Related Topics: Menopause

A Simple Weekly Routine For Applying Your Hormone Cream

Remembering when to apply your cream, and where, can sometimes be confusing but my simple guide helps make it easier to get the maximum benefit from it.

AnnA Rushton

It happens to all of us, you read the instructions, then you lose them, or can’t remember exactly what they said when you need to apply your cream.

This is one of the most common questions I am asked, so I devised a simple regime for myself that I thought would be helpful to share with you, and of course you can adapt it to suit your own needs.

Firstly, do remember that everyone is different and your response will be as unique to you as are your symptoms and their severity. Some women require more hormone cream to help alleviate severe symptoms, while others can use less, and factors such as stress will impact your hormones and mean your symptoms may need extra help.

However it does make sense that everyone starts off with the same dosage and then monitors their symptoms. So if you are new, make sure you begin with the recommended double dose of a quarter teaspoon twice daily for the first month of use to establish good hormone levels.

After the first month if your symptoms are coming under control you can go on to the maintenance dose of an eighth teaspoon twice daily on your regime and once they are fully controlled then try cutting back on the amount each month and monitor your symptoms.

If your symptoms return then go back to a slightly higher dose as that is what you need at that time and again try cutting down later in a few months.

You start using the cream from days 14-28 of your cycle if menstruating regularly (depending on your cycle length) or for 24 days on and 6 off each month if periods are irregular or stopped. You would stop using the cream during the 24 days if you get a bleed and recommence when it stops.

A simple application routine

All hormone creams should be applied with a light hand, they do not need to be rubbed in vigorously, and the latest findings indicate that it is best to use both thin skinned and fatty tissue areas for maximum hormone absorption.

Suggested application areas

The best application areas are: the face, neck, palms of the hands, inside of the upper arms, lower back or inner thighs for thin skinned areas and buttocks, lower arms, outer thighs and stomach for fatty areas.

These areas are used as they vary in absorption rate. The fatty areas have slower absorption and therefore stay longer in the body, but the thin skinned areas are absorbed faster and are effective sites to use for hot flushes in particular.

So if your flushes are mainly during the day, use the thin skinned area in the morning, but if they happen at night then apply to the fatty tissue area in the morning. It can also help if you have night sweats to try increasing the night time dose to give you an extra boost .

You need to apply to a different area each day, so you rotate round the body. Also, for maximum effectiveness, apply to a thin area in one application and a fatty area in the next one. Keep up this alternating pattern.

As an example, apply it twice to your left arm on Monday (upper arm is fatty tissue and lower inside arm is thin tissue) and then work down your body one side and back up the other as in the example below:

Monday: left arm lower inside morning and upper arm evening.

Tuesday: left thigh outside morning and inside evening.

Wednesday: left side of stomach morning, left buttock in the evening.

Thursday: right thigh outside morning and and inside evening.

Friday: right side of stomach and right buttock as before.

Saturday: right arm lower inside morning and upper arm as before.

Sunday: face and neck

You do not have to follow this routine exactly, just make sure you cover the different areas so you get the maximum hormone absorption to deal with your symptoms.

An alternative method

Many women suffering from vaginal dryness, or who have skin absorption problems, find it helpful to apply the cream internally to the vagina as either the only site to use or as as part of the above regime. This method is particularly recommended by Dr Mercola of the USA. He comments:

“If you apply the cream to your mucous epithelial membranes that line your uterus and vagina you obtain a virtually ideal administration system as hormones absorbed through your vaginal membranes enter the very same pelvic plexus of veins that your ovaries normally empty into.”

With this method you do not need to take a monthly break, but many women find they prefer to mix the two methods. By using skin in the morning and vaginally at night you can then take a much shorter break of only 3 days, rather than 6 as in the skin method.

I found a combination routine  helpful so this suggested one could also be useful:

Monday left arm lower inside morning and vaginally evening

Tuesday left thigh outside morning and and vaginally evening

Wednesday left side of stomach morning, vaginally the evening

Thursday right thigh outside morning, vaginally evening

Friday right side of stomach, vaginally evening

Saturday right arm lower inside morning, vaginally evening

Sunday face or neck morning, vaginally evening

Application routine for men

As more men are using bioidentical progesterone cream to offset the flushes from cancer treatment, or to proactively oppose oestrogen dominance, they have a slightly different method.

They would use the following sites in rotation: face, throat, back of the neck, inside thighs, inside upper and lower arms, stomach and palms of the hands.  This give you 7 sites for a different area each day and the cream only needs to be applied once daily.

Do I really ned a break?

The answer to this is yes if you are using skin application. Whatever your age or circumstances, whether you have had a hysterectomy or very irregular periods, it is very important to take the break to allow the skin receptor sites time to rest and prevent the chance of you overusing any single one.

If you do not take the break you run the risk of actually absorbing less hormone to deal with your symptoms as once that site is ‘full’ it can’t take the hormone and use it as it can when applied in rotation.

If you find you are forgetful and don’t always remember to apply twice daily in rotation then perhaps vaginal or a combined application might be better for you.

You will find your own method, but I hope this proves helpful as a place to get started.

