Doctor insights on:
Prometrium Progestin Based Agent
Crinone (progesterone gel).: Crinone (progesterone gel) is a more absorbable formulation of vaginal Progesterone and approved to prevent preterm birth in women with very short cervix (<15-20 mm) by transvaginal prenatal ultrasound. Suppositories are not approved for that indication! use Crinone (progesterone gel) 8% (90 mg per 1.125g) nightly until 37 weeks if your physician agrees. ...Read more
Possible: Clumping, small discharge. It's very safe.Get a more detailed answer ›
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
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
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
Synthetic meds: 1st no such thing as free lunch ie there's always some potential risk or side effect. 2nd FDA only approves meds which they deem benefit greater than risk (tho obviously not w/o disagreement & controversy). 3rd no studies demonstrate benefit of any oral estrogen over another tho some studies suggest topical safe than oral. 4th Natural isn't safe than synthetic ie tobacco is natural but isn't safe! ...Read more
Doctor should help: Some hemangiomas will respond differently than others. The manufacturer recommends against taking Prometrium (micronized progesterone) if you have any 'liver disease.' as with all decisions you have to weigh risks to benefits, but under no circumstances shoudl you decide without your doctor closely invovled. ...Read more
I take the estrogen patch v-dot ans prometrium (micronized progesterone) but can II start bio-identical progestrone with the patch?
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
Hormone replacement- is the dose and duration of prometrium (micronized progesterone) used in menopause dependent on the dose of estrogen being used by the patient.?
Not necessarily: If you still have a uterus, then you need a combination of estrogen and progesterone. The Progesterone can by taken continuously or in a cyclic fashion. Remember, you are only using the minimum dose of hormones to treat the symptoms that are bothering you. Discuss these doses with your doctor. ...Read more
Prempro (conjugated estrogens and medroxyprogesterone) works well but expensive. What is exact alternative?
Options: There are options. Prempro has different dosages of estrogen and Progesterone component. Estrogen (estradiol) comes in 0.3mg, 0.45mg, and 0.625mg. The Medroxyprogesterone acetate comes as 1.5mg 2.5mg and 5mg. As your dosage of estrogen goes up, so does progesterone. You can take estrogen as pill or patch. I like the patch. And then take Provera (medroxyprogesterone) for Progesterone (2.5 or 5.0mg). ...Read moreSee 1 more doctor answer
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