100 - 200 mg is about the same dose most people take AFAIK (I personally take 100 mg / night). I find I only really need prog to help me sleep when my estrogen is high, so when my estrogen is waning I skip my prog doses and I sleep fine.

For the on week, are you taking it every night for a week, and then taking a week off without it? That's super interesting!

My wife is now peri and going through all kinds of period fuckery, her doctor told her if she wanted HRT she’d have to go work it out in her own.

I love how consistent women’s healthcare is :-/

And yeah, I'm regularly pissed when I hear how gynecologists are treating their patients - refusing to take blood tests for symptoms of low estrogen because of birth control (and offering nothing), not taking symptoms seriously, not being proactive and helpful to ensure obvious signs of low estrogen aren't treated ... it's so common and predictable, it's hard not to see medicine as inherently sexist, tbh.