It is best to begin using progesterone cream at the time of ovulation. As time goes by and symptoms diminish, try cutting back each month on the amount of natural progesterone you use. If symptoms return, resume previous usage and try to cut back the following month. Ultimately your goal is to be symptom-free. If you have no symptoms for several months and symptoms recur, you may want to use the cream on an as-needed basis.
Many women also experience irregular periods.
Rather than regulate the menstrual cycle of a menopausal woman, natural progesterone helps with many of the symptoms of menopause. All women experience menopause differently. Some women need more natural progesterone than others. The correct amount of natural progesterone for one woman is not necessarily the right amount for another. Then start again for 2 weeks, then stop for 2 weeks, etc.