The more severe your hormonal imbalance, What to do?? As natural bioidentical progesterone is the precursor to oestrogen, and so can be converted into oestrogen in the body, this may be an added source.Women who have been deficient in progesterone may also not need always additional oestrogen as the adrenals and fat cells continue to produce it as their ovarian function declines.If needed, supplementation can be considered in the form of natural progesterone cream, or a bioidentical combination cream such as 20-1, containing both progesterone and oestrogen.You could also consider adding phytoestrogens, supported by Vitamin E, omega fatty acids and a regime of bone support, which will have received a positive boost with the addition of progesterone itself.If your HRT contains synthetic progestins then they do compete for the same receptor sites in the body as the bioidentical progesterone. I am sure Dr. Coope can address this with bioidentical hormones. discuss other options for bone health, cardiovascular health and non-estrogen hormones such as progesterone and androgens for a customized plan of hormone health.The Classic Step-wise Approach to any treatment involves trying the simplest and often safest therapy before moving to stronger and often a more intensive strategy. Your body had the ability to make its own hormones — right Is the right thing to do?? You might find it interesting to also read these articles by Dame Dr Shirley Bond and Dr David Zava: I had a complete hysterectomy for endometriosis and pelvic congestion among other things 33 years ago when I was 27. Keep this rule in mind: the more severe your original symptoms, the stronger your There Thanks, CherylSally: Even if you were to go onto a combined HRT, with the added synthetic progestin giving you a protection factor by ‘opposing’ the estrogen, it also brings its own potential problems (increased risk of cancer, cardiovascular disease and blood clots) as well as a tendency to depression in vulnerable women. Increase foods rich in calcium. I am 64 yrs. you begin to wean off HRT. Hopefully, all will be well. or should I also be taking some form of oestogen as well, I would prefer to be using as natural products as possible. Increase intake of foods high in phytohormones, especially soy protein-based foods. HRT is working — it’s gradually healing the issues that created the conditions in please can you tell me the best cream I need to take and The best way to come off the HRT, THANK YOU J GILLESPIEPauline please follow Dr Coope’s guidelines in the article. I had a ligation 17 years ago when my last child was born. when starting hrt they put me on the lowest dose continuous patch estalis 50/140 this worked really quickly to eliminate the hot flushes and night sweats however did nothing for the vaginal dryness, dry eyes or weight gain I still got a period ever 6-8 weeks. Also dizzy and nauseous.I ordered the 20-1 cream a couple of months ago but haven’t started using it due to my mood being good. I am also wondering if i should be going back to my doctor and discussting whether i would be better off using a combined HRT. Yes, that is what I am saying - because weaning off a patch is a bit impossible to tell you the truth - too difficult. This gives you the option of reducing the dose of oestrogen to the lowest effective dose, while still having the protective cover and benefits of the progesterone,(if you have the cooperation of your doctor, which of course does not always happen).I am 76 been on HRT everol patches for twenty years not always everol .Came of HRT last two years , been having a bad time since hot flushes bad sleep mood swings you name it , no one tells you what happens when you stop using it . Once severe symptoms have been stabilized over a period of time, patients may want to try a lower dosage program or slowly stop prescription hormones completely. After 4 months the hot flushes started to return nowhere near as severe however it was disappointing as I am aware of the physical and emotional stress on my body during these states. Whether there really are any newly identified increased risks or not, caution should be exercised with the use of any prescription (and non-prescription) medication or products.1) Increase supplemental Vitamin E to 800-1000 units daily. Would you recommend a really low dosage of bioidentical progesterone (Lower than 25mg patch).Kate: it appears that Evorel Conti patches only come in the 50 microgram strength. But new studies continue to support the unsettling conclusion: synthetic HRT I would like to take your advice and use a 25mcg Evorel (estradiol only patch) along with bioidentical progesterone. As would using the Vagifem in the vagina and also the herbs I mentioned. But is still best to reduce the dose gradually.No comments have so far been submitted. My doctor gave me 10mcg vagifem which helped a little but not enough and after 5 months changed to evoril conti patches which cured the problem but they wouldn’t stay on and so i got breakthrough bleading. Can you advise should I use this with tablets while weaning off hrt? I don’t know if the gastric issues (still undiagnosed) are caused by the hormonal imbalance but no doubt it can’t be helping. I have come out the other side of a traumatic menopause where I have been on and off HRT.but when I stayed off HRT found I suffered from vaginal atrophy.