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Doctor insights on: Pcos Low Estrogen

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I have pcos with low estrogen and prog. How would my gyn increase my estrogen? I heard bcp is bad because it will decrease my estrogen even more.

I have pcos with low estrogen and prog. How would my gyn increase my estrogen? I heard bcp is bad because it will decrease my estrogen even more.

Not likely: If you are not trying to conceive, then birth control pills are best to help prevent conversion to testosterone as well as to help prevent uterine cancer. Women with pcos often have elevated estrogen, not low estrogen. Maybe consider going to gynecologist again to make sure that you have the right diagnosis. Again, if you are trying to conceive then bcp not indicated. ...Read more

Dr. Dennis Higginbotham
1,246 Doctors shared insights

Polycystic Ovarian Syndrome (Definition)

Pcos is a metabolic disorder affecting 8-10% of women that may cause irregular periods, acne or increased hair growth, infertility or subfertility, and increases the risk of diabetes. To diagnose pcos, we need 2 out of 3 of: 1. Irregular or no periods 2. Acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound showing large ovaries ...Read more


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Can I have Hashimoto's even with normal TSH levels? I have PCOS and low estrogen and progesterone. Male pattern symptoms.

Can I have Hashimoto's even with normal TSH levels? I have PCOS and low estrogen and progesterone. Male pattern symptoms.

Possible: Hashimoto is an autoimmune condition involving the thyroid, thus the thyroid function test may well be normal the early stage although you will eventually end up with a low thyroid function. ...Read more

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Are there any birth control pills available to treat PCOS that are low in estrogen/estrogen-free? I have migraines and am currently on Yaz, and want to reduce my stroke risk. I'm in college and the OBGYN clinic here on campus is very unhelpful.

Are there any birth control pills available to treat PCOS that are low in estrogen/estrogen-free? I have migraines and am currently on Yaz, and want to reduce my stroke risk. I'm in college and the OBGYN clinic here on campus is very unhelpful.

Hmmm...: Short answer is yes: there are low-estrogen oral contraceptives. Not sure you'd want to do that, though. First, the ovarian cysts can only be controlled if ovulation is stopped, and this requires taking estrogen to inhibit pituitary FSH release. Without estrogen the cysts might rage out of control. This estrogen must (I believe) be balanced with progesterone and testosterone, EVEN in PCOS patients ...Read more

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Normal testosterone levels but slightly high androstenedione along with pcos. Do I have estrogen dominance?

Normal testosterone levels but slightly high androstenedione along with pcos. Do I have estrogen dominance?

Yes, but more comple: Pcos is associated with irregular ovulation. Infrequent or absent ovulation can lead to infrequent, irregular, or even heavy bleeding. Women with pcos may have difficulty conceiving, as ovulation doesn't regularly occur, but don't assume you can't get pregnant--either on your own--when you do ovulate, or with fertility treatments. ...Read more

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Do women with pcos have high estrogen levels or low estrogen? I've heard it's usually high but somewhere it's mentioned that the levels are low.

Pcos: Women with pcos more frequently have higher estrogen levels. The problem however is compounded by an excess of androgen hormones e.g. Testosterone that causes many problems. Also women with pcos tend to develop hyperinsulinism that make matters much worse. Pcos requires careful medical attention to maintain health. ...Read more

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Does high androstenidione level in a girl with pcos imply that she has estrogen dominance or low progesterone?

Does high androstenidione level in a girl with pcos imply that she has estrogen dominance or low progesterone?

Unclear: Usually, patients with pcos have normal adrenal hormone levels- normal androstenedione, normal dhea and normal 17 hydroxyprogesterone- the most common finding is isolated high free testosterone. The problem is lack of ovulation and excessive production of male hormones in the ovary. I would ask your doctor to clarify the elevated adrenal levels. She may need more evaluation. ...Read more

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Why does low progesterone or estrogen dominance cause acne in women with pcos? How does that happen?

Why does low progesterone or estrogen dominance cause acne in women with pcos? How does that happen?

