Progesterone Levels | Low Progesterone Symptoms | Progesterone Side Effects
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- čas přidán 24. 08. 2021
- This video looks at progesterone levels. What's an optimal progesterone level? What happens when progesterone is too low? Too High? Just right?
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Dr. Goldring is telling the truth. Progesterone is needed for health. I used progesterone cream to heal my bipolar disorder and clinical depression. As he mentioned in his video PCOS is a cause of low progesterone. I was diagnosed with PCOS before bipolar disorder. I told my obgyn and psychiatrist the two conditions were related, but they assured me they weren't. This was in my teens. By the time I was in my 29 I was completely disabled. That year, God led me to the late Dr. John Lee's work on estrogen dominance. I restored my progesterone levels and was healed.
Do you take progesterone everyday ? How many mg do u take ?
@@michellelol3476 Hi, I don't take it everyday now. Even I was first coming out of bipolar disorder I took it almost daily for 6 months.
This is amazing!
i have a similar situstion post lyme disease fibroidas and mast cells ldn is stopoing it but meed to save my brain and is been 4 years in hell helai g infevtions really need my brsinnsafe as medicine ignirant one i mean kills me withno bri thinking i.m mad .. this is .. didi u need higher doses doc out me on 100 then 200 does it take limg or is worse before better?
I o
👍Thank you for your channel!! I finally understand what’s going on !!!!!!
@user-mo4et4rc1r You're very welcome! Thanks for watching and I hope you get even more clarity.
TY 4 simplifying women's confusing hormone cycles in Peri-Meno to full on Menopause. I appreciate you explaining in easy to understand vocabulary and keeping it short and precise. You understand the delicate intricacies of hormone fluctuations and how restoring balance is key. Wish more men understood how life altering this change of life affects women and sharing this education with men would likely save many marriages. Grateful Blessings 🎆
Thank you!
After tracking my cycle for 3 months, I have a few signs of low progesterone - I have a consistent 9 day luteal phase, cramping leading up to my bleed, and spotting a couple of days before my bleed. I feel better knowing that there may be a solution!
What is the solution?
@@javeriasaeed1639, first I would suggest you do Saliva testing for progesterone, estrogen, and testosterone. (Blood test results on those hormones is inaccurate since only 2 to 5 % of them is utilized by organs and tissue). And if you happen to need progesterone I strongly suggest you use bioidentical progesterone cream. They're available in health food stores and Amazon. Progesterone as a rule must be use as a transdermal form
If you get a menstrual cycle every month you are in good health of your reproductive organs.
Hi! Did you do any progesterone treatment? Are your symptoms better? Would love to hear. Hope you are well 🙏🏼🙏🏼
Hi! I just listened to your video on progesterone levels and subscribed to your channel, because I really liked what I heard. Thank you, for providing the info that you do. I am 63 this year and get practically no sleep at all now...I've never been a good sleeper, but this has become very hard to live with....though truly, I don't even feel tired during the daytime. I have high blood pressure a lot of the time though I am really healthy, exercise moderately every day , practice intermittent fasting, and eat a well balanced diet. Could the high BP be due to the total lack of sleep? And that caused by low menopausal progesterone? I NEED HELP! : (
Please, let me know if you have a hormone optimization provider in Connecticut. THANK YOU!
The best way to find a hormone specialist, somebody who really knows how to manage all your hormone issues and get you to optimal levels, is to visit this page on my website and fill out my Patient Referral Request Form here simplehormones.com/referral If you leave a referral request on CZcams or email it to me, it's extremely likely I'll drop the ball or it will fall through the cracks. Once you fill out the form, be sure to check your email for a message that says "Confirm your email address." Thanks!
Take Magnesium at night with Ashwanagha. Get a Vit12 shot as well. Also try Melatonin be it over the counter or prescribed. And sort your hormones as well.
Hi. Could you do a video on high progesterone in men and how to lower it? Thx in advance!!
I had my right ovary removed 5yrs back (a month after delivering my first baby normally) due to torsion. Last year i had a spontaneous abortion in 6th week and right now i have a gestational sac without any fp or fhr at the onset of 8th week. Am on 200mg progesteone daily (orally). I always wonder is loosing one of my ovaries playing havoc with my progesteone levels??!!. Need to mention that i have been having regular periods even after removal of my ovary.
I had to rewatch your video because I forgot what the side effects of high progesterone are. I am having them now.
He didn't mention it😒
I have Adenomyosis and have recently prescribed HRT (estrogen gel 2pumps and 200mg of the Ustrogestan) but I’m worried the estrogen will make the Adenomyosis worse ? Could that happen ?
Hi steeve av got a problem,,I've tried to get pregnant for 3yrs now..what could be the problem because my period are just normal?
Appreciate this! Except I must add I am SO extremely sensitive even topical or vaginal cream has extreme serious mental and physical impact on me
Thank you for sharing this valuable information with us!! I have post-menopausal bleeding on HRT (reduced now to 50mg estradiol and started at 100mg progesterone) and so we recently upped the progesterone to 200mg just last night. Roughly how long does it generally take for the bleeding to stop? I have been bleeding for 8 days now, and no end in sight.
@CarmQ Good question. The increase in progesterone should help within a few days. If you continue bleeding, you'll want to check back with your provider. Some women need even more than 200MG. It's a balancing act between patience . . . but not letting bleeding go on for too long.
@@SimpleHormones I think I recall that you said your wife is on 400mg. Did she experience any unwelcome side effects when she titrated up to that dosage?
I love your videos! such great info. I have a question. Listening to menopause doctors on youtube one doctor was explaining that you can take micronized progesterone every night or you really only have to have it 12 days per month.. I'm wondering if this is the case, which mg does this refer to? the 100 mg micronized or the 200mg micronized or both? thank you so much for your videos! They have helped me immensely!
