Increase the P-4 by two lines BID *for one day* by placing it on the labia, and if the bleeding doesn't stop then let the period happen. That means *stop using the progesterone* and start counting your new day 1 from the bleed day. Early bleeding of this nature indicates that there wasn't enough estrogen present during days one-12 to make a good strong attachment for the lining. Then due to not having enough estrogen during your peak days there was not enough progesterone receptors in place for the progesterone to hold onto the lining. The one day test of increased progesterone to stop the spotting gives the progesterone a chance to "speak louder” for a day, but if we don't have enough receptors for the progesterone then the lining won't hold. The early period means we need more estrogen. Increases are made in increments of two lines in the morning and night per month. Symptoms and blood work must be evaluated together. Talk to your doctor and explore the options.

If your period doesn’t start on the day after you stop using progesterone then continue with the base amount of your estrogen and wait for the period to start. When it does start then count that as "day one." If a period doesn't come and only came for the first cycle then the context would be somewhat different. A uterus that hasn't been cycling for 14 years sometimes takes longer for the receptors to reawaken. The first cycle can bring a period because the uterus is shedding a lining that has been accumulating for a long time. If your period doesn't come by day six, follow the normal escalation of the Protocol. If you are on the lunar calendar you would follow it accordingly. You could stop the progesterone on day 26 of the next cycle to provoke a bleed.

I have been on the Wiley Protocol for a full year now and am very pleased with it. While I never had hot flashes or lost my figure or sexual desire (when I was ever rested), I was concerned about having lost my centered feeling and the screaming anxiety I was experiencing for the first time, especially in the year preceding learning about the WP (and while working full time at home for clients as an ad designer, plus taking care of my mother 24/7 as she recovered from strokes and my father's death that year). I also wanted to prevent the heart disease and strokes I saw in my mother and other older female family members.