Hyperandrogenism: Acne in women with pcos is caused by hyperandrogenism (too much male-type hormones) including testosterone, produced by the ovaries. Insulin resistance promotes hyperandrogenism. Treatments include Insulin sensitizers like metformin if you're trying to conceive, or birth control pills and anti-androgens like spironolactone if not ttc. 'low progesterone' occurs in women with pcos who don't ovulate. ...Read more

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I have pcos my vagina is always dry, get head ached, over weight and hard to lose weight. Could it be due to low estrogen?

I have pcos my vagina is always dry, get head ached, over weight and hard to lose weight. Could it be due to low estrogen?

A Body Mechanic View: Medical system approach to problems of an embodied soul connected to a mind, fragile brain + body is to pick apart inherently complex integrated life issues. Estrogen (a derivative of cholesterol) is 1 of many signaling hormones & may be involved but far from primary control. Pcos strongly correlated with Insulin resistance, body fat, lfhc foods. Suggest study: dietdoctor, taubes, attia, nusi. Org. ...Read more

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High LH and low estrogen. I have PCOS, normal FSH and testos. Having strange pelvic pains as if cramps ALL month. Had dysmenorhea from 1st cycle. Help?

High LH and low estrogen. I have PCOS, normal FSH and testos. Having strange pelvic pains as if cramps ALL month. Had dysmenorhea from 1st cycle. Help?

Not ovulating: With PCO, the ratio of LH to FSH is 2:1 or higher. It sounds like you are not ovulating. You need to talk with your doctor about treatment options. ...Read more

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I have PCOS. Estrogen is very low, high androgen. GYN not treating hormone levels. Joint problems, hirtuism. Should hormones be regulated?

I have PCOS. Estrogen is very low, high androgen. GYN not treating hormone levels. Joint problems, hirtuism. Should hormones be regulated?

PCOS: It sounds plausible you may have PCOS if you have had hormone testing, BUT in most PCOS the estrogen is high, not low as you describe. There are other causes of elevated androgens that should be tested. If another problem is found, or if PCOS is confirmed then treatment should be given. Seek a second opinion. ...Read more

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What factors may cause low estrogen levels, resulting in amenhorrhea even after taking duphaston? No pcos. Not pregnant. Normal pelvic ultrasound.

What factors may cause low estrogen levels, resulting in amenhorrhea even after taking duphaston? No pcos. Not pregnant. Normal pelvic ultrasound.

Many things: Poor quality of ovarian follicles, resistant ovarian follicles, premature ovarian failure (all of these would be unusually rare at your age) or disorders that adversely impact hypothalamic or pituitary function such as anorexia or people with very low body fat from activities such as marathon running. For more info www. Askyourgynecologist. Org. ...Read more

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Help! No period 7 months, acne. Cysts on ovaries, Low progesterone. 6, low estrogen 31. Diagnosed pcos. OBGYN of little help. Please what is wrong?

Help! No period 7 months, acne. Cysts on ovaries, Low progesterone. 6, low estrogen 31. Diagnosed pcos. OBGYN of little help. Please what is wrong?

PCOS: Polycystic Ovary Syndrome is a condition that involves all of the female reproductive system and is a failure of the body to respond to poor stimuli from dysfunctional ovaries and low kevels of certain hormones. You need an OB-Gyn to explain how this fits in with your symptoms and how to treat it ...Read more

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Is pcos an estrogen dominant condition?

Is pcos an estrogen dominant condition?

Yes: Since in pcos there is lack of cyclic ovulation, estrogen becomes the main hormone product of the ovary. ...Read more

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Is the medication trimethylglycine safe to be taken to treat excess estrogen in a person with pcos?

Is the medication trimethylglycine safe to be taken to treat excess estrogen in a person with pcos?

No reliable studies: I wasn't able to find any reliable research suggesting the trimethylglycine is useful in estrogen metabolism or in pcos. ...Read more

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Does having pcos serve as a sure shot sign of having estrogen dominance?

