It’s time to bring progesterone into the conversation about women’s health. That’s according to Canadian endocrinology professor Jerilynn Prior in her paper “Women’s reproductive system as balanced estradiol and progesterone actions—a revolutionary, paradigm-shifting concept in women’s health.” In the paper, Professor Prior makes the case that historically there has been a “cultural over-emphasis on estrogen” while “progesterone tends to be ignored or associated with negative effects.”
PCOS is defined as a set of symptoms including androgen excess and anovulatory cycles. In simplest terms, PCOS is the condition of androgen excess when all other causes of androgen excess have been ruled out. It’s an umbrella diagnosis which can be caused by different underlying drivers or functional types. The four functional types of PCOS are insulin-resistant PCOS, post-pill PCOS, inflammatory PCOS, and adrenal PCOS.
Guide to Using Progesterone for Women’s Health
Body-identical or bioidentical progesterone can treat women’s health conditions such as PCOS, PMDD, migraines, endometriosis, adenomyosis, and perimenopause.
Progesterone is called oral micronized progesterone and requires a doctor’s prescription. Brand names include PrometriumⓇ, UtrogestanⓇ, TevaⓇ, and FamenitaⓇ, depending on your country. Alternatively, progesterone cream is available over-the-counter in some countries and can help with mild symptoms but is generally not as effective as progesterone capsules.
Here’s what you need to know.
Cyclic Progesterone Therapy for PCOS
Progesterone has anti-androgen benefits and can promote ovulation. That makes progesterone therapeutic for polycystic ovary syndrome, as described in my recent paper The central role of ovulatory disturbances in the etiology of androgenic polycystic ovary syndrome (PCOS)—Evidence for treatment with cyclic progesterone.
The Most Common Cause of Weight Gain
There can be a strong hormonal component to abdominal weight gain. And in most people, that hormone is insulin.
In episode six of my podcast/YouTube video, I discuss insulin resistance, including why you could have insulin resistance even if your blood sugar is normal, the role of mitochondria, and all the ways to lower insulin and improve metabolism.