Hi, I am 46 in January and have been going through perimenopause since I was about 40. Started with sore swollen breasts, then heavier periods and even heavier then I had PMS for the first time in my life (It took 2 years before I realised it was PMS due to the cycles and timings of my symptoms) then I had insomnia around my PMS time and as the years have moved on my periods are all over the place. Then night sweats, nothing major just one a night and certainly no drenching of the bedding but enough to wake me up. I have periods with no symptoms and symptoms with no periods. The hardest part is no longer being able to say "Ahh! I feel like this because I am due on" the symptoms just hit me at any time and there is no rhyme or reason to them anymore. I have been waking up every night at 5am for months and thankfully I go back to sleep within 20 to 30 minutes sometimes less. Sometimes I get insomnia when and anxiety about insomnia when I wake up and cant go back after 4 hours etc but that usually is followed by my period which is now no more than a tiny spot of old blood, if that. I am using Progesterone (Natural) pessaries 400mg daily every day no break and have done for two years. Progesterone is the calming hormone, nick named "Natures Valium" were as oestrogen is an excitatory hormone. Over the years, as we age, progesterone starts to drop, when we fail to ovulate our bodied produce no progesterone at all (Except a small amount from the brain) and this is what causes a worsening of PMS symptoms as we reach menopause. Oestrogen levels on the other hand, remains the same (over time, of course it dips and ducks throughout the month) and with xenoestrogens in the environment and in our foods, cosmetics, microwave foods contained in plastic, meats etc that women are now no longer accepting the old fashioned belief that we need "Oestrogen" when facing peri and menopause, in fact quite the opposite! Oestrogen Dominance is no more a gimmicky term used to sell progesterone products than "Oestrogen Deficiency" is to the pharmaceutical companies who sell chemical hormones to the medical profession who prescribe them. The studies done on menopause were last researched in the 1950s and were incomplete and yet the medical profession are still treating hormone issues based on that out of date information. If you research the net you will discover *new* studies showing post menopausal women in their 50s with as much Oestrogen as a 20 year old woman but almost no Progesterone. The modern era has enough xenoestrogens to push our Oestrogen levels up already without us needing to put more into our system. It's not a case of a lack of Oestrogen, its the balance or lack there of, of these two hormones that cause the issues.. and as I say, modern research shows a decline in Progesterone whilst Oestrogen remains more or less the same. Women who have PND do so due to the sudden drop of progesterone once they give birth. Our bodies make 400mg of progesterone when we are pregnant. We give birth and suffer from depression anxiety etc due to the sudden drop in Progesterone. This is why many women say that their PMS goes when they were pregnant but comes back with a vengeance when they give birth. All that said, and despite my Progesterone therapy (Which I had to convince my female doctor to prescribe as she wanted me to have a coil fitted) I DO have bad weeks and hours and not all of the symptoms have gone and I wonder if I am getting worse the closer to menopause I get. According to my research you cannot overdose on progesterone, the only thing that would happen is you would feel sleepy! Take too much Oestrogen and all Hell breaks loose not to mention the links to cancers. If anyone is interested in the research and papers to back my own belief up here is a link to a forum on the subject http://www.progesteronetherapy.com/#axzz3KNpFIkMz I am very interested in womens experiences who HAVE taken HRT in either combination, for how long and whether they feel it was working :) Many thanks, Here is a link that might be useful: Progesterone Therapy

Debrak, you may want to read a bit more about vitamin D before you self medicate with a higher dose. We tend to overdo this stuff in the U.S. From the article linked below: " The US Endocrine Society guidance, for example, advises supplementation with up to 2000 IU per day, but this is overzealous, she said. "A more reasonable dose is 600 to 800 IU per day," she noted, adding that she is an author on a new guidance, soon to be published in the Journal of Clinical Endocrinology and Metabolism, which will state that 2000 IU per day "is not warranted." " The uv wavelength that helps us produce vitamin D is the same that causes aging and skin cancer (with enough exposure). So limited sun exposure is the key. Right now vitamin D is the new fad--- it has replaced the megadoses of vitamins a, e and c, and other supplements that seemingly everyone has been on at one time or another. Here is a link that might be useful: Journal Article on Vitamin D from European Endocrinology Conference

The following is the Q&A on Late Menopause: Q:"Are there any advantages to still having periods at the age of 56? Is there a benefit to late menopause, or is it better to undergo it earlier? "  Rosemary, Pennsylvania A: Having a late menopause (menopause after the age of around 55) is a double-edged sword. There's some evidence that a later menopause carries a decreased risk of coronary heart disease, but there may also be a slightly higher risk of breast cancer. However, the associations between these health conditions and menopause aren't very strong. The other good news is that there are ways to avoid many health problems  such as doing regular exercise, following a healthy diet, maintaining a healthy weight, and so forth. There is an association between menopause and smoking  smokers often have an earlier menopause. You are probably a nonsmoker, though, which is also good for your health. Keep in mind too that 56 is well within the normal age range for menopause, though it's toward the upper end of the spectrum. So you have nothing to worry about right now. Last Updated: 08/04/2008 JoAnn Manson, MD, is a professor of Medicine at Harvard Medical School and chief of Preventive Medicine at Brigham and Women's Hospital.

I didn't start with constant bleeding...but my periods would be so heavy I literally could not leave the house when that was going on. My doctor wasn't concerned, only told me if I started passing blood clots the size of a 50 cent piece THEN we would need to discuss options. I would have less than two weeks between periods but at least it wasn't every day all month. The high anxiety was the symptom that sent me to the doctor because I was certain I was having a nervous breakdown. Looking back now...the beginning of feeling like I was 'out-of-control'...'out of whack' with what used to be a normal life was the beginning of the change. Now I'm just waiting to get to the other side and hopefully find what's left of my brain there and pick up the pieces and move on!