Carla - Thanks for watching. Glad the videos are helpful. There are different progesterone approaches for sure. One approach is "cyclical," which is most often used for women who are still perimenopausal and are still having at least some periods. The idea behind that is that progesterone levels are naturally high for the 2nd half (roughly 12-14 days) of the month, also called the "luteal phase" and low for the 1st half, the "follicular phase." Cyclical progesterone mimics the way progesterone normally cycles throughout the month in younger women. Some providers use that concept after menopause. Most doctors have women take progesterone every night to help with sleep . . . every night! The disadvantage to cycling progesterone is that it won't help with sleep when you're not taking it. Whether you use 100MG or 200MG is dependent on your individual response. Many women try 100MG and it's not enough, especially after menopause when they're taking estradiol and they get breakthrough bleeding. In many cases, upping the progesterone to 200MG or even higher takes care of that. My wife takes 400MG. It's a good idea to "titrate" the progesterone dose - start lower and move up to find the right dose that allows for good sleep, low anxiety, good mood, and no vaginal bleeding. Daytime drowsiness may also be a problem if the progesterone dose gets too high.
So in my case 47 years old and the only symptom I have is insomnia could I only take micronised progesterone during my entire cycle without any oestrogen? Many thanks 😊
@@SimpleHormonesthanks, from Istanbul❤
post lyme neurolyme i got mcas amd it doesn.t stop in this estrogen histamine hell alomg kdm and treatment for mcas itndoensmt stop die to lack of it. does it stoondeoerosnalization from mcas or ffeeling mad and dying is horrific and come from.hell
great
Aoa sir my progesterone levels is 68.08ng/ml 21 days of please tell me it's normal what I hope for pregnancy
I am a postmenopausal in two years and want to start HRT. I am thinking about Estradiol patch with Prometrium oral pill. Does Prometrium oral pill have a long term risk of Stroke and blot clots?
There's no evidence that Prometrium increases stroke or blood clots.
Hi! Im from Sweden and I get enxiety of progesteron. Whats wrong? I tested utrogest and progesteroncreme, its always ending up with anxiety.
Try bio identical hormones. The synthetic progesterone or progestin makes women worse. Essentially sensitive women.
? Can u tell me why a progesterone in one lab comes back low but gets sent off to another lab and it comes back high but why in some labs during my pregnancy did it come low but when they sent it off through another lab it can back good
The specific tests (called "assays") that labs use to determine progesterone levels vary substantially. It's not really fair to compare a progesterone test from Quest Diagnostics to another progesterone test from LabCorps. They use different methods and their numbers and references ranges can be completely different. That's why I recommend you have an experienced hormone specialist who has a lab they know and trust. That way, the provider can help interpret lab results and help you get the big picture of what's going on.
Very informative video, I have been having only sleeping issues, no hot flashes etc. can I take only progesterone orally without the estradiol please? Thanks
@jaykaira9939 If you're in menopause, you'd want to have your estradiol level looked at, even if you're not experiencing estradiol-related symptoms. Optimal estradiol is extremely important for strong bones and heart risk, regardless of symptoms. If you're not in menopause yet, then progesterone is OK by itself.
@@SimpleHormonesHi Dr. Lee. I found my estrogen level above 100 ng /mL with patch, but progesterone only at 5. I think my problem is Estrogen dominance. Can I take more than 200mg of progesterone pill to raise my level. I’m still struggling with sleeping. What is the max dose of progesterone at night without harming? God Bless you!! 🙏 for helping us with your outstanding and informative videos.
I def needed to hear this. I spent thiusands on laser hair removal for the Chin and neck.
My period is every 17-23days. Its sooo heavy. And i had to take iron daily.
Depressed. Anxious. Belly fat big time. Brain fog. Hot flashes time to time....im always tited, but i dont sleep good at all! Wake up every 2 hrs. Im exhausted.
I should take the low dose Progesterone BC pill my gyno ordered for me. .but im terrified to gain lbs!! I spent yrs losing lbs. 😢 My life is hell.
@liztowers2058 Sounds like stories I've heard from women in perimenopause. It's a complicated time that's different for everyone. Heavy periods can definitely be stopped with a progestin-only birth control. That's not actual progesterone but a chemically altered, synthetic progestin. Unfortunately, progestin-only birth control is unlikely to help with sleep, depression, anxiety, belly fat, brain fog, or hot flashes.
Is it perimenapause? Or has it always been like this?
Don't take Progestin it will make you worse.
I’m 35 and I’m surgical menopause.
I take hormone patches 0.1 x2 weekly and 200mg progesterone nightly. Lately I’ve had increased anxiety and and weeping. I can’t sleep through the night and have what feels like surges of adrenaline followed by more anxiety especially upon waking up in the mornings. My levels were just tested and my e2 is 71 and my progesterone is 20.1 could this higher level in P in relation to E be the cause. I was feeling pretty good, but I’m miserable now. Could my P be turning to cortisol since it’s higher? Maybe reduction on P mg or different delivery method is needed? Thanks!
Get on good supplements like Magnesium and VitB 6 and 12. Take Ashwanagha before bed to calm you down. You need to look into tweaking the hormones as well. In one way, you are lucky because you're young going through this. Silver lining. It's not easy and it could also be grief. Try Melatonin at night if not contraindicated.
Dr Steve, I hope you can answer my question on this topic that was not discussed in your video. Do women with PCOS have a higher tendency in having low progesterone during pregnancy? Mine was 4.6 in my 7th week of pregnancy.
That's an interesting question. I'm not exactly sure if there's any research that shows that to be true. I do know that women with a history of multiple miscarriages can often have low progesterone, which may be why it's difficult to carry to term. In many cases, supplementing progesterone can help these women maintain pregnancy.
Sir Please tell me my progesterone levels 21 days 68.08ng\ml can I pregnant this month
@@SimpleHormones thank you so much for such a quick response! That pregnancy did result in a miscarriage, and I was also told that progesterone supplementation may be necessary on next pregnancy if levels are low. Thanks again. I look forward to more of your videos!
Hi. I’m 37 had a really stressful year and thought my hormones were imbalanced. My period has changed where it’s shorter it used to be longer heavier. Past few months I’ve had terrible anxiety and panic. Labs all normal. My doc said my progesterone was low when we tested day 5 of my cycle so we retested day 21 and my level is 7.1ng/ml. She says this is normal within range. Online I’ve read this can be low. I see you also recommend 10ng/ml. Do you think my level is low enough to try progesterone cream?
That level would probably be considered "normal" but not "optimal." The symptoms you're describing sound like they could definitely be related to progesterone levels. You might be on the borderline of some hormone issues that could get worse. I'd recommend seeing a hormone specialist if you can to sort those things out.
