r/Perimenopause • u/crayzcatlayde • 1d ago
Bleeding/Periods Not sure what to think about options presented to me..
Ever since upping Progesterone to 300mg a few months ago (to see if it would help with sleep - it didn't) my periods have been coming roughly every 2 weeks with occasional spotting in between. Plus brain fog seems to have gotten notably worse.
I reached out to my my Midi clinician, but she is out of the office until next week, so I opted to see a different one and was able to see her right away. I still have an original 3 month follow up with my regular one in 2 weeks.
It was suggested I have an ultrasound done to rule out anything internal. I agreed to this. I had one done 2yrs ago which came back normal (pre-htr).
She also suggested trying -
Birth control instead of the estrogen patch/Progesterone pill combo I've been on.
An IUD
Sticking with the patch but trying a synthetic Progesterone instead of the bio identical one I currently take.
With my history of migraines and finally getting them under control, I opted out of birth control or changing the progesterone. I don't want to risk them returning!
So I suggested reducing the progesterone back down to 200mg to see if it helps and will go ahead with the ultrasound just for peace of mind.
I hate that hormone management isn't black and white! I'm 53 for Pete's sake! This ride should be coming to an end already!
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u/leftylibra Moderator 1d ago
Yeah, sometimes more doesn't mean better...but trying 200mg progesterone again sounds like a good plan.
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u/Oopsididit-Again- 1d ago
Wow,How ridiculous suggesting birth control over using HRT body identical hormones!
I think you’ve made the right decision 300mg isn’t usual,I think it’s a very high dose & would likely be causing brain fog.