Please login or register.

Login with username, password and session length
Advanced search  

News:

Follow us on Twitter and Facebook

media

Pages: [1] 2

Author Topic: Micronised progesterone for heavy periods/endo?  (Read 997 times)

1000rosie

  • First Flush
  • *
  • Posts: 1
Micronised progesterone for heavy periods/endo?
« on: June 13, 2024, 12:38:31 PM »

Has anyone used micronised progesterone for very heavy periods? I’m 45, suspected endometriosis (didn’t want the surgery).  Heavy periods previously controlled with tranexamic acid but now out of control!  I’m intolerant of synthetic progesterone so can’t go back on the mini pill and am worried about the mirena. I’m now getting fatigue and 2 awful weeks of PMS per month. US and Canada women’s health practitioners all recommend micronised progesterone, without oestrogen, to help with oestrogen dominance. This isn’t in NHS treatment guidelines and I wondered if any private clinics in the UK would prescribe it? I’ve found one in London but they don’t do video consultations and I’m in Scotland. Would the Balance clinic be able to help? Any ideas or advice please? TIA 🤩
Logged

CrispyChick

  • Member
  • *
  • Posts: 1160
Re: Micronised progesterone for heavy periods/endo?
« Reply #1 on: June 13, 2024, 01:35:34 PM »

Hey

The bhrt clinics prescribe progesterone only. Such as Marion Gluck, London hormone clinic. But they specialise in compounded. However, they do also prescribe utrogestan. May do cyclogest.

Maybe call round some clinics and ask. Plenty do online consultations.

You're absolutely right. Prog only therapy is a thing in peri on other countries but not under the NHS, or BMS for that matter.

They'd rather give you artificial progestins. They are not the same!

There are Facebook groups dedicated to this - estrogen dominance support group, pmdd group. Have a look.

You've identified what might help. Now u need to find someone to agree and prescribe.

Alternatively, some do ask for hrt then only the the progesterone. But the dose might not be high enough.

X
Logged

CrispyChick

  • Member
  • *
  • Posts: 1160
Re: Micronised progesterone for heavy periods/endo?
« Reply #2 on: June 13, 2024, 01:39:41 PM »

Oh. And someone on here did have success with newson clinic. But I'm not sure it's the norm for them to just give prog.

I know a lot about this as my peri has been hell with estrogen dominance. My prog is very low. I'm very unbalanced.

The NHS solution is to offer me a chemical menopause. Which I'm considering. But I'll be trying prog only first. X
« Last Edit: June 13, 2024, 02:08:59 PM by CrispyChick »
Logged

bombsh3ll

  • Member
  • *
  • Posts: 141
Re: Micronised progesterone for heavy periods/endo?
« Reply #3 on: June 13, 2024, 01:42:56 PM »

Are you intolerant to all synthetic progestins?

I can understand your hesitation about the IUS but it is the typically recommended and highly effective treatment for heavy bleeding in the perimenopause (and can later serve as the progestin within HRT).

Personally I am a big fan of the combined pill - I take it continuously and have no bleeding at all or any hormonal ups or downs. There are lots of different formulations so it isn't game over if one doesn't suit.

If neither of the above are for you, why not just ask your GP for a trial of micronised progesterone - it's not unreasonable for this indication although likely to be less effective than the pill or IUS.

Estrogen dominance is not a medical term - levels can fluctuate greatly during the perimenopause so you can be high one day, low another.

If you can't get the micronised progesterone on its own and you really want to try it, ask for cyclical HRT with transdermal estrogen and micronised progesterone. What you do with the patches is up to you 😉

PS it can work better vaginally for heavy bleeding as a higher concentration reaches the uterus.

I am sure the balance clinic would help you but you shouldn't have to pay and there's nothing to lose by trying the NHS first.
Logged

CrispyChick

  • Member
  • *
  • Posts: 1160
Re: Micronised progesterone for heavy periods/endo?
« Reply #4 on: June 13, 2024, 02:21:30 PM »

I think that's the point bombshell - it's not a 'medical term' in the UK. It is in other countries!