How many days period are u having
In the video the 10 dl is for leteul phase not earlier part of cycle like days 1 through 10
One thing he mentioned that is false is that topical progesterone has little to no effect on sleep. The opposite is actually true. I've been able to sleep through the night when I started using topical progesterone. I'm 41 years old and I had not been able to do that since I could remember. I also stopped being so cold all the time, which was new to me because that's my norm since childhood. It also reduced my night sweats and has helped me lose some weight without even trying. I've never taken oral progesterone but I do know topical worked instantly for me.
I am so glad you shared this info! I just received my topical progesterone after having horrible side effects from oral.
I want to sleep through the night so badly!
Hoping this works for me like it has for you! 🤞
I had great results with oral progesterone but stated to have bad GI symptoms at month 5. I switched to a topical progesterone and was great for about a month then started having the GI symptoms again. The medroxyprogesterone gave me severe depression. So gonna switch to an IUD for uterus protection but I’m gonna have to deal with the lack of progesterone another way. 😢
Is this something I can get over the counter /online, or only an RX?
Where do you get the progesterone cream from? I am in Australia and I can't get progesterone cream from any doctor or chemist
@@PinkelefantZ3Hi, how's it working for you?which brand do you use? My quality of life has deteriorated rapidly with only 2-3 hours of interrupted sleep a night, night sweats, severe anxiety, depression. It's feels like I am in an endless nightmare. Please help
Can birth control like nexplanon cause low progesterone?
Hi Steve,
I find your videos very helpful. I really appreciate them. I wonder if you could list ideal ranges for menopausal women. When I get my blood drawn, my hormone doctor says the numbers don’t matter. He says what matters are my symptoms, so why does he get blood work? 🤷🏻♀️. I know you can’t answer that of course, but it’s a question I wish he would answer. To this day, I can’t get an answer from him. I know the ranges on the standard lab slip results aren’t accurate for a menopausal woman on bio/identical hormones, so is there a chart you can reference for us? Thanks 🙏🏻
I go over optimal progesterone levels at about 4:17 in the video.
@@SimpleHormones
Thanks 🙏🏻 Steve!
Good video. I will say that over-the-counter topical progesterone has always helped me to sleep like a baby. I don't like the oral progesterone as much because it has to pass through the liver and can be one more thing the liver has to deal with. The topical progesterone will bypass the liver and go straight to where it is needed. I started using progesterone cream when I was 33 years old for bad cramps during my monthly cycle. After taking it daily for 2 months, I never had any more cramping as long as I used the topical progesterone cream on a regular basis. Some doctors will tell you not to take after menopause....BUT I totally disagree. I am 66 years old and I stopped using it for the past few months and I felt like I had a lot more irritability & anxiety and also started having low libido and low sex drive. After feeling like I was going a bit crazy, I started researching progesterone cream and learned that low progesterone will cause those issues in the body. As of today I started putting the cream on again. This time I am going to be using it daily to see if that stops all the issues I am currently having.
Where do you get it over the counter? I don't think I've seen it anywhere. Does it help a lot with weight?
What progesterone name is good. I got confused with synthetic hormones etc cause breast cancer?
There are basically 2 names in the US. "Prometrium" is a brand name progesterone capsule in peanut oil. Progesterone capsules would be a generic name. They are also available from a compounding pharmacy as micronized progesterone capsules. In the UK, "Ultrogestan" is the most common brand name.
I'm one of those who doesn't tolerate progesterone well. Extreme fatigue and irritability. My ND is allowing me to adjust as needed as long as I get at least 50 mg progesterone at least 14 days of the month.
I had breakthrough bleeding when I stopped 14 days straight tho, so now I take 100 mg oral bio identical progesterone the first two nights after I put on a new patch. For the other two nights before I re-patch, I use 1 click (25 mg) topical cream from a compounding pharmacy, plus 1 vaginal cap (from Amazon, (bizweike brand) to make almost 50 mg total on those nights.
Because I am on as low progesterone as possible, I have a transvaginal ultrasound scheduled to be sure my endometrial lining is okay.
It is important to work with a menopausal specialist. In my area there is an OB/GYN as well as naturopaths who are both excellent.
Hello, thank you for your help, I haven't got e uterus, can I take uterogest on the skin? (transdermal)
You can take it in a transdermal form. Several of the benefits of progesterone happen when you take it orally and it's metabolized in your liver into a slightly different hormone. That means the transdermal form is less effective for insomnia, depression, and anxiety.
@@SimpleHormones thank you, but wenn I take it oral I feel not good, what can I do?
@@SimpleHormones I can't sleep, I have depression,
I am 66 years old, recently I have severe insomnia, anxiety and depression. I have tried Estring 2mg and Progesterone micronized 100 mg for less than a week. So far I sleep better but on and off not consistently. My doctor told me to give it more time. I have some questions: if I stop using Estring and take only the Progesterone, is it safe? How long can I take it if it helps me with my insomnia? Thank you very much.
My recommendation is to keep going on both estradiol and progesterone. They are absolutely safe. A week is far too short a time for your system to fully incorporate those hormones. The combination of estradiol and progesterone will do 2 things: 1) eliminate all your symptoms, including insomnia and 2) protect you from long-term health risks. It's possible that 100MG of progesterone may be too low for sleep but give it at least 4-6 weeks, then ask your provider to re-evaluate.
Can too high levels of oral progesterone also cause pelvic cramping and headaches. I'm experiencing both 3 weeks in. My doctor said give it a little time to see if symptoms go away.
Those can be side effects of progesterone, but they can also indicate low progesterone levels in relation to high estradiol. I've always counseled patients that progesterone takes quite a bit of time to settle down after you start taking it. Your doctor is right to have you give it longer.
@@SimpleHormones I appreciate your quick response. Thank you so much. It makes sense that re-introducing hormones back into my body will take time an perhaps a few adjustments.
does the cream help at all? I've been using for 2 mos since that's all I can get, my doctor wont give a pill. I have a very low reading
Progesterone is usually better in an oral capsule. Most of the providers I talk with have told me about women having too low of levels, in spite of using progesterone creams.
