Hi silverfairy
Just to clarify - the "oestrogen dominance" that you mention and also in the article at the link silverlady gave at the beginning of this thread - refers to the situation in peri-menopause where some cycles are anovulatory ( ie ovulation does not take place). This is discussed in the article on peri-menopause on this site here:
http://www.menopausematters.co.uk/article-perils-of-the-perimenopause.phpAlthough oestrogen is also falling the fluctuations in both hormones means that in the cycles where ovulation does not take place, the uterus lining continues to thicken and there is no bleed - this is true "oestrogen dominance". The condition can lead to heavy periods with clots as they become irregular to to build up of the lining. I am sure additional progesterone at this time would be helpful but oesrogen levels are also falling - but I presume exactly how and when each hormone reduces will vary from women to woman.
In these circumstances - ie to deal with "oestrogen dominance", and if only progesterone is used for this particular circumstance, then progesterone would need to be taken at a high enough dose to prevent the thickening and maybe on a cyclical basis to regulate the bleed?
In practice as you will know many women also suffer from flushes and sweats due to oestrogen deficiency at the same time as cycles become irregular so progesterone is taken as part of HRT (where the oestrogen is now mainly bio-identical) - it seems to be an ongoing problem trying to get bio-identical progesterone to be prescribed widely but I think the situation is improving.
If you are already taking Utrogestan - bio-identical progesterone orally - then this can also be used vaginally which will bypass the liver and have the added benefit of going straight to the uterus but I can't imagine taking it like this every day, although many of us use it cyclically! I agree re the liver - I don't take any of my HRT orally for that reason. Some of the progesterone is absorbed systemically but if you are not suffering from side effects at the moment then you would be fine with this.
The only gel that I know of is Crinone vaginal gel but it doesn't seem to be prescribed much in this country - well at least not by women on this forum.
Hope this helps
Hurdity x