More information:

As well as our creams we have developed a range of Supplements that can be used in combination with either Serenity or 20-1.  As well as information below on hormone health that you might find useful, you will find details of our Menopause, Sleep and Osteoporosis Capsules here: https://uk.store.wellsprings-health.com

https://www.bio-hormone-health.com/2017/03/24/9-ways-stress-affects-your-health/

https://www.bio-hormone-health.com/2017/12/04/what-signs-of-oestrogen-dominance-do-you-have/

https://www.bio-hormone-health.com/2017/06/09/do-your-symptoms-need-oestrogen-as-well-as-progesterone/  

https://www.bio-hormone-health.com/2018/03/05/transdermal-creams-confirmed-as-best-for-hormone-use/

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Please feel free to discuss this article in the comments section below, but note that the author cannot respond to queries made there.
Comments 42
Sorted by:  Date | Recommended
AnnA Rushton | 3:44 pm, July 22nd, 2018

Yvonne severe symptoms usually respond best to 20-1 and you can use it vaginally or on the skin = see the application in the article. Either method is as effective, but applying to thin tissue when flushes are worst will be absorbed quicker so either skin or vagina in that case.

Yvonne McPhee | 11:31 am, July 22nd, 2018

Hi I am 55 and had a hysterectomy when I was 28. I still have my ovaries. I have recently purchased the 20-1 cream but have not used it yet. I don’t have vaginal dryness at all so do I still need to use it in my vagina? I do have horrendous hot flushes which come on throughout the day and the night which causes me to have not the best sleep. What is the best way to use the cream to suppress the flushes?

AnnA Rushton | 10:55 pm, June 26th, 2018

Becky severe symptoms usually respond best to 20-1, which is a combination of bioidentical progesterone and two natural oestrogens with the progesterone being the largest ingredient.

Maria | 3:32 pm, June 26th, 2018

Hi i am 44 and had hysterectomy and both ovaries removed! I am wondering if this product will help me with night flushes that are become unbearable!

AnnA Rushton | 10:40 am, May 3rd, 2018

Sharron you are post menopause so you use for 24 days twice daily, then a 6 day break each month.

Sharron Balla | 3:27 am, May 3rd, 2018

I don’t get my period (hysterectomy, but still have ovaries). When should I take a break?

AnnA Rushton | 12:07 pm, September 7th, 2017

We can’t help with sales queries as we don’t have access to their database so have forwarded your comment to them but do please email office@wellsprings-health.com to check your order.

Rajdeep | 4:22 pm, September 5th, 2017

Hi dear last week I oder this creme I can not receive becoz my email is wrong my new email sukhaghag@yahoo.co.uk i this and old is rajdeep3941@gmail.com can u help me plz

AnnA Rushton | 5:54 pm, August 14th, 2017

There is not a one month break Stephanie, but one week if on the 24 day regime and two weeks if on 14-28 so it will depend. With the initial double dose and on what regime the initial post will last 6-8 weeks, but usage does vary. All prices are on the website at http://www.wellsprings-health.com as it will depend which country you are in, what currency you are using and how many jars you are ordering.

Stephanie edmonds | 3:43 pm, August 12th, 2017

Hi how long will one pot of cream last ,
Taking into consideration the one month break ?
How much is the cream including postage?

AnnA Rushton | 4:38 pm, November 27th, 2016

Angela application is inside the vagina as far as inside as you can comfortably reach. Most women use their finger, but you can buy an inexpensive applicator from a chemist.

Angela | 10:24 pm, November 26th, 2016

Could explain better where is the mucous epithelial membrane please. Do I need an applicator?
Thanks

AnnA Rushton | 10:02 am, October 1st, 2016

When this occurs Joanne switch to the 24 day application routine, stopping if you get a bleed and recommencing a new 24 day cycle each time.

Joanne | 7:52 am, October 1st, 2016

Hi i started my period yesterday 3 days earlier , they do seem to be coming closer and closer ,when do i start using my cream

AnnA Rushton | 3:48 pm, September 21st, 2016

Deborah please read Dr Coope’s article below, and then email support@wellsprings-health.com with this information for individual help with your symptoms.

https://www.bio-hormone-health.com/2015/10/14/how-to-come-off-hrt/

Deborah | 5:50 am, September 21st, 2016

For the past 5 years I have been taking oestrogen capsules combined with a progesterone gel. These are prescribed by my GP. How do I start the 20-1 cream? I am 56 and I have one ovary. My periods stopped six & a half years ago & I went into a very difficult and traumatic menopause:( I am hoping 20-1 will enable me to come off prescription HRT.

AnnA Rushton | 10:17 am, July 14th, 2016

The coil does not contain progesterone Kathryn but a synthetic progestin and you can safely use the cream, but if you have the coil for contraception you must take additional precautions as the cream and the synthetic progestins compete for the same receptor sites in the body. This means the coil and the cream will be less effective, but if using to combat previous heavy bleeding then it is fine to use them together.

Kathryn Davies | 1:50 am, July 13th, 2016

Hi, I’m suffering with night and day flushes, I’m 51. I don’t have periods because I have the marena coil, is it safe to use the cream I’ve bought off you as I understand the marena is meant to be a progesterone coil?

