Possible Solution Breast tenderness and heavy menstrual bleeding may be due to too much estrogen. Reduce the dosage of estrogen and possibly increase the dosage of progestogen. Also take 3,000 mg of evening primrose oil and 50 mg of vitamin B6 daily. Possible Solution Depression and symptoms of premenstrual syndrome can be caused by too much progestogen. Reduce the dosage of progestogen or change to natural progesterone tablets, suppositories, or injections.
Natural progesterone is less likely to cause mood disorders.
Take progesterone less often, every two or three months instead of every month. Take 50 mg of vitamin B6 and 3,000 mg of evening primrose oil daily. Problem Inability to tolerate menstrual bleeding. Possible Solution Take both estrogen and progestogen continuously, every day. Problem Migraine headaches, nausea, and vomiting Possible Solution Nausea and headaches can be a sign of too much estrogen.