It is well known that progesterone departs first in peri. Many don't seem to have a problem with that. But some of us are very sensitive to the then unbalanced estrogen.  :(
Logged

sheila99

  • Member
  • *
  • Posts: 5164
Re: Micronised progesterone for heavy periods/endo?
« Reply #5 on: June 13, 2024, 04:39:36 PM »

Good advice from bombsh3ll. Utrogestan isn't the best at controlling bleeding. No harm in trying it but if tranexamic acid isn't keeping it under control utro probably won't either. Synthetic progestogens vary though, you can find you're intolerant to one but another is fine. Usually a mirena is the most effective option. If you're losing a lot of blood it might be worth getting your iron levels checked if haven't already done so.
Logged

AngelaH

  • Member
  • *
  • Posts: 228
Re: Micronised progesterone for heavy periods/endo?
« Reply #6 on: June 13, 2024, 07:36:58 PM »

Heavy periods previously controlled with tranexamic acid but now out of control! 
I was fitted with Mirena after tranexamis acid stopped working for me. For heavy bleeding Mirena is the best solution. Actually I can’t tolerate Utrogestan and not just me, it’s horrible stuff to be honest.
Logged

AngelaH

  • Member
  • *
  • Posts: 228
Re: Micronised progesterone for heavy periods/endo?
« Reply #7 on: June 14, 2024, 12:17:58 PM »

Estrogen dominance is not a medical term - levels can fluctuate greatly during the perimenopause so you can be high one day, low another.
Estrogen dominance applies to any period of woman’s life, including reproductive years and also post menopause. It happens when progesterone levels too low to opposite estrogen and it causes the symptoms. It happens to women in the UK too, it doesn’t matter if NHS recognise it or not, women are living in the UK do suffer from it. I was left undiagnosed for decades, NHS tried to treat my symptoms, but not the actual root of the problem. When I reached my peri all my symptoms became more and more severe and that was the point when NHS started treating me in the right direction. I was lucky one, because my GP was German and my gynaecologist in hospital, where I was referred eventually, was English but knowledgeable “out of NSH box” and I ended up with progesterone only treatment, it changed my whole life, like I was newborn again. So when I read comments like yours it makes me sad, NHS is talking rubbish, making some of us suffer from horrible symptoms for many years.
« Last Edit: June 14, 2024, 12:33:08 PM by AngelaH »
Logged

Kathleen

  • Member
  • *
  • Posts: 4607
Re: Micronised progesterone for heavy periods/endo?
« Reply #8 on: June 14, 2024, 12:52:36 PM »

Hello ladies.

AngelaH.  Can I ask if you think it's possible for me to be oestrogen dominant?

It seems unlikely as I am 67 and very post meno however I have been trying HRT for ten years and I have never felt that it has helped me. I have always been prescribed more oestrogen than progesterone and during my menstruating years my periods were always very heavy.

I wonder if it is worthing trying to reduce my  oestrogen dose but continue taking Utrogestan to see what happens?

I have an upcoming HRT review with the nurse at my surgery  and I will mention it to her but I doubt that she will be familiar with this approach. Time will tell!

Many thanks and take care.

K.


Logged

CrispyChick

  • Member
  • *
  • Posts: 1160
Re: Micronised progesterone for heavy periods/endo?
« Reply #9 on: June 14, 2024, 01:14:42 PM »

Hi Kathleen.

I'm sure Angela will be along. But I just wanted to say, I'm very much estrogen dominant in peri. But there are many woman who also follow this protocol post meno.

If you look at the Facebook groups - estrogen dominance support group and the UK group  Hormone balance support group UK.

They do talk a lot about high doses, but if you can see through that side of it, there are so many woman using prig only therapy.

You will get a flat no from your GP/nurse. That I am sure of.

Knowing how much you've struggled - I say give it a go.  ;) xx
Logged

AngelaH

  • Member
  • *
  • Posts: 228
Re: Micronised progesterone for heavy periods/endo?
« Reply #10 on: June 14, 2024, 04:27:01 PM »

Hello ladies.

AngelaH.  Can I ask if you think it's possible for me to be oestrogen dominant?

It seems unlikely as I am 67 and very post meno however I have been trying HRT for ten years and I have never felt that it has helped me. I have always been prescribed more oestrogen than progesterone and during my menstruating years my periods were always very heavy.

I wonder if it is worthing trying to reduce my  oestrogen dose but continue taking Utrogestan to see what happens?

I have an upcoming HRT review with the nurse at my surgery  and I will mention it to her but I doubt that she will be familiar with this approach. Time will tell!

Many thanks and take care.

K.

