to continue my hormone treatment and go to my gyn for a D & C. I do not have insurance right now and I am concerned about having a "pre-existing condition" when I do get insurance. And I feel the need to find a new gyn since I didn't get much help from her last time. The better gyn's seem to have long waiting lists for new patients. I did receive new implants for estrogen and testoterone that day and I started taking the progesterone again that day. Almost immediately, the bleeding became very heavy with large clots. It has not stopped... not even slowed down. I'm feeling very weak and of course I have to be close to a restroom at all times.
I did some internet searching on the subject and discovered that I was probably very low in progesterone and needed to increase the dose. It seems to me that the estrogen implant probably gave me a high level and will decrease as the months go on. I purchased a natural progesterone cream from a local health food store and began increasing the dosage dramatically. I found your website about week ago and saw something that you wrote to a woman with heavy bleeding issues. She had been taking 900 mg of progesterone which had stopped the bleeding. That day I started increasing the dosage to the 600 mg that you recommended for her. I divided the dosage to about 1/2 cream and 1/2 pills. So far nothing has happened. The bleeding has not slowed down at all. The only other thing I know to do would be to stop the pills entirely and make sure I'm using 600 mg (or more ??) of the cream. I'm taking iron now also to combat the weakness.
I feel like I'm between a rock and a hard place. Experience has showed me that I can't necessarily trust everything a doctor tells me, especially since they give me conflicting advice. I still don't have insurance either but I don't want to be foolish and miss a medical diagnosis that could be critical. Do you have any advice for me? I'm at my wits end!