Here are the symptoms you don’t want to talk about. Heavy, flooding periods. Mood swings. Insomnia. Hot flushes.
They’re not nice symptoms because, well, it’s not fun to bleed through your clothes or wake at night with your heart pounding and your sheets all wet.
And part of you is thinking that maybe you’ve done something wrong to get into this situation. Or, at the very least, that you’ve made the shameful mistake of getting older in a society that doesn’t want to hear from older women. And so you keep quiet.
These symptoms won’t last forever. And there are simple things you can do now to feel better quickly. (Things that aren’t the hormonal IUD or antidepressant your doctor wants you to take.)
Please try them IN ORDER, adding the next treatment only if you need it.
Step 1. Magnesium plus taurine
Together, magnesium and taurine boost GABA which is the calming neurotransmitter your brain needs as it adjusts to the great progesterone crash in your 40s. They’re incredibly soothing and can improve sleep, mood, and hot flashes. (300 mg magnesium plus 3000 mg of the amino acid taurine.)
For additional relief, consider adding 50 mg of vitamin B6, which is another good way to boost GABA.
In a 2017 paper called “Magnesium in the gynecological practice: a literature review,”magnesium was found to be effective treatment for symptoms of menopause and peri menopause.
For mood and sleep and hot flashes, this could be as much treatment as you need. Try it for a few weeks, and then if you’re still suffering, consider adding progesterone.
Step 2. Natural progesterone cream
Natural progesterone or micronised progesterone is entirely different from the progestins used in birth control or conventional hormone replacement (HRT). It’s not a drug. It’s the beneficial hormone you used to make in your 20s and 30s.
Progesterone has many benefits.
• It makes periods lighter so progesterone can be used together with turmeric and other treatments to relieve the crazy heavy periods of peri menopause.
• It relieves hot flushes— even on its own without oestrogen. Progesterone works best in combination with magnesium and taurine.
• It improves sleep. For severe sleep problems, a progesterone capsule such as Prometrium is preferable to a cream. By ingesting progesterone, you can convert more of it to the sedating metabolite allopregnanolone (which is like a natural sleeping tablet).
• It helps to clear histamine thereby relieving the histamine intolerance that can flare up during perimenopause and menopause.
• It stabilises the HPA or adrenal axis and improves your ability to cope with stress.
Tip: Other strategies to stabilise the HPA adrenal axis include rest, meditation, and adaptogen herbs such as ashwagandha and Rhodiola. All are valuable treatments during the menopause transition.
Tip: Natural hormones should not be taken continuously; they should be stopped for at least five days per cycle.
Magnesium + taurine + progesterone should be enough for most of you. Try it for a few weeks, and then if you’re still suffering, consider adding a small amount of oestrogen.
Tip: Do not take oestrogen until you are first taking natural progesterone.
Step 3. Oestrogen
It’s okay to add a small amount of oestrogen. It’s a lot safer than you’ve been led to believe and can be incredibly helpful for sleep and mood and hot flushes. (Please read In Defense of Oestrogen).
Tip: Most of the cancer risk from conventional hormone replacement was from the synthetic progestin—not oestrogen.
If you do decide to add oestrogen, please choose one that is:
• Low-dose. When it comes to oestrogen, the lower, the better. If you can get away with a little dusting of Vagifem cream or a pessary, then stick with that. The next step up is a low-dose patch like Estraderm 25.
• Bio-identical, which means it is identical to human estradiol or oestrogen. Fortunately, most (not all) modern conventional oestrogen products are bio identical.
• Transdermal, which means you absorb it through your skin from a cream, gel, or patch. Oestrogen is better and safer when taken this way.
Tip: Please also take progesterone—even if you don’t have a uterus! You need natural progesterone for mood and to protect your breasts.
Tip: Do not take oestrogen if you’re still having periods. A common situation is first, your periods stop (you need oestrogen). Then, your periods return for a few months (you should stop oestrogen). And finally, your periods stop again (you need oestrogen again). But you can take the basic prescription of magnesium + taurine + progesterone during all the tumultuous years when you’re having symptoms but still having periods.
This information is from an article by