I did start all of these at seperate times to know if I was experiancing any side effects from which one.
A little over a year ago I had a Dr put me on DIM & Prog at the same time. And I had already been on Spiro for 4 yrs. So that's Two Dr's that used that combo. I only did it for two months cuz I moved and had to find a new Dr.
The DIM helps rid your body of Bad Estrogens. The Prog cream obviously helps raise Prog levels.
The DIM & Prog cream are being perscribed due to my Estrogen Dominance. My Dr is not using these to treat my Acne. There is lots of talk that these can help with Acne BUT she does not believe it will make enough of a difference for my situation. I asked "if I get my hormones balanced won't my acne be better and I'd be able to stop the Spiro?" She & my old Dr both said.... "Not Neccessarily". And that I always may have to be on a low dose Spiro because my problem is how my Testosterone is converting to DHT. That's why I have Oily skin & Bad Cystic Acne along my jaw/chin and it has little to do with my Estrogen Dominance. These other things will help many other side effects and "MAY" help somewhat with my acne but won't get rid of it all together the way the Spiro does. My Skin was 100% clear on Spiro for 5 years. But terrible side effects from Spiro is what made me decrease my dose and acne came surging back in full force.

I have BAD mood, anxiety, depression issues with the Spiro. So I HAVE to either get off or at least greatly reduce my dose. My Dr said SP will NVR give the same effect as the Sprio can (even at a high dose). But maybe it can help. The SP takes several months to build up in your system. So the goal is to build up the SP and start slowly lowering the Spiro. She said it's fine to take together cuz they act the same. I was up to 200mg of spiro briefly. Now I'm down to 100mg spiro & 320mg SP. So that dose still doesn't equal 200mg of sprio. U know what I mean? And I'm abt to drop to 75mg of sprio. Prob next week.

So the order I started all of this is first Spiro... Been on for 5 years mostly at 100mg. 50mg was too little. And 150-200mg was only used a short time to speed up the clearing. Then added SP for abt a month. Had no ill effects. Added Vitex for abt 1 month. This is when the emotional side effects started. Like I cried (bad) one day over something stupid. And I had a cpl nightmares & a migraine. So We lowered the dose. Things felt btr. So I started the Prog cream & DIM together. I took DIM for a long time before and had zero side effects so I don't think it's that. Most of this all started with the Prog cream. Which BTW I have only used for 1 cycle. I am supposed to start applying it again at day 15 of my cycle.
I did some extensive googeling on the initial "wake up" your talking about. It all makes since now. I know thats exactly whats going on. Things I read say that if your already estrogen dominant that it's going to get alot worse before better. And that one site (Wray) says it's better to take more prog cream initaly to surge the hormones to go thru this process quicker. It will get worse BUT much quicker the Prog will become the dominant hormone and things will get better. So if you take less Prog cream this process will take much longer and I'll be dealing with these terrtible side effects for many more months. Makes sense!!

I'm going to call my Dr today and discuss this all with her. I'm kinda concerned abt the Vitex because Like I said it did give me a bad migraine when I started it and made me emotional. But I just read this abt the combo of the two.....
"Vitex and natural progesterone cream may be safely combined, for most women. This would greatly depend on what their progesterone levels are at to begin with. A woman who has mid-to adequate progesterone level to begin with, should not use natural progesterone cream. Only women with low progesterone levels may consider using natural progesterone cream. Vitex is supportive of the hormonal feedback loop. Vitex supports hormonal balance in the body by having an effect on the hypothalamic-pituitary-ovarian axis (hormonal feedback loop), correcting the problem at the source. It indirectly aids the body in balancing hormones overall, which if you have low progesterone, may work to aid the part of feedback loop that is not functioning properly and is causing low progesterone. Vitex does not directly increase progesterone levels, but rather supports the system that is needed to release progesterone correctly. Natural progesterone cream directly increases the progesterone levels in the body."
Sorry this is all very long. I just figure write it all in case anyone is in the same situation I am.... maybe this will help someone. Thx for your helpful replies.
Edited by crab76, 05 November 2012 - 10:34 AM.