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Re: after WP, what next?

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> Hi

> Since I have stopped the WP, I have been giving considerable thought

> about what to do next. Finished rereading Suzanne Somer's new book.

> She is advocating very low doses of E and P. Sounds a lot like

> Reiss's approach. This also sounds like where many of you are coming

> from. I don't think there is any argument that everyone wants low P;

> its the E issue that seems to have everyone stumped.

I am not stumped..and neither is my doctor...he prescribed me 1.5

estradiol BID and told me to use the progesterone again when I feel

like I am ready to in whatever dose I decide would be good for me (I

have gone since 4/30 without P and will probably resume a very samll

amount in another month or two, like 20mg daily, two weeks per month).

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That sounds real good. I tried to do just that, but then the last 5-6 days of the luteal phase are giving me enough trouble - itching and nerve pain in the breast, no sleep, that I added more E - up to 6 mg oo last night, to sleep a few hours. When you get P-symptoms in the "luteal" phase, to a smaller degree in the E-phase (?), - do you only add more E ?

Has any of you gals gotten their period after cutting out the progesterone ?

Also: is anyone who is adding more and more E to their "ideal low" intake of hormones feel their other organs being stressed ? This is what is being said by Dr. Dale as I read her, - and I must say that these days I feel the need for more Armour thyroid, and DHEA for my adrenals. Also, my liver muscle-tests

as working very hard.

Charlotte

Re: after WP, what next?

I am not stumped..and neither is my doctor...he prescribed me 1.5 estradiol BID and told me to use the progesterone again when I feel like I am ready to in whatever dose I decide would be good for me (I have gone since 4/30 without P and will probably resume a very samll amount in another month or two, like 20mg daily, two weeks per month).click here for our webpage http://rhythmicliving.com/**The group conversation is informational in nature and is not intended as medical advice.**

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Hi charlotte - here is what I am doing: I have had no P since

4/30...and I have been using extra E this month - 3 mg twice a

day...I felt like I needed more because of the P overload in me. I

got a period last Thursday, 5/26...it was not due until Monday,

5/31...but it's been very light and " watery " and constant, but not

heavy....I attributed this to not using P this month, if I had, it

would not have come so soon (and I think I could have stopped it by

applying P at that point)..on Monday 5/31 it came heavier and more

red for the full day...since then I have been having a constant pink

flow...so at this point, I have been flowing with something for 8

days. This I am sure is due to no P...using the P seems to define

beginning and end of period...since i began to have this I have felt

a little less fatigued and not so much in P overload, although I am

still retaining fluids terribly and have swollen ankles and legs. I

am still using more than my 1.5 mg dose twice daily (probably 2mg),

but at some point when it feels right (probably in another day or

two), I will use the 1.5 twice a day and see how that feels. I have

been sleeping well since the flow began and so I will let it go as

long as it wants...who know..maybe some of the P can get out that

way, huh?

> That sounds real good. I tried to do just that, but then the last 5-

6 days of the luteal phase are giving me enough trouble - itching and

nerve pain in the breast, no sleep, that I added more E - up to 6 mg

oo last night, to sleep a few hours. When you get P-symptoms in

the " luteal " phase, to a smaller degree in the E-phase (?), - do you

only add more E ?

> Has any of you gals gotten their period after cutting out the

progesterone ?

> Also: is anyone who is adding more and more E to their " ideal low "

intake of hormones feel their other organs being stressed ? This is

what is being said by Dr. Dale as I read her, - and I must say that

these days I feel the need for more Armour thyroid, and DHEA for my

adrenals. Also, my liver muscle-tests

> as working very hard.

> Charlotte

> Re: after WP, what next?

>

>

>

>

> I am not stumped..and neither is my doctor...he prescribed me 1.5

> estradiol BID and told me to use the progesterone again when I

feel

> like I am ready to in whatever dose I decide would be good for me

(I

> have gone since 4/30 without P and will probably resume a very

samll

> amount in another month or two, like 20mg daily, two weeks per

month).

