It’s been a few weeks now since I started the progesterone cream. After trial and error, I found I feel best around 350 mg per day. That’s seven pumps. Morning, noon, and night. Granted, I am thankful the cream is helping, and smearing cream on my body is far from painful or uncomfortable. But I still have to remember to do it, still have to expose enough skin surface to apply the cream. There have been days when I haven’t been able to use the mid-day dose, or I’ve simply forgotten, and I’m amazed at how quickly the hot flashes increase.
Most nights now I wake two the three times, sometimes with mild hot flashes, by which I mean I feel quite hot and search for a cool spot under the sheets and if that fails hang my legs over the side of the bed until I begin to cool. This time of year that’s not too difficult. And at least I’m not sweating profusely or shivering uncontrollably. Thankfully, I usually go back to sleep quickly and relatively easily and wake at a consistent time each morning. Barring any late nights or disruptive dreams, I often have as much energy for the day as I would normally (which isn’t saying much).
During the day I have few hot flashes and am even able to wear a sweater on cold days without overheating. I still opt for layers when it’s convenient, but don’t have to put as much effort into my wardrobe choices as in previous weeks. On a few occasions I have tried to scale back my dosage by one or two pumps, but hot flashes during the day return, and nighttime ones intensify quickly. I’ve also tried adding a pump or two a couple times in an attempt to not simply minimize my symptoms, but eradicate them entirely. But as it is I go through one bottle every ten to eleven days. That’s three bottles each month at this rate. The cost of a pricey prescription insurance won’t cover. That’s how I have to look at it. It’s for my health and quality of life, but it’s not a fun way to spend. And I’d like to avoid spending more.
Overall, though, I continue to be thankful each day for a reprieve and the ability to function normally, well as close to normal as is possible with mid-life’s sometimes silent, often relentless, daily assaults. Now if only long-term use of the cream would help me remember what I walked into the other room to do, I’d be even better.