For best overall results, you need to use the correct dose at the right time in your menstrual cycle. Not always an easy thing to do! Especially when your bleeding pattern has changed and perhaps is no longer as regular as before.
In the beginning of the perimenopausal transition, it's common to experience both shorter cycles and heavier bleeding, although the cycle might still be very regular.
The explanation behind this phenomenon is that with a diminishing egg reserve you will paradoxically produce more estrogen during a limited time. The levels of follicle stimulating hormone (FSH) rise and speed up ovulation which makes the cycle shorter. With more estrogen, more endometrium (the lining of the uterus) is produced which will lead to heavier menstrual bleeding.
A concentrated progesterone cream like Matriarch 100 can be very helpful during the two weeks before menstruation (the luteal phase) to inhibit the growth of the uterine lining and reduce bleeding.
What about spotting?
Spotting, or intermittent bleeding that occur before menstruation is supposed to start, is due to failed or incomplete ovulation.
The process of ovulation is what produces estrogen in the body. Estrogen is needed for the uterine lining to become thick enough for pregnancy. Estrogen also ensures that enough progesterone receptors develop in the endometrium, something called "estrogen priming". If the endometrium is too thin (lack of estrogen) or doesn't have enough progesterone receptors it will collapse prematurely, and you will experience spotting and/or a short cycle.
If you experience this, try the progesterone cream Matriarch 20. When you use a low dose of progesterone a few days BEFORE ovulation, it will have a stimulating effect and increase the chance of a successful ovulation, as well as a primed endometrial lining.
If you often experience spotting or intermittent bleeding you should NOT use progesterone cream AFTER (presumed) ovulation as this can make the situation worse. The uterine lining is very sensitive to progesterone, and even small doses can produce bleeding prematurely IF the endometrium is not estrogen primed and thick enough before you add the progesterone.
When you order a Matriarch progesterone cream more detailed usage recommendations will be emailed to you.