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Perimenopausal migraines and heavy bleeding during period

by JR
(HI)

Hello,

I just turned 52 years old and I still have a menstrual cycle every 26-28 days (lasting 4-5 days). I am using Emerita Phytoestrogen Cream and Emerita Progesterone cream for the following symptoms:

Migraines towards the end of my period (days 4-5)
Heavy menstrual bleeding with clots
Menstrual cramping
Weepiness/Sadness
Insomnia
Dry heels
Hair loss
Heart Palpitations
Dizziness

I feel myself ovulate almost every month (for the past year) around days 11-14, however, I'm not sure why I have heavy menstrual bleeding. My questions are:

1. Should I use progesterone cream every day of the month through my period? (Shouldn't there be a break as recommended so al the lining of the uterus is shed?).
2. Are the migraines during menstruation due to low estrogen?
3. How much progesterone should I use daily? I noticed I get really warm and drowsy if I apply more than 60 mg.

Thanks,

JR

Comments for Perimenopausal migraines and heavy bleeding during period

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Sep 05, 2019
 Perimenopausal migraines and heavy bleeding during period
by: Joy

Hi JR

You are in Peri-Menopause. It can be a terrible time for most women, periods become irregular, heavy bleeding and clotting. The correct use of a good progesterone cream such as Natpro which is a 3% cream will help you. Usually in peri-menopause progesterone is used every day as it becomes difficult to use the cream by following the cycle.

Heart palpitations usually happen when not enough progesterone is being used. As you will read on this website, between 100-200mg is recommended, often more is needed. Please read How to use Progesterone Cream. The cream should be used no less than twice a day, half in the morning and the other half at night. This will help to keep progesterone levels stable. Your other adverse symptoms are due to Estrogen Dominance. Try using progesterone every day to see if it will help you, it usually does. Migraines appear to be a hormonal problem and excess estrogen can cause them.

Vitamin D3 is very important, a deficiency reduces the benefits of progesterone. Nothing less than 5,000iu's per day is needed. Optimal range is between 70-100ng/ml. Magnesium and vitamin K2 with no soy are important co-factors needed when taking vitamin D3. See The Vitamin D Council.
Oct 03, 2019
 Progesterone test
by: Anonymous

I just received progesterone test results and it was High 14000. These were the comments on the lab results: High progesterone is consistent with timing of saliva collection (note: range is based on 12-24 hr post supplementation with 10-30 mg topical progesterone). When saliva is collected within a shorter time frame (e.g. 1-10 hr) from last application, salivary levels of progesterone are expected to be considerably higher. With topical delivery of progesterone, salivary levels peak at about 2-4 hr and thereafter progressively decline to baseline levels within 2-3 days (depends on individual, dosing and length of time hormone has been used). Shorter time intervals from supplementation to saliva collection will result in salivary progesterone levels 3-10 times expected range at 12-24 hr (i.e., 5000-30,000 pg/ml from 1-10 hr-see p. 230 in 'What Your Doctor May Not Tell You About Breast Cancer' by Lee and Zava). Although the salivary progesterone in this test is higher than the expected range for topical supplementation (500-3000 pg/ml), a significant number of individuals fall within this higher range without adverse symptoms. Symptoms most commonly associated with excess progesterone are sleepiness, dizziness, bloating, increased susceptibility to yeast infections, and functional estrogen deficiency. In some individuals persistently excessive progesterone, particularly when associated with low (or very high) levels of estrogens, can cause estrogen deficiency symptoms (hot flashes, night sweats, sleep disturbances) by down-regulating estrogen receptors in the brain. If symptoms of progesterone excess develop with taking this dose of progesterone it may be worthwhile to consider lowering the dose or increasing the estrogen level (if low) to create a better progesterone/ estradiol balance.

Confused about whether to reduce amount from 60mg to 20mg daily, or eliminate all together.

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