I had a hysterectomy with ovaries removed about 2 years ago. I am now 47 eat a healthy diet and exercise.I felt I needed to try bio-identical hormones to get some relief,severe vaginal dryness,hot flashes,foggy thinking,palpatations etc. The pharmacy reomended nurse practitioer who did this, I went to her she did the saliva test and the perscribed progesterone creme 40mg. cc and dhea 5mg. my estradiol was very low for a postmenopausal woman[I'm not that old]but she wouln't give me estradiol. I used the cream for 11 days and started feeling lightheaded the next morning I had vertigo,a swollen lip,cold sweats hot fashes,extreme dry mouth with thirst,confusion, I called the pharmacy and they said not to use cream,the nurse will not call back.It has been a week and I have improved but still have vertigo and am exhausted and tired all the time what can I do?
Treatment for menopausal symptoms vary greatly from practitioner to practitioner. Much depends on the philosophy of the person offering advice and treatment. But the most important issue is the individual needs of the patient, any particular risk issues for her and any personal fears, concerns or biases she might have.
While progesterone cream is a very reasonable treatment option, it is far from the only one. Many menopausal patients are still treated with estrogen and depending on the person, it is still a very good treatment option. Many physicians prefer blood hormone and chemistry levels to saliva ones because the believe them to be more accurate.
It is not clear why you had the reaction you did to the progesterone cream. It sounds like you were allergic to something in the cream. You might benefit from taking that material to an allergist and try to figure out what was the cause so you can not be exposed to it again. Since you still seem to have all of the original symptoms plus some, it is also time for a second opinion.
Machelle M. Seibel, MD
I would see an OB/GYN and ask for a full battery of hormone tests (including metabolic hormones). You only need the amount of estrogen/progesterone/testosterone, etc to bring your body to 100% of what it should have, not one mg more. So, the lab tests have to be read correctly and then the right combo of bio-identicals used. It doesn't sound right to me that she wouldn't give you some sort of estrogen to balance the progesterone. Taking one or the other unopposed, I have read, can cause serious problems. I've had good relief myself from over-the-counter USP Progesterone cream and Estroven (soy based), although I'm going to see a compounding pharmacist myself here pretty soon. I also found some relief from palpitations by taking B-12 and Magnesium/Calcium supplements.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.