HRT Intolerance or Side Effects?

Posted by orion7962 @orion7962, Dec 7, 2025

Very hopeful that others may share reassuring feedback. Im 63, 7 years post meno, started HRT about 7 months ago (Estradiol patch 0.5 and Progesterone oral 100mg). First 3-4 months were great, and then it changed - tons of weird side effects including brain fog, lightheadedness, anxiety/panic, visual changes, and more. I read about Progesterone Intolerance and my doc lowered it to 35mg through compounding pharmacy. Note, Im extremely petite (93 pounds) and may have high sensitivities to things. I wake up from HEAVY sleep, feel like Im in a fog for hours. Don't know what my next step is... lower Estradiol? Lower Progesterone? Stop HRT? This is very scary. Im otherwise VERY HEALTHY and active and youthful and productive, but this is interfering with my life almost continually. Are there women who cant do HRT? Anyone struggle with this and what did you do? Thank you!

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Profile picture for orion7962 @orion7962

@plopez38 Hi, I can't tell on these threads who is replying to who... but I wanted to follow up with some updates, in case this helps anyone. I did the original post about HRT intolerance about 6 months ago. I stopped HRT on NYE, after giving it everything I had, weaning doses, changing pharmacies, micronizing my Progesterone, etc. The side effects were disrupting my life and sanity. It resolved "some" but not all symptoms, and I went from doctor to doctor, including my GP, opthalmologist, then ENT (due to vertigo, to assess inner ear issue?), then audiologist (vestibular??) - all doctors/tests were normal. I made upcoming appts to a new Menopause Center and gave in to dreaded/feared appt with Neurologist. NOW - here's the miraculous thing. Also went to my holistic doctor (brilliant and well known). He ran labs and found Im low in salts, vit C and Magesium, no big deal but I added Celtic salts and the others. But... he found I was low in Pregnenalone and DHEA, and gave me these supplements. I started the Pregnenalone at 10mg, with the idea to wait 2-3 weeks, before starting the next. Well I need to share with all, by day 3 I was LITERALLY back to my old self, all symptoms gone. And I mean ALL symptoms gone. Its mystifying. Sometimes I don't believe it, and I doubt it, and go through "its just power of suggestion" but it just isnt plausible that my body feels NORMAL - no vertigo, no brain fog (was horrible and scary), no vision issues (was hard to drive), no EXTREME 4pm fatigue, no anxiety/fight or flight jitters that would hit me randomly at any given time. I wake up, feel clear headed, rested, energetic, I work all day and then go landscape, exercise, work with horses, and on and on. Again, mystifying. I have never read any posts here or on the Facebook menopause groups Im in, that mention those supplements. But my holistic Dr was spot on in my case, and I just wanted to bring hope to anyone to perhaps check this out. I think HRT would ordinarily be prescribed in this case, but if someone cant tolerate it... there might be other options!! Best of luck to all!!!

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@orion7962 can you tel me what is Pregnenalone?

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Profile picture for gravity3 @gravity3

I have no idea how old you are or the details of your medical history. However I can tell you that I was started on .025 and 100 progesterone when I was 76 probably due to my age and time with imperceptible estrogen....slow ramp up for me. Are you working with your prescribing physician on the changes you are making? Hormones do alot of work for our bodies and are substantial. In discussing stopping bhrt at some point in my life my provider made it extremely clear that withdrawal should be done slowly by reducing amounts slowly.

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@gravity3

Just adding that I now have estradiol patch of .0375 and progesterone at 200. Testosterone is now compounded cream and estradiol vaginal cream remains the same.

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Profile picture for tula17 @tula17

@orion7962 can you tel me what is Pregnenalone?

