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Reply to Sandra Norris Sandra, Nancy's menstrual cycle used to cause all the PD related symptoms you describe to worsen. We were able to solve most of the problems by using birth control pills continuously during the month. You don't take the placebo for 7 days you just continuously take the pills. This leveled out her hormones and everything improved dramatically. We had to request this therapy. Doctors just don't have much experience in this area. We made sure the neuro, GP and Ob/gyn were aware of what she was doing and no one objected. The OB/Gyn wrote the presciption. I don't know how old you are. Nancy was in her early forties when she started taking the birth control pills this way. It worked! Now at age 55 Nancy takes Prempro to maintain hormone levels, that seems to work well, and a pill called neurontin which helps to control glutamate levels which also influence PD pain. Neurontin is quite safe and has had no side effects except in the beginning of this therapy the pills made Nancy sleepy. She has taken as many as 9 per day. She is currently at 4 per day 400mg each. Hope this helps. Bob Martone [log in to unmask] http://www.samlink.com/~bmartone