Hello Dr. How are you? My Dr is going to get me on natural progesterone , but I am not sure which one. Does progesterone typically rise fairly quickly or does it take time? Thank you so much🙏🏼
@danielagentile8049 Ask your provider for oral micronized progesterone, which also goes by the US brand name "Prometrium." It's available in a generic as well. In the UK, the brand name is "Ultrogestan."
@@SimpleHormones thank you Dr
@@SimpleHormones are there side effects to worry about? What dose do you suggest?
Hi, Dr
Im 45 yrs old, had a partial hysterectomy 15 yrs ago and have always had a light period since. In the last couple of years they've been irregular and sometimes skipping a month. I've been dealing with insomnia, joint pains, mood swings anxiety, pulsating ears, low libido ect. I also have hashimotos and thought this was the cause of my symptoms but my tests came back normal plus with hypothyroidism I've always slept more now I'm waking up in the night and not able to go back to sleep grrrr!! My symptoms with hashimoto's have never been this bad. My indocrinologist thought it sounds more like perimenopause. So went to gyno did hormone blood work for perimenopause. I couldn't do it between 3rd and 5th day of period because they are irregular and I skipped again. Tests came within range so she put me on 200mg of synthetic progesterone to help with sleep 14 days on 14 off. On day 7 of starting prog my period came and lasted 3 days. I'm maybe sleeping 1 hr more but it's given me nausea, anxiety and leg pain. Is this normal? Will it eventually ease off or could the dose be too high? She said she gave me synthetic because the bioidentical would be too strong for me. Sorry for the long comment I really hope you answer. Thanks for your great informative videos. Wish there were more doctors like you here in Europe.
I’m super confused how could you have it. If you have no uterus.
I still have my ovaries. My dr said its not that unual with a partial.
Any luck striking a balance?
Impossible to have a period if you had a hysterectomy. Even with ovaries in. I know, I had one. If you’re bleeding you really need to see a specialist. That’s not normal at all!
Hello, I just started taking 200mg of oral progesterone from ovulation till my period starts. I LOVE it for sleep but I suddenly have joint pain. I don’t want to stop taking it. My provider said she hasn’t heard that complaint before and told me to see my doctor but I know it’s related. Have you heard of this? I’m 43.
I just received an email from someone who is a yoga instructor and she's had "hypermobility" on progesterone. I hadn't heard much about that, so I did some research. Apparently, progesterone can cause a loosening of the joints, which might also be related to joint pain.
Hi, i have no child my age is 31.my progesterone level is 20. 21 days of my period is it good level
I' m pregnent, I have spotting in 5 weeks, Dr priscribed projesterone Sustained release tablets 200 mg,now I'm in 8 week, no spotting bleeding etc,,, if continue this tablets, plzz reply........
Sounds like the added progesterone may be helping. That's good news. Keep doing what your doctor is recommending.
Hello this video I believe has save my life I’m 57 peri mental pause I definitely need help the weight gain is out of control I exercise 4 days a week and strength training and I’m on Weight Watchers I am in desperate need of your help. I’m on Progesterone and I can not stop gaining I live in the state of Delaware, close to Philadelphia and Maryland area
Try intermittent fasting.. change your diet completely. Keep it as clean as possible. It sounds like cortisol is been produced too much. Look at Dr. Berg videos on CZcams.
Go carnivore
Hi Dr. I'm 2 weeks pregnant via ivf treatment, currently I'm taking progesterone everyday ( 2 capsules oral 200mg each, 3 capsules vaginal insert 200mg each & 1 25mg via injection.. May I know if the said level of progesterone I mentioned above I am taking everyday is fine/ safe?? Please advise... thank you so much Dr. inadvance...
Thanks for watching! So progesterone in pregnancy is a bit different than in menopause or perimenopause. Your progesterone levels go through the roof in a normal pregnancy, way higher than you’d have when you’re not pregnant. High progesterone helps you maintain that pregnancy and women with low progesterone often have multiple miscarriages. So it’s a great thing to get your progesterone supplemented during your pregnancy if you’ve had trouble in the past.
High progesterone during pregnancy is associated with more nausea.
Thank you so much Dr. for your kind and very informative response, Greatly appreciated. Again thank you & stay safe...
Hello Steve, my 14 year old daughter gets her period every 17 or 18 days since menarche at 12. Shes gaining weight and is also slightly insulin resistant. What could be wrong with her hormones? Any advice will be highly appreciated 🙏
That could be a situation involving polycystic ovarian syndrome or PCOS. It's best to have a hormone provider run some tests. The insulin resistance is a major cause of hormonal disruption.
Here's another video about PCOS czcams.com/video/v5SgCq5GWtQ/video.html
@@SimpleHormones much appreciated. I'll have a look at the video.
@@berries2511 also check for endometriosis
Hi dr. We have done embryo transformation on 17 of this month
And as per instruction we have done progestron blood test on 18 of rhis month that is on 2nd day of transfer and progestron value is 70 ng/ ml
Is it gud sign or bad ??
Stillmy embryo is safe??
Plz ans. Dr.🙏🙏
Why u r nt ansring??
Hello
Can you find me an optimal hormone provider in my area of San Diego California!!! Plz
The best way to find a hormone specialist is to fill out my Patient Referral Request Form here simplehormones.com/referral
If you leave a referral request on CZcams or email it to me, it's extremely likely I'll drop the ball or it will fall through the cracks. Thanks!
O.287 progesterone ml means
Hi Steve...I saw your video recently. I’m 49 . I underwent full hysterectomy. Currently I am facing insomnia, depression and anxiety. I live in India. I need your support.
Sree - Hey, thanks for watching. I'm so sorry you've struggled after your hysterectomy. Unfortunately, that's a story other women have also told me. I don't know many Indian hormone specialists. I do however know one in Bangalore. The good news is that Dr. Vivek Kadambi has been through a hormone training program, the same one I'm certified with. He also teaches other doctors about hormone optimization. If you contacted his office, he might know of someone in your area (assuming you're not in Bangalore, since India is a big country). It would be worth asking though. Here's his website: bellesante.in/ Good luck!
