Doctor insights on:
Minimize spotting: Break-through-bleeding (btb) is common with the progestogen (p) only oral contraceptive pills (ocp). Although btb can still occur with the combined estrogen (e) and p ocp, it is much less frequent, versus p alone. In ocp with high levels of e, such as ethinyl Estradiol 50 mcg, ovarian cysts and ovulation also occur less frequently. Way to go gregory pincus, et al. ...Read more
No.: There is no real evidence that taking Progesterone or other hormones with cause you to gain weight. 20 years ago when birth control pills were much higher doses of hormones than they are today gained a reputation for creating "water weight" gain ..... But that was patient complaint, not medical evidence. Micronized Progesterone is not likely to contribute to any weight changes you experience. ...Read more
When prometrium (micronized progesterone) stimulates instead of sedates a perimenopausal woman what should be taken? Estrogen in combo with prometrium (micronized progesterone)?
Go see your doctor: While our impression of estrogen for perimenopausal women has changed dramatically over the last decade, it still should be used for right reason, and sedation is not one of them. So go see your prescribing doctor & tell her/him about your side effects so that s/he can offer you some alternatives (rather than just throw more medications at you). ...Read more
None: Progesterone is progesterone. All Progesterone comes from the same plant based source and even the synthetic progestins like Provera (medroxyprogesterone) have Progesterone as their base. Micronized Progesterone is exactly Progesterone while synthetic progestins are progesterones that have been chemically modified. Progesterone comes from the ovary or from conversion from the adrenal hormone dhea. ...Read more
Prolactin and OCP: Some of the higher dose birth control pills that were used some time ago did increase the prolactin level in some patients. These effects are less with the lower dose birth control pills used today. Still, in patients with a pituitary adenoma, even the lower dose birth control pills may increase the prolactin level. ...Read more
Lower effectiveness: Certain medicines as well as certain herbs increase the speed that oral contraceptives are cleared from the body, decreasing effectiveness. Things most likely to do this are: Antibiotics such as Rifampin and Grseofulvin; anticonvulsants such as dilantin, Phenobarbital and tegretol; even St John's Wart. Check with your doctor to see if you need to use a back-up method. ...Read more
Possible: Clumping, small discharge. It's very safe.Get a more detailed answer ›
Yes, due to estrogen: Estrogen causes certain cells in the pituitary gland called lactotrophs to increase production of the prolactin hormone. High levels of estrogen naturally occur in pregnancy, thereby increasing prolactin, which increases breast size and milk production, allowing the mother to subsequently breast-feed. Oral contraceptive pills that contain estrogen can also increase prolactin levels. ...Read moreSee 1 more doctor answer
Yes: Prometrium (micronized progesterone) capsules can be taken vaginally. When a woman is pregnant and needs extra Progesterone that is usually the way it is given. I have occasionally had my non pregnant patients take Prometrium (micronized progesterone) vaginally. The capsule needs to be inserted in the vagina up near the cervix at bedtime. ...Read more
Could changing route of prometrium (micronized progesterone) from orally to vaginally actually cause progesterone levels to decrease?
Yes: Yes but why are you measuring the levels? Measuring the levels are not clinically important. Because i don't know what you are using the Progesterone for it is hard to answer the question. However, vaginal Progesterone will make the uterine concentration of Progesterone higher but the blood levels may not be as high. If the uterus is the target blood levels are irrelevant. ...Read more