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Anovulation and one ovary

Dear Wray, I had an twisted cystic ovary removed 3 years ago. Since then, my cycles are still every 25 days on the dot; but I am only ovulating every third to fourth cycle. This anovulation is wreaking havoc on my body, so this month I started using progesterone cream 2x20mg day in luteal cycle. Back pain and anxiety much better! But, my period has started 6 days early! Do I carry on using cream until what would normally be my day 24, or do I stop using it now until day 11 of this new cycle? I'm 40, don't want to have baby, I just want hormonal balance. Any help gratefully appreciated. Ps, please don't say go to dr - I'm in the UK - the NHS is useless at stuff like this, I must work this out myself!

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Mar 01, 2013
 Anovulation and one ovary
by: Joy

Hi there - you are not using enough progesterone. 100mg/200mg possibly more depending on symptoms should be used. Using too little causes all sorts of problems some of them you are now experiencing. I think you should use the cream every day through any bleeding and spotting until things become normal again. As you are 40 you could also be starting with peri-menopause which is a difficult time.

Most doctors normally suggest 20mg/40mg daily which causes so many problems - more is needed. You need to make progesterone the dominant hormone.

Wray will provide a more information for you soon.
Mar 02, 2013
 Anovulation and one ovary
by: Wray

Hi there I certainly won't tell you to go to a doctor, and I do agree about the NHS! They seem to know so little about our problems, just dishing out antidepressants. Anovulation begins round about age 35, increasing in frequency through Peri-menopause, until Menopause when the ovaries shut down. A difficult time! Progesterone does upset the cycle which usually settles in time. I suggest using the progesterone daily, through bleeding, until you feel stable enough to follow it again. But I don't believe you are using enough. I recommend 100-200mg/day, dependant on symptoms. The worse they are the more is needed to overcome them. Please have a vitamin D test done, it's low in most people in the UK. Birmingham Hospital send out test kits for £25, then send the results back via email. For more info on vitamin D levels, test kits etc see the Vitamin D Council, GrassrootsHealth. Blood levels should be 70-100ng/ml (175-250nmol/L) and not the 30ng/ml (75nmol/L) most labs and doctors regard as adequate. The minimum daily dose should be 5000iu's per day, although recent research indicates it should be 10,000iu's per day, see here. A lack of vitamin D leads to a host of problems, not least anxiety, plus it reduces the benefits of progesterone. If you'd like to chat to someone please contact Julienne via her website here. She's a dear friend of mine and very supportive, she lives in London. We also have a page on Anxiety, it gives a list of nutrients which can help. Take care Wray

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