No idea about the product that you are using, but I have had increased nerve pain since I was 15 at that time of the month. Sciatica pains in both legs and knees for the first three days of my period. I am 52 and still pretty regular. I have CMT (hereditary sensory-motor neuropathy). The pain can be debilitating. Hormones definitely affect pain perception. My regular heavy pain meds barely touch it and only large doses of ibuprofen seem to help, which makes it seem like a water retention/inflammation issue. Have you noticed any water retention from the Vagifem?

I only use compounded bio identical creams. Balancing all hormones is key for me.

You have to look hard to find a doctor that actually understands how to test and understands Bio identical HRT. I will always use it. It is one more thing that helps me to be as healthy as possible. After many years of migraines, they were gone the day after I started the creams.

Hi,
I have really been thinking of finding a doctor who works with bio identical HRT.
How did you find one? I currently have an estrogen ring but have wonder if I need something else. Do u know if bio identicals pose the same cancer risk the research shows for others? Did they help you with your pain?

Sorry for so many questions.
Hopeful

If you have a compounding pharmacy in the area, you can ask them the names of some doctors who prescribe it. There are quite a few OB/GYNs starting to prescribe them. You may want to look for a doctor who practices integrative medicine also.

I use a bio-identical estradiol patch called Villel Dot and then an OTC progesterone cream. It took about a year to get to the right dosing. I started low and worked up. I found if I didn't, it was overwhelming to my body. The progesterone was the trickiest. There's a bio-identical progesterone pill called promethium that I tried first and quickly stopped after about 4 days. Found I was waking up with very achey feet. That's when I switched to a transdermal cream at very low dose and worked up slowly.

I am post-menopausal and my goal was just to rid myself troubling symptoms. Some try to restore/mimic a cycle of a menstruating women but I wanted none of that.

I don't have PN but I have read that progesterone can be helpful in some cases.

Just know that it's a very individual thing and it can time to find the right balance.