Sree lataa, watch some vedio dr meeta singh, Tanveer hospital, hyderabad.she is member of Indian menopause society.try to contact her via telemedicine
@@SimpleHormones how may I consult with you? I have Pmdd and need help
Every video out there is about low progesterone! What if you very recently had Mirena IUD to control adenomyosis symptoms, and now you just feel tired and sleepy like a teenager, what would that be?
1) Body adapting to Progestin dose 24/7?
2)Or progesterone still on the low side?
3)or tipping on the slightly high side?
🤔 Can you make a video focusing on symptoms of higher than normal progesterone with a progesterone-only IUD?
One thing to be aware of is that progestins are not the same as progesterone. Mirena is a progestin, which behaves a lot differently than actual progesterone.
@@SimpleHormones Thank you and Yes Doc, I am aware of Mirena being a progesTIN and it's localized within the uterus. However there are other parts of our female body that needs progestERONE, so that's why I am also looking for what and how much progesterone I need to supplement with to reach an optimal amount in order to overcome most of my symptoms, as I transition to menopause free from endo hell-pain, regain my energy and strength levels that have been zapped by endometriosis&adenomyosis these last two decades.
How do I get access to progesterone as most GYNs clinics and women's center don't support progesterone especially outside of the US, UK EU? The specialists totally evade the discussion or natural progesterone with one liners about their efficacy and lack of study as well as for legally protecting themselves and other institutions mandates (insurance, health dept in gov. Etc)
So how can I get access to the right type of progesterone for myself? I am sure there are other women in my shoes asking the same question.
@@SimpleHormones Is it safe to take Prometrium for insomnia if you have the MIrena IUD?
Is it true that low progesterone can cause hot flashes? I thought it was low estrogen
In general, hot flashes are usually the result of low estradiol (estrogen). They may also be related to low progesterone, but not nearly as often.
Northern California...please help....thank you
The best way to request a referral is through this form on my website simplehormones.com/referral
If I take them through email, chat, or here on CZcams comments they WILL fall through the cracks and get lost. I just receive too many to keep track of them. Thanks!
@@SimpleHormones thank you... just went over to the link. God bless you
I can not take progesterone.It makes me very depressed, dangerously depressed. I stopped taking an felt amazing on estrogen alone. When I was younger I could not take birth control for the same reason. I am going to try an IUD because it doesn't enter your system like oral does. I have been taking estrogen alone for 2 months my doctor has made it very clear the danger of estrogen alone an wanted me to keep taking it until I got the IUD but I literally can't handle it. I guess I feel like a couple months of no progesterone can't be that dangerous an it must take time for cancer to develop. Am I decieving myself an am I really at risk? An what is the risk of getting cancer from not taking progesterone with estrogen? Risk could mean 10%chance or it could mean 70%. All I know is the chances of me continuing a life like I felt on progesterone is zero.
Change to bio- identical progesterone. It makes big difference.
@@veronica2764 That won't effect me the same way? I assume insurance doesn't pay for that? Is it a foregone conclusion that taking estrogen without progesterone will cause health issues?
I am in the same situation
Did you try IUD?
I am afraid to try it because if I can’t tolerate it it’s not so easy to get rid of..
I am experimenting with creams but there is conflicting data on it
I'm in the same boat. My ND is allowing me to adjust as needed as long as I get at least 50 mg progesterone at least 14 days of the month.
I had breakthrough bleeding when I stopped 14 days straight tho, so now I take 100 mg oral bio identical the first two nights after I put on a new patch. For the other two nights before I re-patch, I use 1 click (25 mg) topical cream from a compounding pharmacy, and 1 vaginal cap (from Amazon, (bizweike brand) to make almost 50 mg total on those nights.
Because I am on as low progesterone as possible, I have a transvaginal ultrasound scheduled to be sure my endometrial lining is okay.
It is important to work with a menopausal specialist. In my area there is an OB/GYN as well as naturopaths who are both excellent.
@@1pepem forgot I made this comment but here I am 2 years later and I now had a hysterectomy because I started to having spotting, had an ultrasound and my lining was very thick so the doctor did a biopsy, the kind where the sedate you because she felt she needed to see the lining and choose where to take biopsy from because of her suspicions that lining that thick could likely have a problem and she didn’t want to blindly grab anywhere she wanted to biopsy areas she felt were concerning. Thank god she did because I had disordered cells ??? Precancer? Not sure exactly the wording but my uterus is now gone an it went very well but the speed that my lining went from normal to dangerous was 2 months so fortunately it all worked out but I would not recommend doing what I did.
Hello sir my progesterone is 1.69 I'm 34 what to do sir
Hi Steve, quick question my estrogen is normal but all the way at the top and my progesterone is low. My naturopathic doctor has me on 100 mg and now on my 2nd cycle. Still having trouble staying asleep it does help me fall back asleep faster. I was wondering how often should they increase it if it's not giving you the desired effect. I have an appointment coming up soon. Thank you for your help.
Thanks for watching Katie. That’s sort of a medium dose of progesterone. It would be worth asking for a higher one. My wife sleeps very well on 400MG in a sustained release oral capsule.
@@SimpleHormones Is it normal to start lower and work your way up. Just tired of not sleeping good.
@@katiewhitney8499 That’s a common practice, yes. It’s a good idea to start low and go slow, but not too low or slow.
@@SimpleHormones lol thank you so much for the information!
@@SimpleHormones Hi Steve I have one more quick question. Is progesterone anti androgenic? Which in turn would prevent hair loss by blocking dht? If that makes any sense lol.
Does Andenomysis cause low progesterone?
Not necessarily . . . but adenomyosis could be the result of too much estradiol in relation to the level of progesterone. So it's not exactly "causing" low progesterone . . . it's sort of "emphasizing" the fact that there's not enough progesterone.
I am a men with very low level progesteron + also some low thyroid hormones (I take levotyroxine). What should I do to get better? Hard to find some good doctor from these illnesses
If I Were You, I would get on a natural thyroid such as Armour Thyroid . Levi is only T4. You should do better on T3 plus T4
@@julieellis6793 How to do this? Is T3 somewhere in food? Thx!
Can we take magnesium for progesterone?
You can certainly take magnesium. I do. It's a mineral that most of us are very low on, which can cause issues with leg cramps, sleep, and even heart problems. I'm not sure that taking magnesium will have a significant impact on progesterone levels.
