Doctor insights on:
Yams For Progesterone
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
What are progesterones (levonorgestrel) and oestrogens (eithinylestradiol) that are beneficial for treating acne?
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
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
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
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 moreSee 1 more doctor answer
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
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
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
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
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
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
Probably both: I am sure both are check with your doctor and local pharmacist. ...Read more