Question: I have been having perimenopausal symptoms and started bleeding abnormally heavy, passing large clots occasionally for 10 years, getting worse over the last year. I have had cysts on my right ovary, documented by ultrasound since I was 18, now 48. I have 3 children. Two years ago, I started having large cysts in my breast, improved (decrease in size) by my recent use of Provera. My Dr. put me on Provera for 3 months, 1x/day starting with day 19-29 which should have stopped the thick lining from building up, but instead, it gave me my period, first starting with spotting, leading into flooding BEFORE I got my period when I stopped the medication on day 29. Now, they want to start me on Aygestin 3 days-4x/day weaning down from there. I have read the side effects and have grave concerns. While on the Provera last month, month 2, I didn't stop the medication inducing period and I had lost a substantial amount of blood. Naturally, I am apprehensive and scared. If I am flooding now and when I stop the Provera, how bad is it going to get? As bad as last month with an ER visit? Since I don't have many side effects on Provera, (My right kidney is sore after 4 days today of Provera this month, mentally feeling better- less foggy, less anxious) is that any indication I will I be able to tolerate the Aygestin well? Either way, I have to stop the Provera today, so the blood can clot. Will the Aygestin, with all the awful side effects work, or should I just bail on this "therapy" as not for me?

I started 4 days out of 10 days of Provera. My dosage of Aygestin is 5MG at 3 days 4x/day, 3 days 3x/day, 5 days 1x/day. Should I drop off four days at the end to make up for what I started with on Provera? When do I start Aygesrin next month? Day 19, counting from where? Is there any concern about the pain in my right kidney? I had a serious kidney infection at 18 that I was hospitalized for. I don't know if this is just water retention or any other concern with this medicine. Any insight? Thank you, you have reduced my fears.

First of all, thank you, thank you, thank you! After 4 doses, the bleeding has slowed considerably, although I may need a few more doses to cease completely. Instead of depression, I have had NO side effects, in contrast, I feel euphoric, slept well and congestion has cleared up. although this may not last, should I consider a bioidentical progesterone for daily use? Would this work the same? and what are the problems with continuing progesterone after menopause? Thanks again!