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[Midlifecrises72]

I've recently moved to usa from the UK. A gp here has advised that I take 200mg continually along with 3 pumps of estrogel. I'm currently taking 200mg for 14 days but he said that I would feel much better and not have the spikes of anxiety I currently have on the 14 day cycle. Any thoughts from anyone?

[Dotty]

Hi the usual dosage is 100mg if you are taking it every day.

200mg can be prescribed every day if there is a problem with bleeding.

Are you post or peri menopause ? That usually determines how much you take and for how long . x

[Midlifecrises72]

I'm post and don't bleed so maybe that might be why

[sheila99]

As above, you would normally take 100mg continuously in meno. Anxiety is often from oestrogen deficiency if it's hormone related, there are many other causes of course. Is there a time of the cycle when it's worse?

[Midlifecrises72]

As a background - I had an ablation about 5 years ago. Since being on 3 pumps estrogel daily and 200mg progesterone for 14 days I don't have any bleeding at all. Moved to the USA in December. I get bad anxiety during the 14 days of progesterone. The GP said that as I don't bleed because of the ablation it seems that I may be better taking continuous progesterone to avoid the awful ups and downs associated with a "cycle"  I'm still in day 24 so haven't started the continuous yet - hopefully I'll stabilize!  As a side note HRT is so expensive here (a bottle of estrogel is $70!!) so the GP is getting the pharmacist to make a special compound cream for me with 2.25mg oestrogen to equal the 3 pumps esteogel. Get me being special!

[sheila99]

If you get anxiety on prog isn't it going to make it worse if you take it every day? You may find you are better on a different sort. Is it utrogeston you're on? The other possibility is to stay on sequi but use a long cycle (6 weeks). Many meno women who don't tolerate prog well use this regime to give them more 'good' time.

[Ana21]

Hi Midlifecrises72!

I think you should try the 200 mg continuously for 3 months and see how you feel.  Some women are very sensitive to fluctuating hormone levels.  You won't know how your body responds until you try it.  Be prepared for an adjustment period. 

At the end of the trial, you and your doctor will have more information to work with.  You'll have one more piece of your puzzle.

[NikNik]

Hi Midlifecrises72!

I started 10 months ago on 100mg Utrogestan  (continuous, as no period 2+years).
Because of bleeding, I was upped to 200mg daily just over a month ago.
It's got overall benefits with some downsides: sleepy at night is ok but grumpy mornings not so great!! I'm sticking with it  for 3 months, hoping that the low mood improves. I had terrible migraines all my 'hormonal' life & HRT stopped them overnight so that alone is worth the not so great effects for me!
I personally would give it 3 months to see it it settles.
Good luck 

[Ladybird13]

Hi Midlifecrises72!

I started 10 months ago on 100mg Utrogestan  (continuous, as no period 2+years).
Because of bleeding, I was upped to 200mg daily just over a month ago.
It's got overall benefits with some downsides: sleepy at night is ok but grumpy mornings not so great!! I'm sticking with it  for 3 months, hoping that the low mood improves. I had terrible migraines all my 'hormonal' life & HRT stopped them overnight so that alone is worth the not so great effects for me!
I personally would give it 3 months to see it it settles.
Good luck 

I have had hormonal headaches over my right eye every period cycle so I get how you feel. There also stopped when I started HRT 5 years ago. I am currently taking 200mg utrogestan and 100mg everol patch. The bleeding has gone to a very light spotting but is still every 4-5 weeks with the headaches, sore boobs, hot sweats etc. I am now on month 5 and although I'm not too bothered about the bleeding as it is very light for a day or 2 I thought it was to stop the bleeding (did start on 100 everyday but the bleeding still continued). Could it take a bit longer than the 6 months to settle? Just feel my own hormones are still there in the background even though my GP said I am now post menopausal as been on HR for 5.5 years. I'm 49

[Arya Underfoot]

Hi, I take progesterone 200mg continuously and get a lot of benefits from it. It's massively reduced my anxiety, so I have been able to stop taking anti anxiety meds. I sleep better than I ever had and therefore no longer feel fatigued. I think the only downside for me is maybe I'm also feeling a little depressed in the morning, but I've always struggled with depression. There are things you can do, like getting some morning sunshine, listen to music, watch a favourite TV show to lift your mood, I usually find after breakfast I'm feeling OK. The fact that your experiencing anxiety while taking progesterone cyclically might mean you need to try a different form of progesterone, unfortunately a lot of women on here struggle with Utrogestan/Prometrium. I hope you find something that works for you.