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. Change to a non-oral form of estrogen such as patches. Begin with low-dose estrogen patches. Problem Increased blood pressure, fluid retention, bloating, weight gain, aching legs. Possible Solution Fluid retention can be from too much estrogen.