Doctor insights on:
Why Does Prometrium Make You Tired
Day 11. Off hrt. Bleeding spell midday w clots & tiredness. Why midday? Take prometrium (micronized progesterone) to stop bleed? How to balance hormones? Who in nyc?
FATIGUE IS THE KEY: Altho more details about your medical conditions and history are important, abnormal bleeding and fatigue in a lady of your age is either caused by hormonal issues, such as perimenopause and an underactive thyroid gland, and may be associated with anemia and a vitamin B12 deficiency. I am located in nyc and would be glad to help you. ...Read more
2 reasons: One of the first symptoms of pregnancy is overwhelming fatigue. This often occurs even before nausea. Unfortunately, this is also a side effect of progesterone supplements. We counsel women to take progesterone at bedtime to minimize the side effects, but some women still complain of fatigue during the day. Try to avoid compensating with caffeine. It's ok to take more naps! ...Read more
Misguided Reaction: Prometrium allergy is a misguided reaction by the immune system of the body to Prometrium that often produces unpleasant symptoms. ...Read more
Progesterone: It is a micronized progesterone. It can also be called a bio identical progesterone. The chemical structure is the same as the Progesterone produced by the ovary in a woman's body. ...Read more
No vaginal bleeding?: ...then acceptable range of endometrial thickness is 8-11 mm. NB: the risk of carcinoma is ~7% if the endometrium is >11 mm, and 0.002% if the endometrium is <11 mm. Please note that normal endometrium changes in appearance as well as in thickness throughout the menstrual cycle. Ref. Https://radiopaedia. Org/articles/endometrial-thickness ...Read more
How long does prometrium (micronized progesterone) stay in your system? Does it build up over time and how long before its depleted?
About 1 day:
Half life is around 28 hours, meaning half is gone every 28 hours you don't take it. You don't build up a store of it either. So within a few days, it is gone from your system
hope that helps. ...Read more
Yes: In fact vaginal administration of Prometrium (micronized progesterone) seems to provide better levels of Progesterone to the uterus. ...Read more
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
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
Certainly: Though it depends when and why its being taken. ...Read more
No: You should not if you take it everyday. ...Read more
Yes: Prometrium (micronized progesterone) doe not inhibit your own ovulation. And it is safe to take in pregnancy so that is why it is a nice medicine. I assume you are taking it to regulate your periods. But since it is generally a low does it won't usually suppress your own body from ovulating. ...Read more
Safe: If you are inquiring about effects that are either unpleasant or dangerous, there really are no important ones. ...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
I have had two miscarriages back to back now. Would using prometrium (micronized progesterone) be wise?
Evaluation: The first step is to be evaluated for recurrent miscarriages. Most are related to abnormal genetics or a problem with the uterus, some are related to blood clotting disorders and some are for unknown reasons. But the first thing is to be evaluated since recurrent miscarriages is usually a genetic issues with the eggs. ...Read more
Took prometrium (micronized progesterone) to start my cycle but it never started should I take it again?
Prometrium (micronized progesterone): If you don't have a period after taking prometrium, (micronized progesterone) possibly you are also lacking sufficient estrogen to prime the uterus. I think that you should schedule a gyn vist and try using estrogen first, and then using the promedriu. ...Read more
What are the side effects of prometrium (micronized progesterone) and do they go away after continued use?
A few: Prometrium (micronized progesterone) may make some individuals very dizzy and very tired. I normally have my patients take the Prometrium (micronized progesterone) right before bedtime on an empty stomach. If this does not improve the side effects then consider taking the Prometrium (micronized progesterone) vaginally. ...Read more
Is prometrium (micronized progesterone) protecting my lining if been taking for months and lining got thick again?
Prometrium (micronized progesterone): I'm a bit unsure of what you are asking. Are you taking Prometrium (micronized progesterone) every day without a break? If so, why? Are you in menopause, and is this being given to you along with estrogen? If you know enough to speak about the thickness of your lining. Clearly you are seeing a doctor who is doing ultrasounds. I would like to help, but am a bit confused. ...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
Took prometrium (micronized progesterone) for 6 weeks for perimenopause symptoms. Started out with improvements but didn't last. Now what?
I am scared I have been taking my prometrium (micronized progesterone) for thick lining on day 14 is that wrong did I cause lining not to thin?
Prometrium (micronized progesterone): Prometrium (micronized progesterone) only thins a lining if it is taken in high daily doses for a very prolonged period of time. When taken for, say, 10-14 days it can thicken a lining. Once stopped, if not pregnant, the lining breaks down and sheds/bleeds. I hope this helps... By the way - I'm in your neck if the woods! I saw a new patient from miami just yesterday! ...Read more
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