progesterone-fertility

Complications Regarding Progesterone Cream

If one has not read Dr. Lam’s books on What Your Doctor May Not Tell You About Premenopause and What Your Doctor May Not Tell You About Menopause, I would highly recommend them. These books are classics and should be in everyone’s natural medicine library. Progesterone cream has been one of the most important supplements I have ever used in my practice.

I have come to a recent realization regarding the use of these creams. Most women in our culture are estrogen dominant, so using the progesterone goes a long way towards balancing hormones which usually decreases a woman’s risk for breast cancer, improves her PMS and breast tenderness and normalizes her cycle. Like most good things in life, if one uses too much of the hormone cream, complications can develop in disruption in one’s hormone balance.

Progesterone Cream
Dr. Lam is fond of using the lower dose creams to avoid this. But this complication can still occur with the low-dose creams. I always attempt to provide the most cost-effective solution in my practice so I use prescription strength 10% cream. Theoretically, there is no problem with this if one uses it as directed. There is a huge cost saving as this concentration is able to get the cost down to $3 per month. However, if one uses more than 1/16 of a teaspoon, complications appear to be inevitable.

The problem relates to the fact that progesterone is highly fat soluble and once applied to the skin will store itself in a woman’s fat tissue. When one first uses the cream, there is no problem here as the fat stores are very low. But as time goes on, the cream accumulates and contributes to disruptions in the adrenal hormones such as DHEA, cortisol, and testosterone. I have learned that although progesterone cream is an enormously useful tool, it needs to be used very cautiously.

I have also learned that it is FAR MORE IMPORTANT to work to normalize the adrenal hormones first. Once the adrenal hormones are balanced, the progesterone levels will frequently normalize and one will not require any cream. The wonderful thing about adrenal normalization is that it usually only takes 3-6 months to balance these hormones. Once they are balanced, one usually does not require any hormone supplements to keep them balanced.

The balancing process involves lifestyle changes first. If you haven’t already guessed it by now, the diet at reading This First on my home page www.mercola.com is the first step. Secondly, one needs to get to bed by 10 PM. This is an essential part of the process. If one is routinely going to bed after 10, then one’s biorhythms will be disrupted. Addressing emotional stress in one’s life is the other huge component. I believe that the therapy we are now offering in with Applied Psychoneurobiology, APN, (see the article section on my website) is one of the most effective tools for this. APN clearly is not the only way to address this and there are many other wonderful approaches out there. Journaling is one of the better and least expensive ones, but there are many other approaches also.

Once the lifestyle issues are addressed, then one would ideally evaluate the adrenal and female hormones. One of the better ways to do this is through measuring salivary hormone concentrations. I had been using Aeron Labs, and they do good work. Dr.used to run it and now he runs his own company, which is also a fine lab. However, I have recently been introduced and I am hugely impressed with their services. They hold regular seminars and are even having one this weekend in San Diego. I would have loved to attend, but I am still catching up from my earlier learning tour. They also hold weekly phone seminars for healthcare professionals, which are excellent.

I really believe they have a huge jump on the other labs as they run multiple samples to make these measurements. One can certainly perform the same test at other labs, but the bill for all the samples would literally by two to three times as expensive. The other labs also do not have an educational component. They have a wonderful clinician, Dr., who walks the health care professional through a proper evaluation of the test results.

Once the results are in, the hormonal manipulation generally involves using sublingual hormones such as DHEA and pregnenolone or cortisol improving agents such as licorice root extract. The exact dosage, timing, and use are determined by the results of the test. The absolutely incredible aspect of this testing and treatment strategy is that it recalibrates the brain and helps the body to start making the hormones by themselves so one is not stuck on hormone treatment for the rest of their life.

Getting back to progesterone cream, I have been finding that many of the women who were on the cream have terribly elevated levels of this hormone. This is not good. Progesterone is normally a cyclical hormone and the body really needs to see a change in the concentration to effect a proper physiological response. If the level is constantly above the concentration that it recognizes as “off” or low, this is not possible. Fortunately, this is repairable. But it may involve going off the cream for as long as two years to wash the progesterone out of the system.

