Doctor insights on:
Progesterone Cream For Estrogen Dominance
Which brand of natural progesterone cream is advisable to use for treating pcos & estrogen dominance?
When adding estrogen to prometrium (micronized progesterone) for perimenopausal relief how is amt. Determined?
Starting dose: Most people will use 1-2 mg which are the lowest doses for effectiveness, sometime we go higher if symptoms are persistant. ...Read more
Outside of compounded estrogens, is estrasorb the only topical estrogen for hormone regulation, not vaginal issues. ?
Interesting question: Nocturnal secretion of melatonin has been shown to affect secretion of prolactin. To my knowledge melatonin can exacerbate mild hyperprolactinemia. The relationship between Progesterone and prolactin i think is more unclear. We know thatprogesterone can affect prolactin in various ways. I'm curious to know in what context you would like to know the answer to this question? ...Read more
Does natural progesterone cream really help in correcting an imbalance between estrogen and progesterone?
Usually : If you do not ovulate or if you make a lot of estrogen, Progesterone can help calm your body from the overstimulation of the estrogen. However, during a normal menstrual cycle the Progesterone levels can vary greatly so you will have to find the right dose and the right timing of the progesterone. Also, get a Progesterone that does not have the preservatives called parabens which may cause cancer. ...Read more
OBGYN says blood hormone levels normal only elevated estrogen, not perimenopausal. Isn't estrogen dominance a sign of progesterone drop=perimenopause?
NOT: with one random test!! Hope this helps! Dr Z ...Read more
I take the estrogen patch v-dot ans prometrium (micronized progesterone) but can II start bio-identical progestrone with the patch?
Usually: Because the cream is applied where the effect is needed, there is less chance of estrogen entering the blood stream and traveling to other organ systems to cause unwanted effects. But any medication can have side effects regardless of whether it is taken internally or externally, orally or parentally so please discuss your concerns with your doctor. ...Read more
Irregular periods: Pcos is a common syndrome where most patients have irregular or absent periods, acne, abnormal female hair growth and weight gain. Not all have all of these symptoms. It is due to a complex imbalance if Insulin and the female hormones. Weight loss is key to prevent diabetes and other medical conditions. Progesterone cream will not likely help. ...Read more
Can natural progesterone cream offset the negative effects of synthetic progestin (legonorgestrel)?
no: No. They are both progestins. The cream will work locally but do the same thing. ...Read more
Black cohosh or bio-identical estrogen/progesterone cream to help balance hormones in perimenopause?
No data.: Bio-identical hormones is a topic vastly argued in our field. As it stands now, you should be cautious using bio-identical hormones because there is no control over how they are mixed and produced, and there is no data about what is a safe and efficacious formulation and dosage. Speak with your doctor about this for a more in depth conversation and to determine if it is actually needed for you. ...Read more
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
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
Tamoxifen is given to breast cancer patients to suppress estrogen or both estrogen & progesterone?
Estrogen: Tamoxifen is given to individuals with specific breast cancers that are driven to grow by the presence of estrogen receptors. Tamoxifen interferes with the activity of estrogen in the breast, preventing cancer growth. The role of Progesterone receptors is unclear, though Progesterone receptors in breast cancer are generally associated with estrogen receptors, making tamoxifen an effective therapy. ...Read moreSee 2 more doctor answers
Yes: Any of these hormones can be affected by exercise. What matters most is the amount of fat you have in your body, because fat stores estrogen, which can affect the signaling for ovulation in your body, which can really affect the amount of progesterone that would be found on a blood test. ...Read more
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