Peri Symptoms Worse

Mompa1

Hello Everyone, I am 46 and have been going through Peri symptoms for quite a while now. At least 5 years. I still have periods but they are getting shorter and coming closer together. Over the past year PMS has gotten worse and my reflux is starting to flare about 2 weeks out of every month. I have an appointment with my GYN next week to discuss hormone options. I have tried progesterone cream but that made me feel horrible. I have had my right ovary removed 3 yrs ago due to a benign mass. I want to try BCP again. I think that might be a better option instead of HRT at this point since the pill will override what my body is making and I won’t have to worry about the roller coaster ride of fluctuating hormones each month. My question is how do you know what dose of hormones you need with the pill? I did a saliva test a few months ago and my progesterone to E2 ratio was low. My GYN said there was no need to do blood work at this point because hormones fluctuate so much that she will just go by my symptoms.