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Doctor insights on: Yams For Progesterone

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When adding estrogen to prometrium (micronized progesterone) for perimenopausal relief how is amt. Determined?

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

Dr. Seth Derman
1,199 doctors shared insights

Progesterone (Definition)

Progesterone has been found to be helpful in preventing preterm birth in a patient who has a history of delivering babies too early. It can be given as vaginal suppositories. It is most often given as weekly ...Read more


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What are progesterones (levonorgestrel) and oestrogens (eithinylestradiol) that are beneficial for treating acne?

What are progesterones (levonorgestrel) and oestrogens (eithinylestradiol) that are beneficial for treating acne?

Acne: No progestins are good for treating acne. Most Estrogens have some benefit in acne treatment for females. ...Read more

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When prometrium (micronized progesterone) stimulates instead of sedates a perimenopausal woman what should be taken? Estrogen in combo with prometrium (micronized progesterone)?

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

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Does Clomid (clomiphene) help progesterone levels for a [email protected]?

Does Clomid (clomiphene) help progesterone levels for a pregnancy@?

Once the corpus: Luteum (maturing egg) starts producing estrogen/progesterone, it feedbacks to the hypothalamus and pituitary gland to inhibit gnrh/lh/fsh production. Clomid (clomiphene) selectively inhibits the estrogen receptor in the hypothalmus which 'tricks' the body to release more fsh, which inturn causes growth of more ovarian follicles, and subsequently rupture of follicles resulting in ovulation to increase fertility. ...Read more

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What are the effects for for each of these hormones estrogen, progesterone, gonadotropins?

What are the effects for for each of these hormones estrogen, progesterone, gonadotropins?

Varied.: Estrogen: feminization of sexual tissues, fertility, uterine contractions, vasodilatation, hepatic stimulation, lower seizure threshold, strengthening of bones, breast/endometrial/ovarian tumorigenesis. Progesterone: support pregnancy, implantation, keeps pregnant cervix closed, immunosuppressant, muscle relaxant, prothrombotic, prevents breast cancer. Gonadotrohins: menarche, stimulate ovaries. ...Read more

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Which is better for HRT prempro or combipatch (estradiol and norethindrone)?

Which is better for HRT prempro or combipatch (estradiol and norethindrone)?

Combipatch (estradiol and norethindrone): The whi study, which complicated hrt thinking, used prempro (conjugated estrogens and medroxyprogesterone) as its estrogen/progesterone drug to study. This particular hrt was linked to issues such as breast cancer and heart disease (although the study turned out to be very unreliable!). New, dependable studies have shown that transdermal (patch, cream, gel) hrt has a decreased risk of breast cancer and heart disease compared to oral. ...Read more

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Best 2mg estradiol/100mg progestrn dosing regime to trigger period in 27yr old w/ 2yr amenorrhea? All tests normal (@fertility clinic), estrogen low.

Best 2mg estradiol/100mg progestrn dosing regime to trigger period in 27yr old w/ 2yr amenorrhea? All tests normal (@fertility clinic), estrogen low.

What are goals? : The treatment depends on the goals. You mention a fertility clinic. If you are trying to get treatment would be modified to help stimulate ovulation. If you're simply trying to regulate the menstrual cycles birth control pills would be the most common option. If you're experiencing premature ovarian failure then other considerations are necessary to manage this problem ...Read more

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Which is better for hormone replacement therapy: prempro or combipatch (estradiol and norethindrone)?

Which is better for hormone replacement therapy: prempro or combipatch (estradiol and norethindrone)?

Prefer Combipatch (estradiol and norethindrone): Most importantly because it is a patch vs a pill, sometimes for an individual though, one may be better tolerated that the other and one may be more effective than the other. All things being equal, topical therapy is preferable for relief of menopause symptoms. However, Prempro (conjugated estrogens and medroxyprogesterone) is probably more protective for osteoporosis ...Read more

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Will melatonin or prometrium (micronized progesterone) raise prolactin?

Will melatonin or prometrium (micronized progesterone) raise prolactin?

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

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Prometrium (micronized progesterone) claims to be from wild yam but is there a synthetic in it?

Technically, no: Wild yam does not contain actual progesterone, but Progesterone that is structurally identical to that found in the human body can be made from it. This is a synthetic process but the final product is not a synthetic. ...Read more

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What are estrogen and progesterone?

What are estrogen and progesterone?

Hormones.: Estrogen and Progesterone are hormones produced by the ovary in response to the brain (pituitary gland). Estrogen is produced early in a womans cycle and Progesterone in the second half of the menstrual cycle. The are responsible for preparing the uterus for pregnancy and for pregnancy maintenance. They are also responsible for making women, women. ...Read more

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Are progesterone creams good menopause treatments?

Are progesterone creams good menopause treatments?

Not very good: In natural or surgical menopause (removal of both ovaries) the problem is lack of estrogen. Giving estrogen to women who have not had their uterus removed (hysterectomy) increases the risk of uterine cancer, so we give Progesterone or synthetic progestins to protect the uterus. Progesterone as skin cream is not enough to protect the uterus, but can reduce hot flashes and does not prevent bone loss. ...Read more

Dr. Jie Xu Dr. Xu
2 doctors agreed:
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Black cohosh or bio-identical estrogen/progesterone cream to help balance hormones in perimenopause?

Dr. Jie Xu Dr. Xu
2 doctors agreed:
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

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What is the standard starting dose of progesterone bioidentical hormone cream?

What is the standard starting dose of progesterone bioidentical hormone cream?

See below: Knowing your present level help direct treatment...Saliva testing can help tell you what is out of balance. This tells you how much free hormone is available, and then with the help of some one experienced in natural hormone therapy many corrections can be corrected. ...Read more

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What hormone tablets should I use for getting pregnancy? Estrogen or progesterone?

What hormone tablets should I use for getting pregnancy? Estrogen or progesterone?

Infertility: Often times to induce ovulation, a combination of Clomid, (clomiphene) estrogen, and progesterone are necessary. Another option is Letrazole, or Metformin. All options should be discussed with your OB. Hope this helps. ...Read more

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I take the estrogen patch v-dot ans prometrium (micronized progesterone) but can II start bio-identical progestrone with the patch?

I take the estrogen patch v-dot ans  prometrium (micronized progesterone) but can II start bio-identical progestrone with the patch?

Yes: Bio identical Progesterone obtained from reputable compounding pharmacies , works just as well and can be titrated easily. However you can take one or the other , you can replace the Prometrium (micronized progesterone) with the bio identical progesterone. ...Read more

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Does the nuvaring have lots of estrogen like premphase (conjugated estrogens and medroxyprogesterone)?

Does the nuvaring have lots of estrogen like premphase (conjugated estrogens and medroxyprogesterone)?

Much, much more: The nuva-ring is used for contraception and has estrogen levels that mimic the normal levels found in reproductive age women. Prempase is used for postmenopausal hormone replacement and contains a much, much lower dose of estrogen. ...Read more