Hashimoto's, insomnia and hormones
by Glynda-Lee Hoffmann
(Chico, CA)
At age 31, during my first pregnancy, I suddenly began waking up at 3am, unable to go back to sleep. This began for me a lifelong imbalance that has plagued me ever since, with recurring periods of intense systemic inflammation, gluten intolerance, severe insomnia, severe postpartum depression leading to general depression and periods of anxiety.
During menopause I experienced extreme hot flashes and night sweats as I lurched from doctor to doctor. I was finally diagnosed with Hashimoto's 7 years ago through an antibody test that could have been requested by any of my former doctors, but wasn't.
At age 68 I'm currently on armour thyroid and very high doses of BHRT estrogen and progesterone by a doctor convinced it will relieve my symptoms, and it has to some extent, but not all - no more hot flashes or night sweats but now brittle nails, sore breasts and still waking up and needing ambien and valium to get back to sleep.
After reading many posts on this website, I'm ready to try using progesterone cream only. A new doctor I visited recently refused to prescribe progesterone cream, insisting that research indicated only oral progesterone protects the uterus during BHRT. I did find a few links on this website that I think address that point. I'm going to give them to the doc and we'll discuss them. I did find enough info on this website to convince me that trying Natpro would be a simple experiment that may give me relief and help me sleep and restore my nails and possibly my libido.
My main question is how to do I reduce my BHRT? I'm currently taking BHRT and progesterone to mimic the follicular and luteal phases of fertility. My latest labs have my estrogen at 697 pg/ml (when my new doc says the level for a 30 year old is 130) and my progesterone is 5.5 ng/ml. According to the conversion rates on your website I should divide the estrogen number - 697 - by 1000, which equals .697. That means my progesterone over estrogen ratio is 5.5 to .67, which seems pretty close to the 10:1 ratio listed on your website as not ideal, since 100:1 is.
So, my question still is, how slowly do I decrease my BHRT estrogen? Also, my current BHRT progesterone prescription is "progesterone versabase 20MG/0. 1ML (200MG/ML) 30MLS. I have no idea what any of that means. It's delivered to me in syringes. I take different amounts on different luteal days, beginning at 7ml and topping out at 14ml, then going back down to 7ml. Can you help me with all this? Do I discontinue the BHRT progesterone and use only Natpro? Or can I decrease the BHRT estrogen and still use up what's left of my BHRT progesterone, then continue with Natpro?
Interestingly, I've been using a small amount of my BHRT estrogen on my face to help with aging, but according to a link on your website, I'd be better off using progesterone as an anti-aging cream.
Any help you can give me would be appreciated. Thanks.