Top
40
Doctor insights on: Progestin

Share

Progestin (Overview)

Synthetic progesterone.


1

1
What is progestin used for?

What is progestin used for?

Many things: Primarily used to balance estrogen such as with post menopausal hormone replacement therapy or birth control pills. Sometimes we use it to start someone's cycle and it can be used to treat bleeding problems. The word progestin is a general term that refers to the class of drugs similar to Progesterone and is not a specific drug. ...Read more

Progestin (Overview)

Synthetic progesterone.


2

2
What is the use of progestin pills?

What is the use of progestin pills?

Many uses: Too many to list here, but usually progestin pills are used in women to start a late period. They can also be used to stop irregular prolonged bleeding (sounds contradictory, I know.) there are other uses but it gets very specific. ...Read more

4

4
How effective is the progestin-only BC pill when taken perfectly? I've seen a wide range of efficacy claims, but suspect they account for user error.

How effective is the progestin-only BC pill when taken perfectly? I've seen a wide range of efficacy claims, but suspect they account for user error.

Perfect use prog-bcp: 3/1000 is the failure rate with perfect use of progesterone only pills. Typical use failure rate is 8/100. Big difference. Set your cell phone to remind you to take. ...Read more

5

5
Is it safe to take a progestin only contraceptive while breastfeeding?

Is it safe to take a progestin only contraceptive while breastfeeding?

Yes: Progestin only pills are safe while breastfeeding because it does not decrease your supply. You need to take these at the same time every day to be most effective. ...Read more

6

6
How does the androgenic activity level of progestins affect type, frequency, and severity of side effects?

Not getting: The question fully.
Progestins have androgenic effects. But then, high amounts of estrogen break down to androgens so, in PCOS, there's androgens (testosterone) and this rather than progesterone is androgenic
norgestimate, desogestrel, gestodene are less androgenic synthetic progesterones used in more modern OCP's ...Read more

7

7
What are the side effects of using progestin birth control?

What are the side effects of using progestin birth control?

Your doc: Should ahve already discussed that with you. You may not have any but possible side effects can be break through bleeding, wt gain, no periods, blood clots ht attack, stroke, the same side effects that you could ahve taking any pill. Obviously some side effects are much less common than others nad many people who take them have no side effects. ...Read more

8

8
How long does irregular bleeding last while taking progestin only birth control pills?

How long does irregular bleeding last while taking progestin only birth control pills?

Should, or does?: It should only last for a month or so - but if it lasts longer, it may be difficult to stop. Some people will have to discontinue certain birth control pills due to irregular or unpredictable bleeding. A sonogram is helpful to look for other structural causes of abnormal bleeding, but progestin only pills do not do as good a job at regulating cycles as do estrogen/progestin birth control pills. ...Read more

9

9
How much progestin is in the birth control pill usually?

How much progestin is in the birth control pill usually?

Varies: There are many different progestin compounds that are used in combination birth control pills with varying dosages. ...Read more

Dr. Jie Xu Dr. Xu
1 doctor agreed:
10

10
My wife was on many estrogen birth control pills but they all seem to affect her mood. I was told progestin pills don't affect moods. Is that true?

Dr. Jie Xu Dr. Xu
1 doctor agreed:
My wife was on many estrogen birth control pills but they all seem to affect her mood. I was told progestin pills don't affect moods. Is that true?

No.: Not necessarily. A side effect of progestins is depression. That doesn't mean she shouldn't try it. As long as your healthcare provider is on board, she can try the various forms of progestin-only contraception. There are also non-hormonal devices, such as the copper intrauterine device (paragard). Good luck! ...Read more

11

11
What is progestin used for?

Many things: Primarily used to balance estrogen such as with post menopausal hormone replacement therapy or birth control pills. Sometimes we use it to start someone's cycle and it can be used to treat bleeding problems. The word progestin is a general term that refers to the class of drugs similar to Progesterone and is not a specific drug. ...Read more

12

12
What is the use of progestin pills?

Many uses: Too many to list here, but usually progestin pills are used in women to start a late period. They can also be used to stop irregular prolonged bleeding (sounds contradictory, I know.) there are other uses but it gets very specific. ...Read more

14

14
Options other than oral progestin and iud?

Options other than oral progestin and iud?

