So confused, need help with progesterone dosing

by Sharlee

I'm so confused.

Im 42 and have been using 20 mg of progesterone cream, days 7 - 14 and 40 mg days 14-28. My doctor had me start using it for pms and because my regular periods became irregular and every 3 months or so I will have a period two weeks after the last one. I have a 25 day or so cycle now, it used to be a bit longer though. I had a very light, short period on 4/28, then started with pms symptoms almost immediately after I stopped bleeding. I started bleeding again on 5/14, which is almost two weeks early. When this has happened before, the next cycle is usually back to 25 days or so.

I don't know how I should be using the cream when my cycle is off since I was told before to stop the cream when I start bleeding. It also sounds like I'm not using enough?

Any help would be appreciated.

Comments for So confused, need help with progesterone dosing

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May 17, 2018
I'm interested as well..
by: Ann

I'm interested in hearing what advice you receive.

I too had my cycle bounce all over the place after using progesterone cream over several months.
I was told I'm not taking enough, maybe that's you too?
Have you read the article here about how to use progesterone? It notes if your symptoms are severe to use everyday for 2-3 months.

Personally I wonder if I should have ever began using progesterone. I will say my pms greatly diminished.

Good luck to you!

May 21, 2018
So confused, need help with progesterone dosing
by: Joy

Hi Sharlee

You are in Peri-Menopause which can be a difficult time for most women. It's a time when regular periods become irregular. You are not using enough progesterone cream. So many progesterone creams and advice suggest using 20-40mg progesterone cream, this is incorrect. Between 100-200mg is needed, anything less aggravates estrogen receptors. You should be using the cream every day as you do not have a regular cycle. Progesterone therapy does help if used correctly, it can take 2-6 months for the body to adjust. Please read How to use Progesterone Cream and Estrogen Dominance.

A vitamin D3 deficiency will reduce the benefits of progesterone, optimal range is between 70-100ng/mL and a minimum of 5'000iu's is needed daily.

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