If prometrium (micronized progesterone) alone isn't bringing relief of perimenopausal symptoms would adding estrogen help? Which is better, a cream or a pill?

Yes estrogen helps. Prometrium (micronized progesterone) is primarily used in the perimenopause to protect the lining of the uterus from estrogen when women are taking estrogen for menopausal symptoms. Estrogen has definitely been shown to help with hot flashes, night sweats, insomnia, vaginal dryness, etc. Personally, i like the patch the best. Talk with your doctor about the benefits and risks, good luck!

Related Questions

If your taking prometrium (micronized progesterone) & estradiol cream for perimenopause symptoms while still menstruating, what's the best way to take these both?

Specialist. That really requires a specialist and individual care. If your periods are regular sometimes timing the Estradiol to your natural body and the Prometrium (micronized progesterone) to your natural period is easiest. Sometimes daily Prometrium (micronized progesterone) is easiest to try to get rid of your period. It takes a little trial and error in the perimenopause to get a good regimen for you. Read more...

I prefer the most natural of hrt. I read estrasorb is a good cream. Would that be suitable to take with prometrium (micronized progesterone) for perimenopause symptoms?

Yes definitely. This is a great cream when combined with prometrium (micronized progesterone). Be sure you've had that conversation with your doctor about risks of hrt. Keep blood pressure low, exercise every day if you can, keep cholesterol low, don't smoke. All the basics you probably already know! Read more...
Estrogen. Biest a combination of Estradiol and estriol is the best combination. Vivelle (estradiol) patches are Estradiol or Estrasorb would be alright. I do prefer combinations instead of just one estrogen. Read more...

When prometrium (micronized progesterone) stimulates instead of sedates a perimenopausal woman what should be taken? Estrogen in combo with prometrium (micronized progesterone)?

Go see your doctor. While our impression of estrogen for perimenopausal women has changed dramatically over the last decade, it still should be used for right reason, and sedation is not one of them. So go see your prescribing doctor & tell her/him about your side effects so that s/he can offer you some alternatives (rather than just throw more medications at you). Read more...

Took prometrium (micronized progesterone) for 6 weeks straight for perimenopause symptoms, left me with symptoms of estrogen dominance.?

Other reasons. The menopause transition is a highly specialized treatment area. Hormones changes are very common and fluctuations very high. There are also a lot of misconceptions about what to treat. Estrogen can vary from very low to very high amounts over just a few days. It really requires a specialist to guide someone through it. Prometrium (micronized progesterone) will not affect estrogen levels generally at all. Read more...

Took prometrium (micronized progesterone) for 6 weeks for perimenopause symptoms. Started out with improvements but didn't last. Now what?

See your doctor. Your ob/gyn specialist can review your symptoms and suggest treatment based on your medical and family history. This may include estrogen in addition to the Prometrium (micronized progesterone) you are taking now. Read more...

I took prometrium (micronized progesterone) for 6 weeks for perimenopausal symptoms, after stopping it im gaining weight. Why? I gained on it as well.

Hard to say. Prometrium (micronized progesterone) is probably not the best choice, by itself, for perimenopausal symptoms. Find a doctor who will evaluate all issues and hormone levels involved in this stage of your life. This treatment can get complicated so find someone who knows reproductive hormone balance well and treats many patients in your age group. Read more...