Wow, I think my cycle really affects my symptoms! I'm starting to track this seriously, but I think I improve right after ovulation, and relapse dramatically just before the end of each cycle. When I look at those estrogen/progeterone cycle line-graphs, my symptom improvement seems to precisely follow the "progesterone" line. I improve when the progesterone kicks in, and crash when it plummets.

I have read, though, that they haven't had much success using birth control pills to prevent these crashes (mini-crashes in my case, but some women evidently are in danger of an MG crisis at the end of each cycle). I'm really, really hesitant to mess with my hormones anyway.

There are natural progesterone creams, but they're used only in the second part of each cycle. It's the first part that seems to be giving me trouble.

Not sure what to do next. Talk to my gynecologist? This is very weird.

Abby