AnnA Rushton | 2:27 pm, June 5th, 2016

Please email support@wellsprings-health.com for an a specific answer to this Charlotte.

Charlotte | 8:31 am, June 5th, 2016

How do I use the cream if my cycle is varied as I can get a 25, 26 mainly but have had a 35 day one with less bleeding but had peri symptoms for a few yrs but things changing more so now aged 43 please help thanks x

AnnA Rushton | 11:46 am, May 13th, 2016

No you don’t have to take a break with internal vaginal application Nancie.

Nancie Allan | 5:16 pm, May 12th, 2016

I have just purchased 20-1 and i am using it internally as i suffer with vaginal dryness do i have to take a 6 day break i am 69 yrs old.
Thank you.
N Allan.

AnnA Rushton | 4:00 pm, March 17th, 2016

We don’t know what the progesterone content of that cream is Terry, but Serenity is 2.34% and was recommended by Dr Lee on his several visits to the UK.

Terry | 3:57 pm, March 15th, 2016

Is Serenity the same as FemGest, the one recommended for use by Dr. John Lee? I am writing to Dr Shirley Bond, but thought I’d order Serenity in the meantime.
Thank you

AnnA Rushton | 11:53 am, March 13th, 2016

Janice, it is true that symptoms certainly can continue post menopause. For mood swings you would be better with a combination cream such as 20-1 which has both progesterone and oestrogen. This article may help: https://www.bio-hormone-health.com/2015/07/29/dealing-with-anxiety-and-depression-at-menopause/

Janice | 7:36 am, March 12th, 2016

I do not have sweats but am post menopause and suffering horrendous mood swings, tearful and memory fog. Will the cream work for my symptoms. I am 100% post menopause….age 53. Started these symptoms 6mths ago. Had last bleed 2 yrs ago.

AnnA Rushton | 6:22 am, September 18th, 2015

The gap is not related to whether you have a menstrual period Jacqueline it is about the absorption of hormones into the skin and taking a break ensures you do not saturate the receptor sites and so absorb less hormone to deal with your symptoms.

jacqueline | 1:03 pm, September 17th, 2015

I am fine no more hot flushes I am 68 do I have to take the 6 day gap I have not had a bleed for 8 years so just morning and night all the time is that right

AnnA Rushton | 7:35 pm, August 26th, 2015

The reason for the break Andrea is so you don’t over saturate the receptor sites and we do recommend a 6 day break when applying for 24 days, but in the first month on the double dose you can continue through the break if your symptoms are still not under control.

Andrea | 12:23 pm, August 25th, 2015

Hi there. Been using twenty to one cream for a week now. I’ve had a total hysterectomy, do I need to break for 6 days every month. Thank you.

AnnA Rushton | 11:37 am, July 22nd, 2015

It can be helpful when symptoms are severe Liz to also support with a herbs and botanicals formula so certainly worth trying.

liz | 8:55 pm, July 20th, 2015

hi I was wondering if maybe I should use the capsules as well as cream.i have seen them on the shop page then maybe it might help a bit quicker to relieve flushes and sweats as not getting much sleep. many thanks

AnnA Rushton | 7:49 pm, July 18th, 2015

No you cannot harm yourself with bioidentical hormone creams Liz, you just won’t have been absorbing enough by not rotating the application sites.

liz | 7:09 pm, July 16th, 2015

thanks for replying to my email reading booklet now.would I be doing myself any harm as I have been using cream twice a day on both arms and either stomach buttocks or thighs? think I may have been double dosing keeping this email for future information reference many thank.

AnnA Rushton | 8:57 am, July 13th, 2015

You can safely continue to use both as long as you have symptoms that need help, or for long-term support for conditions such as osteoporosis and protection from strokes and heart disease.

M Pepper | 2:48 pm, July 12th, 2015

I feel so much better using the 20-1 cream & taking the capsules. Is it ok to continue both indefinitely. I would highly recommend to anyone having problems.

Barbara Gibb | 7:03 pm, June 20th, 2015

How soon can I shower if I applied my 20-1 upon getting up and I did and took a shower about 2hrs. later. Since I have osteoporosis and am 78 to I still have to take a 6 day break? Thank you. Barb Gibb

AnnA Rushton | 9:00 am, May 1st, 2015

Mary we know progesterone is protective of oestrogen related cancers, which skin cancer is not, and we know of no information relating to it as no research has been done. However we would have thought there were no obvious contraindications but we suggest you check with your doctor or oncologist.

Mary | 11:56 am, April 30th, 2015

Good morning,
Thanks for answering my question but I have to ask again.
I had Melanoma cancer, is it safe to use this cream?
Thanks
Regards.
Mary

AnnA Rushton | 3:00 pm, April 21st, 2015

After a hysterectomy with vaginal dryness you need to replace both hormones so a combined cream such as 20-1 would be most helpful

A harkin | 8:48 pm, April 20th, 2015

Age61 hysterectomy with ovaries kept but extreme biginal dryness

Trish Jones | 10:09 pm, October 6th, 2014

Do you apply the cream for the 1st 30 days regardless if you are having a period or spotting?

 
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