Right progesterone dose for an endometrioma (chocolate cyst)?

by Sky Blue

I'm in my late 30s and have a large-ish endometrioma (chocolate ovarian cyst). I didn't know for sure that I had endometriosis until the cyst was found, although I'd had very painful periods all my life and had suspected I might have it. The cyst is painful during the first two weeks of my cycle (the estrogen phase) and almost "silent" during the second two weeks (the progesterone phase). My cycles are regular, although in the last year they've shortened to an average of 26 days from a previous average of 28.

What is your recommended progesterone dosage for an endometrioma, and on which days of my cycle should I apply it?

Comments for Right progesterone dose for an endometrioma (chocolate cyst)?

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May 02, 2017
Same Question
by: Dee

Hi there, I have the same question.

I have endo, a cervical polyp and a chocolate cyst too. My doctor said my options are: going into menopause with drugs for 6 months or surgery. I don't want to do either.

Tried birth control with very bad side effects. Started using the progesterone cream - 120mg per day and my symptoms are sooooo much better.

My period is getting better each month. I've been using this cream for about 3 months now. I still have the polyp, not sure about the cyst (not really in any pain in that right side anymore), I have to go back and get another vag ultrasound.

I've started taking serrapeptase, 200k units daily and have noticed I've starting passing material that I think could be the cyst and hopefully parts of this polyp.

Sorry got off topic, what is the recommended amount of progesterone cream for endo, cysts and polyps?

May 12, 2017
by: Anonymous

I just read this and came on to say that serrapeptase was a life changer for me in terms of endometriosis (eating the old scar tissue) and cysts including chocolate ones.

I currently have one as big as a golf ball again so I'm back on it again, high doses too, works faster and very safe.

I read these cysts can affect progesterone levels. I highly recommend anyone with these issues to include serrapeotase as part of their hormone fixing protocol by means of necessity.

Now if only I could help my other issues.

Good luck with it and it would be great if you update how you get on in future.

Jul 19, 2017
Sorry so long to reply!
by: Sky Blue

@Anonymous: Thanks for recommending serrapeptase. Can you tell me how much you take? I already take a high dose of 500,000 SPU three times a day. It helps a lot with the pain, but I've been using it for over a year now, and it's never reduced the size of the cyst, which was close to 6cm at the time of my last ultrasound.

@Dee: From reading more extensively on this site, it looks like the dose of progesterone they recommend for women with our issues would be around 400-500mg a day. I'm not sure if that would be just during the luteal phase or all the time, though.

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