>

>

>

>

>

> click here for our webpage http://rhythmicliving.com/

>

> **The group conversation is informational in nature and is not

intended as medical advice.**

>

>

>

> --------------------------------------------------------------------

----------

>

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Makes complete sense to me, so glad you're having a relief. I had too, when I got my light, mostly brown and pink, period last month, and I felt great: no pains, grounded, - at the beach instead of only brisk walking I jogged for 2 or 3 minutes, wonderful - until the next morning, when my lower back was too painful ... I've been to the chiropractor 3 times since, it gets better, than worse....patience....!

After my period I felt very needy of E, so I had to take between 4 and 6mg oo per day for 3 days. Then I went down to only 2 mg/day (1mg-drop BID), but now the last days before my (hopefully) period, I had to soothe the itch at night, jumping from 2-3mg to 6mg

at night. So there seems to be a curve building itself, necessary at the moment to help normalize the P-storage.

Love, and thanks for sharing. I will take you up on that other group offer when I have a bit more time.

Charlotte

Re: after WP, what next?

Hi charlotte - here is what I am doing: I have had no P since 4/30...and I have been using extra E this month - 3 mg twice a day...I felt like I needed more because of the P overload in me. I got a period last Thursday, 5/26...it was not due until Monday, 5/31...but it's been very light and "watery" and constant, but not heavy....I attributed this to not using P this month, if I had, it would not have come so soon (and I think I could have stopped it by applying P at that point)..on Monday 5/31 it came heavier and more red for the full day...since then I have been having a constant pink flow...so at this point, I have been flowing with something for 8 days. This I am sure is due to no P...using the P seems to define beginning and end of period...since i began to have this I have felt a little less fatigued and not so much in P overload, although I am still retaining fluids terribly and have swollen ankles and legs. I am still using more than my 1.5 mg dose twice daily (probably 2mg), but at some point when it feels right (probably in another day or two), I will use the 1.5 twice a day and see how that feels. I have been sleeping well since the flow began and so I will let it go as long as it wants...who know..maybe some of the P can get out that way, huh?

> Has any of you gals gotten their period after cutting out the progesterone ?> Also: is anyone who is adding more and more E to their "ideal low" intake of hormones feel their other organs being stressed ? This is what is being said by Dr. Dale as I read her, - and I must say that these days I feel the need for more Armour thyroid, and DHEA for my adrenals. Also, my liver muscle-tests> as working very hard.> Charlotte

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I just got my period today(amazingly early - day 23)and have not done

any P during this luteal phase. I did WP E up until day 14, then

after seeing my Dr. cut down to 2mg BID the rest of the cycle.

I emailed him today and told him I was early and I guess I will be

ready to add in a little P next month the last two weeks.

He also wants to keep me on 1.5 mg. E BID and tiny bit of P.

What I am confused about is I still feel instinctively like I should

continue to follow the natural cycle and peak and come down like our

bodies do with E and P.

I am copying a post from G. that talks about that. Any ideas

how to get there with BHRT?

Sonii

Original Message -----

From: Gambardella

To: rhythmicliving

Sent: Friday, February 25, 2005 9:16 AM

Subject: Menstrual Cycle Rhythm per Dr. Vliet

Greetings all. This is the menstrual rhythm per Dr. Vliet.

From day one onward until ovulation, estradiol and to a lesser extent

estrone, levels are rising as the growth of several follicles is

being stimulated bt FSH. Once estrogen reaches a certain level in the

bloodstream all but one of the follicles shrink and die. for the

entire first half of the cycle, progesterone levels remain extremely

low, ususally less than 1 nanogram per millimeter. The first half of

the cycle is dominated by estrogen and is called the " Follicular

Phase " (refers to the egg development in the ovary) or " Proliferative

Phase " (refers to the process of growth of the endometrial lining in

the uterus). Estradiol levels average about 200 pg/ml across the

first 2 weeks of the cycle, with the low point being day 1 and the

high point being ovulation, ususally about Day 14. Peak estradiol

levels at the ovulatory phase are in the range of 350-500. The first

few days of the cycle (1-3) estradiol levels are optimally about 80-

90, until the decline in estrogen with premenopausal years when

estradiol typically drops to less than 40 during days 1-3 of cycle.