Hello Kathleen,

We all are different and everyone is unique, so everything is possible! What I have learned is we need to listen to ours bodies. I am 53, post meno now, but don’t know for how long exactly, because I was on progesterone for 5 years, which stopped my periods completely and I went through menopause and post meno, so I believe I am somewhere in my early post meno, no more than 2 years. It’s hard to say if it’s connected to my history of estrogen dominance or not, but HRT estrogen + progesterone doesn’t work for me and makes me extremely ill. I was struggling for more than a year, trying different forms of estrogen: gel, patches and spray, they all made me feel even more ill than I was. I couldn’t understand why estrogen made me worse, my blood test came with results very low estrogen, just 34, so why HRT didn’t work to me? I still don’t know the answer, but eventually I found my own treatment. It comes my body hates estradiol, the main ingredient of HRT, which NHS use. I found out estriol does very good job for me, it looks like my body doesn’t need replacement therapy, it needs just a little top up. I use very little doses and not every day even and progesterone when I feel I need it and it works perfectly for me. I suffered from horrible nausea and fatigue before, they are gone now, I am full of energy and feel like I used to be, bones and muscle pains are gone too and I can spend all day on my feet and don’t feel tired.

Unfortunately NHS treatment is not for everyone, in fact not everyone needs such a big amount of hormones to function, post meno body doesn't need to keep reproductive function anymore, but we need hormones for brain, bones, muscle…… and small doses to keep them happy are more than enough. This is my own experience, of course we all are different and I believe everyone can find the right treatment, even if it looks like is not right from NHS point of view, it doesn’t matter, the main thing is working well for the body.

I would not even to discuss this with any medical professionals, they are working under NHS rules and normally they are not willing to offer or just discuss something, which is not fitting to their rules. Utrogestan is a big dose of progesterone, to balance it with estrogen you should take amount of estrogen proportionally. It is the right balance between hormones, which is responsible for how we feel. I don’t take estradiol at all (I take the weakest estrogen- estriol) as I have mentioned before, my last blood test result was - estradiol only 34 and I am felling fine, I don’t feel ill anymore. I do believe you can try the smallest amount of estrogen, but you need to remember that progesterone should be in the right proportion to that amount and unfortunately NHS cannot offer you that.

I wish you well and good luck, I hope you will find your own treatment eventually.

Logged

bombsh3ll

  • Member
  • *
  • Posts: 141
Re: Micronised progesterone for heavy periods/endo?
« Reply #11 on: June 14, 2024, 07:31:06 PM »

I just wanted to add that whilst anyone with a uterus taking estrogen needs some form of progestogen to prevent endometrial hyperplasia, the reverse is not true - there's no medical reason why someone HAS to take estrogen if they are taking progesterone.

Progesterone absolutely can be taken by itself if this works for a particular individual.





Logged

CrispyChick

  • Member
  • *
  • Posts: 1160
Re: Micronised progesterone for heavy periods/endo?
« Reply #12 on: June 14, 2024, 07:53:59 PM »

Exactly bombshell. But try telling that to the NHS!!!!
Logged

Kathleen

  • Member
  • *
  • Posts: 4607
Re: Micronised progesterone for heavy periods/endo?
« Reply #13 on: June 15, 2024, 08:43:57 AM »

Hello again ladies

Just a quick post to say thank you so much for your comments, much appreciated and plenty of food for thought!

I will let you know what happens at my HRT review.

Take care ladies.

K.
Logged

Ladybird 2

  • Member
  • *
  • Posts: 30
Re: Micronised progesterone for heavy periods/endo?
« Reply #14 on: June 15, 2024, 06:42:11 PM »

Hi 1000Rosie & all the ladies on this brilliant forum,

I am in a very similar situation with the same concerns & thoughts of the directions to take, all of your experiences are so valuable!
After an ultrasound scan at 58 & horrendous periods for most of my life I was told endometriosis was found & also showed inside the womb, she said this was what she saw but not reported, as she said I was just about post meno & shouldn't be a problem. My periods stopped & I read Louis Newson site about taking Femseven conti that it was a better type of progesterone & have been on this for years.

At 44 I was diagnosed with osteopenia & within 1 yr of eating more calcium rich foods my dexa scan showed severe Osteoporosis!! so it very important to look after your bones.

Now I feel like I need to stop HRT temporally and take utrogestan to clear & like to know about Estriol is this a more natural form of oestrogen?
Oestrogen is great for me, but the endometriosis doesn't like it when I use it locally.
I am not absorbing the minerals with high calcium foods so oestrogen is essential. It's a battle to get it right & femseven conti seems to have worked for me for a few years keeping a good balance.
Marina is not an option or removal & would rather put up with side effects of progesterone intolerance to keep a good balance as with Femseven conti patches.

Hope this helps with your decisions,

Ladybird2
   
Logged
Pages: [1] 2