Hey y’all, I’ve been boycotting reddit and don’t have access to the Menopause wiki, so I’m hoping one of you lovely people can help me. I am perimenopausal (VERY), and I’ve been using the estradiol patch for a while along with the Mirena to manage my symptoms. I’m currently using the .075 patch. My doctor also prescribed Progesterone to take as needed for sleep (100 mg). My question is this; do I need to take the Progesterone pill daily, or is it fine to use it as needed for sleep, considering I am already getting Progestin in the Mirena? Thanks for your help!

  • wolfylow@lemmy.world
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    1 year ago

    I’ve been using oestrogen gel and the progesterone pill for a few years now - for me, the progesterone pill makes ALL the difference to my menopausal insomnia.

    Have you considered removing the Mirena and swapping to just using the pill form? My doctor mentioned using the Mirena but I wasn’t sure it would have enough effect on my sleep so have stayed with the pills.

    • marfphh@lemmy.worldOP
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      1 year ago

      Thanks so much for your input! It’s awesome the pill has helped with your insomnia! I’ve struggled with insomnia my whole life, and then peri happened, and now I have megaforce insomnia! :( I’d consider taking out the Mirena except that it is the only thing that has helped with my very heavy bleeding, another one of my terrible gifts from the peri gods.

  • leftylibra@lemmy.worldM
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    1 year ago

    I would think that taking it every so often should be fine, but because the Mirena more than adequately covers the progesterone side of things, you may also get some negative side effects from the extra progesterone. (increased anxiety/depression/bloat). I don’t think the progesterone tablet takes time to “build-up” in your system before it starts working, so you should notice sleepy effects shortly after taking it, but make sure you take it before bed.