So everyone presents everything about low progesterone, but whatever happens when progesterone is high? 🤔
Watch the video for the answer. 3:26
Does food increase or interfere with the absorption of oral progesterone? as with medications some are advised to be taken with food or on an empty stomache what is your thoughts and advice?
Reply
Usually doesn't have a big impact one way or the other. If progesterone upsets your stomach, you can take it with food. However, I recommend trying to take it at bedtime.
@@SimpleHormones is taking the progesterone tablet vaginally instead of orally effective in providing the uterine protection ? 🙏
There's no real data that shows that progesterone oral capsules given vaginally is effective for uterine protection. Just a reminder, progesterone doesn't come in a tablet. It''s actually an oil-filled capsule. You CAN insert it vaginally . . . but it may or may not dissolve and be absorbed. You CAN cut it open . . . and get an oily mess on your hands and on . . . well you get the point. It's an option, but in my informed opinion, there are better options available.
@@SimpleHormones I was taking utrogestan 200mg vaginally (meant for fertility) for 12 days a month and a monthly bleed for one year and had no side effects. Recently my dr put me on 100mg utrogestan orally daily and I had nausea and nightmares. She then suggested I take it vaginally and I have low level cramping and bleeding (which I wanted to avoid by taking it daily) Please any suggestions? I feel my depression is worse. Post menopause , sandrena 1mg a day. Should I go back to the prior regimen long term?
Please let us know
What are they?
Is cream effective?
I can’t tolerate oral progesterone…
Sir m day 21 progrstone level is 9.5 Ng/ml sir plz guide me can i conceive with this level
That's a question to talk with a hormone specialist about.
I'm only watching videos on CZcams to pass time. I just got my first prescription of progesterone after struggling with insomnia for months. I'm so excited to take it and sleep but it's only 8:30 p.m.😅. I'm trying to bide some more time before giving in! Just last week, I was jumping for joy at the thought of having a colonoscopy because I knew anesthesia would allow me to take a short nap. It was the best sleep I've had for many many months and I am looking forward to more of that with HRT. Otherwise, I might have become a colonoscopy addict😅
I hear you! I have not had good deep sleep for 3 years. It's been awful. Always interrupted, hard time going back to sleep. Not good! I look forward to starting bHRT this week.
I feel like my compounded progesterone capsules 100mg havenot been helping to keep my estrogen levels in check. I’ve also been using 0.05 estradiol patches since December 3rd and am experiencing bleeding…again. I’m considered post menopausal and am 43- I know that I have a polyp. I had no bleeding issues on 2.5mg generic provera, so I might go back to that. I have also tried Prometrium before the compounded variety and bleeding with that as well in addition to dizziness
Thanks for watching. In my experience, 100MG progesterone, which is a typical starting dose, is rarely enough to prevent bleeding. I would suggest you talk with the doctor who prescribed that and ask for a dosage increase. I'm not so sure the progesterone is not working, it's just that you're not getting enough. Medroxyprogesterone (Provera®) does work, but it has some major drawbacks when compared to progesterone. It won't help at all with insomnia, depression, or anxiety. I recommend against Provera®/medroxyprogesterone.
Will 100mg of prometrium taken orally will damage liver? Thank you!
Not much chance of that. Progesterone is a very safe hormone and that's actually a relatively low dose.
@@SimpleHormones
Thank you for prompt reply!
If I am going to have a reaction to 200mg oral progesterone ......how soon would it happen?
Most people don't have a reaction at all. There are a few, rare cases of people who have trouble tolerating it. Often those can be solved by a different dosage form, like a sublingual troche (lozenge) or a vaginal suppository for a woman who has difficulties with oral capsules.
Thankyou for your reply 😊
Need someone in St. Paul Minnesota
The best way to find a hormone specialist, somebody who really knows how to manage all your hormone issues and get you to optimal levels, is to visit this page on my website and fill out my Patient Referral Request Form here simplehormones.com/referral If you leave a referral request on CZcams or email it to me, it's extremely likely I'll drop the ball or it will fall through the cracks. Once you fill out the form, be sure to check your email for a message that says "Confirm your email address." Thanks!
@@SimpleHormones I did
@@Vangela1 I'm pretty sure I answered you on that one . . . an Angela for Vangela
Does low progesterone cause vulvar fissures in women that are still menstruating?
I'm sorry but I haven't run across any information about vulvar fissures.
My progestrarone >56.0
It is high?
Hi there, is 104.6 progesterone level normal.
That totally depends on when in your cycle that level was measured. Most women of child-bearing age will have a level somewhere close to that, probably toward the middle of the month, right after ovulation. But it will rise and fall substantially before and after.
Would you recommend progesterone for a woman who’s had a full hysterectomy? Thank
You
Yes. progesterone is helpful for several post-menopausal symptoms, whether a woman has a uterus or not. The most important one is insomnia.
Would the cream help if you don’t have insomnia? I’ve had no HRT since medical hysterectomy 18 years ago 😮 I’m only 52.
Alot of people just starting hrt at 52. I hope you have went on it by now and can experience the benefits 🙏🏽🙏🏽@@lorineely6921
I felt like i had be hit by a train within hours / days of childbirth. Massive crash I was an absolute wreck. They gave me anti depressants.
That's usually the result of a massive drop in progesterone right after the birth.
My age 32 , day 21 progesterone level
32, it is high? And ovulation day 13.
Seems like a high but good progesterone level after ovulation. Progesterone tends to be higher in the second half of the cycle, which is good.
@@SimpleHormones thanks.
"Most women are ok with oral micronized progesterone and increases of progesterone,.... some experience paradoxal reactions" What is the recommendation for the latter?
That's an unusual situation. What most providers will recommend is, "Start low, go slow." Some will offer alternative dosage forms, like sublingual troches. Some will prescribe a sublingual suspension or drops. This is a situation that's best handled on a case-by-case basis by an experienced hormone specialist who has dealt with these situations successfully before.
@@SimpleHormonesis it effective when the micro used progesterone is inserted vaginally?
No one is answering this important question because it’s not FDA approved via topical or vaginal route..
Used off label by many..