Several: Combined oral estrogen and progestin pills, vaginal hormone rings, hormone patches (where available), progestin injections or silastic rods in the arm, condoms or male and female permanent sterilization are all options. ...Read more

16

16
Which progestins are best and worst for women who get migraines?

Which progestins are best and worst for women who get migraines?

Migraine and hormone: Women who have migraine with aura, or classic migraine, or a complicated migraine, should avoid medicines with estrogen. There is a slight increased risk of stroke in this case.

Progestins are not known to affect migraines, and any progestin should be ok. ...Read more

17

17
Does ovulation occur right away after coming off the progestin pill?

No!: It happens after follicular development. Might be 2 weeks, might be longer. There is no certain way to know. ...Read more

18

18
What's the difference between combined birth pills and progestin-only pills in terms of effect?

What's the difference between combined birth pills and progestin-only pills in terms of effect?

Combined pill better: Combined birth control pills are slightly more effective than the progestin only pills. And progestin only pills are less forgiving and it is even more important to take them every day at the same time. ...Read more

19

19
Does progestin pill improves ovulation and if I take it just for a week, will it have a good or bad effect on my next cycle ovulation?

Most likely not: Progesterone will not improve ovulation. The use of Progesterone supplementation after ovulation is indicated for a small selected group of patients but for most women with regular periods Progesterone is not indicated. The use of Progesterone for one week after ovulation should not affect your next period. ...Read more

22

22
What herbs act like progestin?

What herbs act like progestin?

Dioscorea and: The herbs dioscorea villosa, vitex agnus castus and commiphora are helpful with menopause symptoms. ...Read more

23

23
Is levonorgestrel a high dose of progestin?

Is levonorgestrel a high dose of progestin?

A type of progestin: Levonorgestrel is one type of progestin (an artifical progesterone-like hormone). It can be given in low doses or in higher doses - the Mirena (levonorgestrel) iud is a low dose, 20 micrograms a day, compared with birth control pills which are a medium dose - 100 to 150 micrograms a day. Some common 'morning after' pills are high-dose Levonorgestrel - two 750 microgram doses or a single 1500 microgram dose. ...Read more

24

24
Why could 96yo woman get estrogen and progestin?

Why could 96yo woman get estrogen and progestin?

Hormone replacement.: If a person is going to take hormone replacement therapy, we often would continue that for life. The whi study changed the vast majority of doctor's opinions about hormone replacement and many don't prescribe it at all any more. The negative feelings about replacing hormones is changing back to the former opinion slowly where nearly all women were replaced for life. ...Read more

25

25
What's the difference between a progestin and progesterone?

Biology: Progesterone is either produced in a woman's ovary or synthesized in a lab and is considered "bio-identical". A progestin, as dr eun mentions, is biologically similar but not identical. But don't be fooled by the labels, "natural" and "synthetic". No plant ever produces progesterone! That is identical to a human woman's! ...Read more

26

26
Is there a way to free your body from the hormone progestin or at least reduce the level of it?

Is there a way to free your body from the hormone progestin or at least reduce the level of it?

For sure not!: 'progestin' is a large family of both natural and synthetic hormones whose actions are called progestational. Progesterone is the important natural hormone. No, you cannot be free of it and don't want to be - cortisol is made from progesterone, and you'd literally die without it. If you refer to progestin supplements, there are no life and death problems with reducing or discontinuing it. ...Read more

27

27
How does the androgenic activity level of progestins affect type, frequency, and severity of side effects?

Not getting: The question fully.
Progestins have androgenic effects. But then, high amounts of estrogen break down to androgens so, in PCOS, there's androgens (testosterone) and this rather than progesterone is androgenic
norgestimate, desogestrel, gestodene are less androgenic synthetic progesterones used in more modern OCP's ...Read more

29

29
I am taking a progestin-only pill. How long will it take for the bleeding to stop. I've been on since Tuesday? I'm getting frustrated.