If it exists: Most reproductive medicine docs are not advocates of the estrogen and Progesterone dominance theories. However, pcos patients have chronic mildly elevated levels of estrogen and produce less Progesterone than normal ovulatory women. Progesterone levels only rise after ovulation so it would be expected if you are not ovulating regularly. ...Read more

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How to treat estrogen dominance caused due to pcos? Bcp doesn't seem to help so anything besides that.

How to treat estrogen dominance caused due to pcos? Bcp doesn't seem to help so anything besides that.

Try progesterone: You may benefit from transdermal Progesterone cream. Many people tolerate this better than the synthetic progestin found in birth control pills. There is also a lot that can be done with the diet to help treat pcos, most having to do with re-sensitizing your body to insulin. ...Read more

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Which brand of natural progesterone cream is advisable to use for treating pcos & estrogen dominance?

None: Skin Progesterone creams are not fda regulated and absorption rates are unknown - would not use these for anything ...Read more

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Can progesterone cream be used to treat estrogen dominance in someone with pcos instead of bcp?

Yes, but...: It can but you would need to be monitored very carefully with bloodwork and ultrasounds. Cream that is compounded may not be absorber in a predictable way. And also you never really know the exact dose you are getting. So to protect yourself you need to be monitored carefully by a reproductive endocrinologist. ...Read more

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Would a girl suffering from pcos, be alright with taking estrogen pills to fix imbalance hormones?

Would a girl suffering from pcos, be alright with taking estrogen pills to fix imbalance hormones?

Yes: Birth control pills with estrogen and Progesterone are often recommended for women not trying to become pregnant to help regulate the hormone levels and cycle. However, the risk and benefits have to be weighed to see if this is the best option for you. So best to d/w your doctor. ...Read more

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Can a pill that has more of progesterone and less of estrogen be used to treat estrogen dominant condition in a person with pcos who suffers from pms?

Maybe: All pills work to help pcos by cutting off the abnormal signaling from the brain to the ovary. They all work nearly equally well in suppressing androgen production. In all pills, the Progesterone is the dominant component, so the differences in effectiveness between types of pills are really insignificant. The goal is to use a pill that will not cause significant irregular bleeding. ...Read more

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I have polycystic ovarian syndrome. Should I start taking estrogen? I get hair in weird places, like on my chin and neck

I have polycystic ovarian syndrome. Should I start taking estrogen? I get hair in weird places, like on my chin and neck

No: With pcos the estrogen level is chronically elevated and additional estrogen will not help. Ocp's (which do contain estrogen) however would likely help by suppression of the ovaries. The hair changes you notice are probaly due to increased testosterone levels seen with pcos and would probably improve with ocp's as well. ...Read more

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I have pcos. What if my estrogen levels don't fall during the time of bleeding? Is that why menstrual flow becomes light?

I have pcos. What if my estrogen levels don't fall during the time of bleeding? Is that why menstrual flow becomes light?

Works differently: With PCOS periods are irregular due to an imbalance in the LH and FSH hormones as well as the circulating free testosterone. We do not monitor Estrogen levels with PCOS. ...Read more

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Pcos want to get my insulin checked? Is it a normal blood test? I also want a estrogen and progesterone test are they a blood test as well?

Pcos want to get my insulin checked? Is it a normal blood test? I also want a estrogen and progesterone test are they a blood test as well?

Not necessary: While Insulin resistance is a common feature of pcos and should be addressed, the tests in use are not reliable measures of Insulin resistance. It is however appropriate to screen for diabetes. Estrogen and Progesterone levels have their place but must be at the right times. See a doctor with experience in pcos. ...Read more

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I wanna conceive, my dr prescribed estrogen followed by progestron should I continue these tabs? Having pcos in left ovary and endometrium was thin

Maybe: We usually do not use estrogen and Progesterone to help you get pregnant. These may be to get a menses before medication for ovulation induction (to get you to ovulate). Most pcos women respond to medication. See a specialist to get the best advice - the doctor who gave you e & p should be able to explain what they are doing. ...Read more

Estrogen (Definition)

Estrogen is a hormone that is secreted by the ovaries and affects ovulation, ...Read more


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