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@tula17 Hi - So, Pregnenalone is apparently the "mother of all hormones" and helps the body produce hormones naturally, like building blocks. Im going to cut and paste from Google below. I've done a ton of reading about it, but not good at translating (lol) - if you use ChatGPT, that gives an excellent description. My understanding is that Pregnenalone can convert differently for different people since everyone is different, depending on what your body does with it, what you need, etc. I was on it a couple years ago in combination with many other things and I couldn't tell what was causing what side effects, so I stopped all. I re-started JUST Pregnenalone 3 weeks ago at a very low dose of 10mg. So far, its been extremely helpful. Here is a cut and paste from Google but definitely do more reading, and check with doctor before taking - my doctor found my Pregnenalone levels to be low. Hope this helps.

From Google: Pregnenolone is a naturally occurring neurosteroid and pro-hormone produced in the body from cholesterol. Often called the "mother of all hormones," it serves as the foundational building block for over 150 steroid hormones, including testosterone, estrogen, cortisol, and progesterone. As a supplement, pregnenolone is widely studied for its potential roles in brain function and hormone regulation.
How it Works & Potential Benefits Because it is a direct precursor to essential hormones, pregnenolone acts as a neurosteroid that supports the central nervous system.
Cognitive Function & Mood: It modulates neurotransmitter receptors (like GABA and NMDA), which has sparked research into its potential to improve working memory, focus, and negative symptoms associated with mood disorders.
Stress Response: Because it helps synthesize cortisol, it is sometimes used to support the body's adaptive response to emotional and physical stress.
Anti-Aging: Levels of pregnenolone naturally decline as we age. Some individuals take it to combat age-related fatigue or hormone declines, though definitive scientific evidence supporting these specific anti-aging benefits remains limited.

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Profile picture for orion7962 @orion7962

@plopez38 Hi, I can't tell on these threads who is replying to who... but I wanted to follow up with some updates, in case this helps anyone. I did the original post about HRT intolerance about 6 months ago. I stopped HRT on NYE, after giving it everything I had, weaning doses, changing pharmacies, micronizing my Progesterone, etc. The side effects were disrupting my life and sanity. It resolved "some" but not all symptoms, and I went from doctor to doctor, including my GP, opthalmologist, then ENT (due to vertigo, to assess inner ear issue?), then audiologist (vestibular??) - all doctors/tests were normal. I made upcoming appts to a new Menopause Center and gave in to dreaded/feared appt with Neurologist. NOW - here's the miraculous thing. Also went to my holistic doctor (brilliant and well known). He ran labs and found Im low in salts, vit C and Magesium, no big deal but I added Celtic salts and the others. But... he found I was low in Pregnenalone and DHEA, and gave me these supplements. I started the Pregnenalone at 10mg, with the idea to wait 2-3 weeks, before starting the next. Well I need to share with all, by day 3 I was LITERALLY back to my old self, all symptoms gone. And I mean ALL symptoms gone. Its mystifying. Sometimes I don't believe it, and I doubt it, and go through "its just power of suggestion" but it just isnt plausible that my body feels NORMAL - no vertigo, no brain fog (was horrible and scary), no vision issues (was hard to drive), no EXTREME 4pm fatigue, no anxiety/fight or flight jitters that would hit me randomly at any given time. I wake up, feel clear headed, rested, energetic, I work all day and then go landscape, exercise, work with horses, and on and on. Again, mystifying. I have never read any posts here or on the Facebook menopause groups Im in, that mention those supplements. But my holistic Dr was spot on in my case, and I just wanted to bring hope to anyone to perhaps check this out. I think HRT would ordinarily be prescribed in this case, but if someone cant tolerate it... there might be other options!! Best of luck to all!!!

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@orion7962
Could you please share the naturopathic dr who helped you?

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Profile picture for nika7 @nika7

@orion7962
Could you please share the naturopathic dr who helped you?

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@nika7 The practice is called Center for Holistic Medicine in West Bloomfield Michigan. There are several doctors, mine is Dr. David Brownstein - I think he has a 2 year wait list to get in. The other doctors are great as well. They are all holistic, run labs for everything, do hair tests for metals, food sensitivity tests, etc. You can look the practice up and look up his name!

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