I checked my progestrone. It is 0.4.i have irregular period. Iam 34year old. What I need to do
It is IMPERATIVE you check your progesterone levels during a certain number of days during your cycle. Otherwise, you will not be dealing with accurate info. Given you are, your Dr. Can prescribe progesterone supplements. That's exactly what my Dr. Did today. My level was 0.6. Plus we started pellet bioidentical hormone therapy b/c my testorone was very low. So check with your Dr. B/c solutions are out there!!! Best of luck!
That's a low level . . . but it needs to be looked at in an overall context of all your hormones. That single test of one hormone is interesting, but you should really have a qualified specialist take a close look at your estradiol, testosterone, progesterone, insulin, and thyroid to get an idea of what might really be going on. they'll probably also want to take a look at cortisol and DHEA to make sure your adrenal glands are working right.
Just now finding your videos. Thank you so much, so helpful.
I love taking my progesterone. I sleep very well at 200 mg.
The estradiol is another story.
I just started taking both the progesterone and estradiol.
The estradiol makes me so sick like I have a bacterial stomach infection or virus. Stomach pain and nausea.
This is only at on click.
In the beginning the doctor had me on 4 clicks which gave me extreme pelvic floor and abdomen pain. It literally was like the worst period ever, however, was past having menstrual cycles due to uterine cancer.
The cream is 3MG
Please help??? I really want to adjust to this….
Sir I am men but I want to sex change to male to female... Estradiol and progesterone pill can increase breast size.... Sir I want big breast.. sir please help......
You should also talk about progesterone in man.
There's a small amount of information in the medical literature about progesterone in men. Studies looking at progesterone for traumatic brain injury, for substance abuse, smoking cessation, sleep, a few others. Not sure if I can find enough evidence to create a video about it.
Hi, what are signs I'm taking too much progesterone? Thank you.
Daytime sleepiness, nausea.
Can u plz give me an advice.my progestrone level is 2.35.so what should i do for that.
That sounds like a somewhat low progesterone level, for sure. The important part is understanding the overall context of that level. When was that drawn? Are you still having periods? Was it a few days after a period? 2 weeks? Do you know if you're ovulating? Are you having other symptoms that correspond with low progesterone? Are other hormones (insulin, testosterone, thyroid) optimized or are they high or low? These are all questions a hormone optimization specialist will want to dig into in order to truly understand what's going on.
Pls doc. Someone with progesterone level 0.5ng the profile is drawn 2019 aged 27yrs not yet married and always has a missed period of 3-5months . What can the person do. Thanks
Does progesterone affect male fetus sexuality
Could you please provide names for bio identical plant based progesterone?
Here's a video that explains "plant-based progesterone" czcams.com/video/rv0UDlMxbeU/video.html
@@SimpleHormones thank you so much. Very thoughtful of you!
Is 0.5 low progesterone level?
That does sound like a low progesterone level . . . but the implications of that vary widely based on several factors, including the time of the month the progesterone was tested, whether you're ovulating or having regular periods (which usually go together), what other symptoms you're having. That's why I always recommend you talk with a hormone specialist who understands all the subtleties.
17 days my progesterone level 60 this is pregnancy
Maybe . . . but progesterone levels go WAAAAAY higher than that in pregnancy.
Why arent women given progesterone after birth if that the case.?? Seems so simple to fix for a women yet its not given. Is it related to postnatal depression? Absolutely ridiculous if this is the case and prescribed progesterone after birth could stop this.
Yep I was just talking to my doctor about this. Why don't they do hormone testing before they label people with a mental illness and she agreed that they definitely should be doing hormone testing before they push/prescribe anything.
But that menstrual chart that is in all the medical text books has a HUGE flaw. There is no unit of measure on the y-axis! The authors of the chart combined an estrogen chart in pg/mL with a chart of progesterone in ng/mL and removed the unit of measure. This is absurd because if that chart wanted to compare progesterone to estrogen, that progesterone line should be 1,000 times higher on the chart to be realistic.
Look at it another way: if we use Steve Goldring's optimal level of progesterone of 10 mg /mL and convert it into pg/mL by multiplying 10 by 1,000, we would get 10,000 pg/mL. Now this value can be compared to estrogen because estrogen is measured in pg/mL. Estrogen's optimal level is 75-100 pg/mL. That makes progesterone roughly 100-133x more abundant in the body than estrogen! And it means bHRT therapies should be dosing much higher progesterone than what is commonly done in practice.
This has been a COLOSSAL "aha" moment for me and it shocks me just how many misconceptions are out there when discussing HRT.
strange this was omitted from below comment- the 1 FDA approved version of bioidentical projesterone- Prometrium has very bad reviews as well as the FDA approved bioidentical estrogen... upshot is I'm looking for an alternative ;)
I got notified about your earlier comment, but it's not showing up on the video. That MAY be because of the link you tried to include. "Thank you for your videos. This article and mountains of conflicting information online has me nervous about compound pharmacies. www.endocrineweb.com/news/other-endocrine-disorders/20696-endocrine-society-warns-against-use-custom-compounded-bioidenti"
This is a complex topic - one I may need to post some videos about. I can understand some hesitancy about compounding pharmacies. For the Endocrine Society (and other physician groups) to claim that compounding pharmacy is "unregulated" is completely false. Compounding isn't regulated by the FDA, but by state boards of pharmacy. It's exactly the same regulatory framework your doctor is under. No one claims that doctors are "unregulated" because they answer to their state board of medicine instead of FDA. Federal law and the FDA's own rules allow compounding of prescription medications, based on the right of a physician to practice medicine in a way that's best for the patient. There are lots of instances where a drug is available in some form in an FDA-approved product, but that form isn't right for a particular patient. For example, Prometrium® peanut oil-filled progesterone capsules. If the manufactured drug is not right for the patient, a physician has the right to prescribe a compounded version of that drug, as long as it's substantially different than the commercially manufactured product. I've been in charge of the compounding lab at a very large compounding pharmacy that is licensed in all 50 states. My pharmacy was inspected by the FDA (the WORST week of my life, by the way!) and passed their audit with flying colors. There are excellent compounding pharmacies and a small number that don't know what they're doing. My recommendation is to work with a hormone optimization specialist who has a relationship of trust with an accredited compounding pharmacy. At some point, I'll make a video all about finding a compounding pharmacy you can trust.
