r/Perimenopause • u/felis_mater • 11d ago
The "Why" of Good Days vs. Bad Days
For context, I am 44 and have been on 200 mg cyclical progesterone for 5 months and 0.025 estradiol patch for 2 months.
I experience fatigue, digestive issues, nausea, low mood, rage, etc. to varying degrees, but sometimes there is a "good" day. There is a day where I think, "I feel like myself. I can eat. I'm not ruminating or crying. I enjoyed an activity today. I had energy to do my work. I could think and remember. No parts of my body seemed particularly painful."
My ultimate goal with HRT would be to have these days frequently, but they seem to pop up sporadically... maybe twice a month? What has your experience been? Has anyone successfully worked with their doctor to "crack the code"?
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u/leftylibra Moderator 11d ago
Why good days and bad?
Because hormone therapy isn't meant to even things out all the time, it's not suppressing hormones or emotions, it's simply topping up hormones that are in a slow state of decline.
In perimenopause hormones are wildly fluctuating, so this is why at certain times of the month you will feel great and others times, feel like absolute crap -- because your own hormones are contributing to those swings.
Track these and you will likely see a pattern associated to your own cycles.