I am taking a progestin-only pill. How long will it take for the bleeding to stop. I've been on since Tuesday? I'm getting frustrated.

Varies: The progestin in birth control pills is what provides contraception.The estrogen is added 4 cycle control. Since ur pill doesn't contain estrogen u don't get the cycle control. Some women continue 2 have regular periods in spite of this, some bleed irregularly the whole time they r on progestin only pills, & some become more regular with time. There is no way to predict what any 1 woman will do. ...Read more

31

31
After progestin injection and very high amount of progestin pills for 3 weeks, I passed 1 inch thick endo lining. Why did it not thin out my lining?

After progestin injection and very high amount of progestin pills for 3 weeks, I passed 1 inch thick endo lining. Why did it not thin out my lining?

Hyperplasia: I agree that after high does of progestins the endometrium should be suppressed, unless it was very thick already at the time the progestins were started, or what was passed was an early non-viable pregnancy. ...Read more

32

32
Switching combined pill brand after finishing old pack and a 7 day break. Same estrogen dose but different progestin. Is back up protection required?

Switching combined pill brand after finishing old pack and a 7 day break. Same estrogen dose but different progestin. Is back up protection required?

Pill switch: First I don't recommend a pill break between packs. Go from one pack to the new one. Anytime you change pills I recommend a condom back up at least the first month. ...Read more

33

33
How effective is the progestin-only BC pill when taken perfectly? I've seen a wide range of efficacy claims, but suspect they account for user error.

Perfect use prog-bcp: 3/1000 is the failure rate with perfect use of progesterone only pills. Typical use failure rate is 8/100. Big difference. Set your cell phone to remind you to take. ...Read more

34

34
Outside of norgestimate progestin, which other progestins are as low androgenic? Or is norgestimate the lowest? I require a very low androgenic pill.

Outside of norgestimate progestin, which other progestins are as low androgenic? Or is norgestimate the lowest? I require a very low androgenic pill.

Drospironone: Drosprinone, like in Yaz, (drospirenone and ethinyl estradiol) is very low. One dose is equivalent to 25 mg spironalctone, a diuretic that decreases hair growth. There is probably a chart on Google but I think levonergestril also has low androgenic properties. Good luck. ...Read more

35

35
Does estrogen + progestin prevent cognitive decline?

Does estrogen + progestin prevent cognitive decline?

Doesn't seem to: Hormone therapy seems to have little or no effect on cognitive function. Estrogen + progestin or estrogen alone are not recommended for women at any age to prevent cognitive decline. Hormone therapy appears to increase the risk of dementia when started in women who are 65 or older. ...Read more

37

37
On 4th week of progestin only bc pills. Should my cycle start this week or when I start the next pack of pill?

This week: You should start your cycle around the 3rd - 4th day of the last week of the pills. The progestin only pills are a little less predictable than the estrogen-progesterone pills because they can thin out a woman's uterine lining. Some women, for instance, have a small or scant period on the pills. Some women have no bleeding. And some have a regular period of 3-5 days. ...Read more

38

38
Progestin is used to thin out uterine lining. But I passed 1 inch thick piece of lining after over dosing myself with progestin for 3 weeks. Why?

Does both: Progestins can thin the endometrium but they also will cause sloughing of a secretory endometrium, it depends on the specific situation and timing. Btw it's not really possible to 'overdose' on progestins, good news! ...Read more

40

40
Dr. Is it possible that high doses of sythetic progestin for 2 months did not thin out my uterine lining but caused it to pass? (2cm long, 1.5cm thick)

Yes: The Progesterone is to stabilize the lining and then allow it to pass. Sometimes a large amount of the lining pass at the same time while other times only bots and pieces will pass over a longer period of time. ...Read more