Days 1-14 are typically the phase of the cycle during which women

experience a sense of well being, optimal energy level, normal sleep

and an up mood. In the first ten days of each new cycle, rising

estradiol levels stimulate the release of LH from the brain. When

estradiol reaches its peak (350-500) at mid cycle, LH triggers the

follicle to be released as an egg, ovulation. The rapid drop in

estradiol as the egg is released may trigger the onset of a migraine

in some women. It may also contribute to brief disruption of sleep

and for some women it may trigger brief mood swings. The egg develops

into the corpus luteum. This half of the cycle is called the luteal

phase. This phase of the cycle is dominated by the hormone

Progesterone. Circulating levels of progesterone reach a peak between

10-25 nanograms per millimeter by about day 20 to 22. If there is no

fertilization of the egg the corpus luteum begins to disintergrate

and no longer makes progesterone so the progesterone level drops

sharply, triggering the onset of bleeding. Estrogen also drops at

this time of the cycle, and the falling estradiol level can be a

trigger for migraines, restless sleep, anxiety symptoms, palpitaions

and pain flares. Falling progesterone levels may furhter add to

insomnia and anxiety triggered by the falling estradiol. Estrogen

levels also rose again from ovulation until about day 20, reaching

the peak for the second half of the cycle at the same time

progesterone is peaking. The optimal level of estradiol in the

luteal phase of a healhty cycle is somwhat less than in the

follicular phase of the cycle. Average peak luteal phase estradiol

levels are about 200-300. Worsening PMS symptoms will occur when

luteal phase estradiol levels fall below 160-170. Another effect of

progesterone is to slow down the movement of food through the

gastrointestinal tract by decreasing the muscular waves that move

material through the entire digestive system. As a result, you hold

more contents in the intestine when progesterone is high so this is

one reason you feel full or bloated at this phase of the cycle.

I hope this is of some help in understanding the rhythms that we

would normally go through. If I am not jumping back on the boards in

the pm hours it is because my computer at home crapped out and I am

going away this weekend so who know when I will have the time to get

around to purchasing another. I really need to give up my day job to

concentrate on all of this LOL. I do hope this helps..... G

> That sounds real good. I tried to do just that, but then the last 5-

6 days of the luteal phase are giving me enough trouble - itching and

nerve pain in the breast, no sleep, that I added more E - up to 6 mg

oo last night, to sleep a few hours. When you get P-symptoms in

the " luteal " phase, to a smaller degree in the E-phase (?), - do you

only add more E ?

> Has any of you gals gotten their period after cutting out the

progesterone ?

> Also: is anyone who is adding more and more E to their " ideal low "

intake of hormones feel their other organs being stressed ? This is

what is being said by Dr. Dale as I read her, - and I must say that

these days I feel the need for more Armour thyroid, and DHEA for my

adrenals. Also, my liver muscle-tests

> as working very hard.

> Charlotte

> Re: after WP, what next?

>

>

>

>

> I am not stumped..and neither is my doctor...he prescribed me 1.5

> estradiol BID and told me to use the progesterone again when I

feel

> like I am ready to in whatever dose I decide would be good for me

(I

> have gone since 4/30 without P and will probably resume a very

samll

> amount in another month or two, like 20mg daily, two weeks per

month).

>

>

>

>

>

> click here for our webpage http://rhythmicliving.com/

>

> **The group conversation is informational in nature and is not

intended as medical advice.**

>

>

>

> --------------------------------------------------------------------

----------

>

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