@@SimpleHormones Very happy to see this. So would my gynecologist be able to prescribe a compounding prescription for a bioidentical progesterone cream for me?
I feel that is my last resort in my hrt journey. I feel amazing on the estrogel but cannot tolerate any of the progesterone we have tried from my gynecologist, even the mirena, I cried for three days till it was removed. I sn definitely progesterone sensitive.
@@SimpleHormones Excellent! Thank you so much for your response and information. Much appreciate ;) I am looking for a hormone optimization specialist in Los Angeles (I did sign up for and request on your site)
@@SimpleHormones Please do a video on this and share any studies you have on the safety of bio- identical hormones from compounding pharmacies. I am not a fan of the FDA but there is a lot of information against compounded bio-identical and I still have not found much supporting the safety of it. Thank you!!
I just had my first dose of micronized progesterone. Today my anxiety is increased quite a bit. Will this go away? Should I stop now and save my self from increased anxiety?
You DEFINITELY don't want to give up on it after 1 dose. It's a hormone that your system may not be used to, if you haven't had it for a while. I'd suggest you keep going for at least 4-6 WEEKS. If the side effects are too much, see if you can get a lower dosage.
Thanks so much. I am on 100mg Mon Wednesday and Friday. I have taken 5 doses so far and tonight had a panic attack. I know I have been depleted for many years. I hope I feel better soon. So many side effects. Off balance, head pressure, back of my head tingling.
I have a dumb question...why would nature have women go into menopause in the first place? If it were going to give women all these diseases without estrogen? I know women lose hormones as they get older because the childbearing stages are gone, so isn't it only natural for women NOT to have estrogen/progesterone as they hit these non-childbearing years? For decades, if not hundred years, most women have lived long healthy lives without HRT? ESPECIALLY in nations other than North America. All of the older women in my family have either gone through menopause or are going through it now, but their heart health, bones, etc are all perfectly fine! They don't have HRT, they are mostly healthy eaters, and definitely move a lot, and I don't mean exercise...they're just always out and about or doing something in the house or work. So is it fair to say that NOT all women even need HRT in menopause? If their heart, bones, cholesterol, etc are good.
@Blueskies7775 Not a dumb question at all.
One perspective is that "evolution" favors reproduction and once reproduction isn't an option, there's no real advantage to having humans live a long or healthy life.
It IS natural for women to lose their estradiol and progesterone after menopause. It's also natural for most of those women to experience the physiologic consequences of losing those crucial hormones - hormones that helped them stay healthy and strong up until menopause.
Congratulations! Sounds like you come from a long line of healthy, strong women. That's great and let's hope it continues into your generation and beyond. But it's also the exception.
I'm not so sure that women have lived long healthy lives without HRT. It's a bit difficult to reconstruct the data, but lots of women didn't make it to 80 or 90 in the past. And lots of women in underdeveloped countries also struggle with major health consequences of menopause.
There are women who don't experience the major health risks associated with the loss of hormones. But statistically, the risks are MUCH higher without hormones than they are with them. Your family is very blessed to have healthy women. But the overall population isn't always that lucky.
My wife tells people all the time about her mother, Catherine. Catherine lived to be 101. She died about 6 years ago. She was one of those women who didn't seem to suffer from the long-term health risks of going without hormones after menopause. She never really had much in the way of HRT.
On closer examination of Catherine's life, though, we realized that she spent the last 10 years of her life in a nursing home. She had been unable to walk since about age 90. She suffered from severe osteoporosis and her vertebrae were basically crumbling. She was in constant pain and had to have a lot of pain treatments, all because of her crumbling spine. I'm convinced that she would have had a much better quality of life if she had known about optimal hormones, which she did not.
My own Mom is another case like Catherine's. She seemed to sail through menopause with no problems at all. But now, in her mid-80s, she's definitely experiencing some of the health risks that come with losing estradiol at menopause . . . especially cognitively.
I like to say that hormone optimization isn't right for every woman . . . but the number of women who would not benefit from optimal hormone levels is WAY smaller than mainstream medicine would have you believe. The risks are exceedingly small and the upside is so great that it is the best pathway for the vast majority of women.
Like I say in the video (8:34) "Whether you optimize your hormones or not . . . you face risks either way!"
@@SimpleHormones Thank you for explaining. Yes let's hope the good genes carry forward in my generation as well, but I am going to look into getting BHRT soon either way, I want to have the advantages I can from BHRT. I don't want to live the last 10 years of my life in debilitating pain from bone issues, etc. I want quantity AND quality, am I asking too much? LOL. 😅
Your wasting your time and money on that nonsense. Cancer is predominantly caused by environmental factors overall. 10% is genetic maybe. You live in a chemical soup with plastics everywhere that we ingest daily. You change your diet and be aware and make sure your drinking clean water. They put fluoride/Chloride and some Strontium in the water supply. Even bottled water. Look up those chemicals and you'll see how toxic they are.
So just found out my arrogant, rude, and a liar of a "doctor" prescribed an oral synthetic progestin not protremium or generic progesterone when I presented him with facts. He then insisted he prescribed me Prometrium and the pharmacist gave me the synthetic progestin...WHAT??? my insurance covers Prometrium, the pharmacist would not do that without notifying me. When I explained I was getting a lot of side effects and still struggling with insomnia and anxiety and it was actually getting worse, he said that's expected till my hormones settle in 6 months...WTF!!! I have been on them for 3 months with no improvement on insomnia, anxiety, etc. I looked online at the list of side effects of synthetic progestin ,extremely scary!!! He refuses to prescribe actual progesterone saying it won't make a difference. I'm scared! but it's a month till I see a hormone specialists (of which you refferrred, THANK YOU!!!), I am not sure what to do? switch it to vaginal to ensure uterine protection as so not to risks stroke, clots????. Idiot doctor was more than happy and suddenly "sincere to help" to prescribe Zoplicone (sleeping pill) OR else told me to entirely stop my HRT. So which at this point I was desperate for sleep and took them, I refused the antidepressant and benzodiapine (another highly addictive sleeping pill) of which he also wanted to presribe. THIS NARCASSIST IS NO LONGER MY DOCTOR!