Thanks for posting your query.
I understand your concern.
In the perimenopausal age, Prometrium (oral micronized progesterone), in the doses of 100mg qhs for 12 days is given to combat the occasional spotting. Withdrawal bleeding will usually occur following this, provided the endometrium is thick enough. However, if withdrawal bleeding does not take place, it suggests levels or functioning of oestrogen are sub-optimal due to menopause. In the latter scenario, you can stop taking progesterone also after 3-4 months.
The doses of 300mg qhs daily are recommended in perimenopausal age group to combat the symptoms of menopause like hot flushes, vaginal dryness, osteoporosis, intermittent vaginal bleeding, sleep disturbances, etc. Usually, withdrawal bleeding during the treatment is not predictable.
Both the dosage schedules recommended by your specialists will take care of your symptoms. If you want to take the lowest dose of progesterone to have minimal side effects, the best would be to take it 100mg qhs for 12 days every month.
Taking coffee is not likely to affect the symptoms but can aggravate your anxiety. To relieve your stress, try and have non caffeinated drinks.
Hope that this information helps and hope that you will get better soon.
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