Ask Dr. Jen
I mistakenly went through two "cycles" (pellet insertions ~18 months apart) because a friend recommended it and I didn't know any better until I encountered Dr. Jen on We Can Do Hard Things and then bought & read the book.... I ran out of the progesterone pills a few months ago, and haven't slept well since: waking up hot, but mainly much lighter sleep without that pill. I'm 52.5-- can I start MHT correctly now with transdermal estrogen and oral progesterone... Or is it safe to just have the progesterone because of the SLEEEEEEEP that I need? No heart conditions, but 80y.o. dad had a clot in his leg.
If you have an IUD, how will you know when you're in menopause if you're not getting regular periods?
Do you use the same considerations if a patient wants to initiate BC at a later age say 45 or 50 due to mood swings…or opt for estrogen patch+ prog pill instead at a certain age?