I am still in an evaluation stage and learning about how common this is in my own practice as I have just started using this system for the past month. At this point, I am relatively convinced that this is a big part of the picture for hormone replacement.

topical-progesterone-cream

Natural Treatments for Menopause and Fatigue

Introduction to Menopause and Fatigue

Symptoms of menopause and fatigue, both during and peri-, vary considerably from person to person

The onset of menopause signals the ending of a woman’s reproductive cycle. Menopause actually begins after the women’s last period. This event marks the culmination of several years of peri-menopausal changes during which hormones secreted by the ovaries (estrogen and progesterone) gradually decline. Peri- and menopausal symptoms vary considerably from person to person. Asians are known to have few to no symptoms other than irregular menses. Western women, however, have much higher incidences of body changes such as hot flashes, night sweats, reduced libido, forgetfulness, heart palpitations, loss of bladder control, frequent urination, and joint pains, to name a few. For some, these symptoms are like a “living hell.” All women go through menopause. There is no escape for anyone from menopause and fatigue. What can you do to pass through this life stage in the most comfortable and protective manner?

Effects of Menopause and Fatigue

Once menopause arrives, the body’s internal production of estrogen and progesterone stops. Women can no longer depend on their own body to produce these two hormones to protect themselves against osteoporosis and cardiovascular disease. The result of their health can be devastating.

Symptoms of Menopause and Fatigue

Symptoms: fatigue, night sweats, mood swings, depression, hot flashes, sagging breast, vaginal dryness, osteoporosis, fibrocystic lumps, night sweats, painful intercourse, memory problems.

This hormone imbalance is most common in menopausal women; especially if you are petite and/or slim.

Solution: Progesterone is a biochemical precursor to estrogen. Progesterone cream alone is sufficient to restore estrogen balance and relief many of the symptoms. If after 3 months of progesterone cream, proper diet, nutritional supplementation of magnesium and B6 do not relieve the symptoms, then low-dose natural estrogen may be considered. 2.5 mg of natural tri-estrogen cream (10% estrone, 10% estradiol, and 80% estriol) provides the equivalent action of 0.625 conjugated estrogen such as Premarin. Herbs like black cohosh have a weak estrogenic effect and may be considered as well.

Osteoporosis is the loss of bone density, leading to fractures. Post-menopausal women low in estrogen have a 25% chance of serious bone loss and fracture. The lifetime risk of hip fracture approaches 30% for those afflicted with osteoporosis, resulting in the loss of independent living. Many will die from their injuries.

Estrogen increases pliability of blood vessels, lowers “bad” LDL-cholesterol, increases “good” HDL-cholesterol, and decreases platelet aggregation that leads to blood clots. These protective properties of estrogen result in pre-menopausal women having a lower risk of heart disease than either man or post-menopausal women. Post-menopausal women are just as vulnerable to heart disease as men of the same age. Cardiovascular disease is the leading cause of death in women over 45 years of age.

HRT – Gambling with Cancer

Menopause and fatigue and other symptoms can often be aided with hormone replacement therapy, or HRTThe solution for overcoming menopausal symptoms appears simple – Hormone Replacement Therapy (HRT). This has been a widely accepted practice for the past 40 years.

Studies and clinical experience have repeatedly shown that HRT using the widely prescribed estrogen Premarin® and progesterone Provera® does alleviate the symptoms of menopause and fatigue while protecting against heart disease and osteoporosis. The bad news is that they also increase the risk of some forms of cancer, including breast, ovarian, and uterine.

Simply put, the millions of women worldwide who have chosen to say “yes” to HRT in the past 40 years are gambling on feeling better immediately from menopause and fatigue, having an increased risk of cancer at age 60, a reduced risk of heart attack at 70, and a reduced chance of hip fracture at age 80.

Alternatives to HRT for Menopause and Fatigue

What if you want HRT but not the associated increased risk of cancer that comes along with it? Are there other options?

Some doctors are proposing Natural treatment alternatives, using a different form of replacement hormone for menopause and fatigue. These doctors theorize that the increased cancer risk associated with conventional HRT arises from its failure to use the natural form of the hormones, estrogen, and progesterone.

Specifically, these doctors postulate that the hormones currently used in HRT have mismatched molecules. The commonly used estrogen preparation Premarin® is made from horse urine (equine based), so the molecular structure is slightly different from the natural form found in women’s bodies. Furthermore, the hormones in Premarin® are “unbalanced” in that the ratio of the estrogen combination, estrone/estradiol/estriol is different from the ratio found in humans. click here to investigate