Search found 205 matches

by Lara
Mon Jan 23, 2023 6:57 pm
Forum: Perimenopause
Topic: Perimenopausal symptoms on the pill
Replies: 4
Views: 8079

Re: Perimenopausal symptoms on the pill

One consideration is that you could already be in menopause, but the lack of periods is masked by the fact that you're having regular pill bleeds. As I describe in Hormone Repair Manual, the best plan is usually to come off the pill to see where you're at (i.e. menopause or not) and then decide on t...
by Lara
Sat Jan 14, 2023 11:48 pm
Forum: Other women's health
Topic: Pre-Ovulation Fatigue
Replies: 1
Views: 5872

Re: Pre-Ovulation Fatigue

Ovulation symptoms can be histamine-related.
by Lara
Sat Jan 14, 2023 11:46 pm
Forum: Perimenopause
Topic: Is 200mg nightly (rather than cyclical) progesterone a good approach?
Replies: 2
Views: 6725

Re: Is 200mg nightly (rather than cyclical) progesterone a good approach?

Anywhere from 100 to 300 mg is a pretty standard dose for perimenopause. It doesn't usually cause grogginess, but I often recommend first trying it on a night when you don't have anything important the next morning. As for continuous versus cyclic dosing, it all comes down to the pattern of bleeding...
by Lara
Wed Jan 04, 2023 5:12 pm
Forum: Endometriosis
Topic: Endo & leaving the pill
Replies: 2
Views: 11696

Re: Endo & leaving the pill

In general, yes. That could be a strategy. Just be aware that taking oral progesterone micronized progesterone increases body temperature, so will influence your FAM or Daysy tracking. In general, what people usually do, is wait until after they've detected the natural temperature rise with ovulatio...
by Lara
Wed Jan 04, 2023 5:09 pm
Forum: Blog posts
Topic: Inositol for Peri-menopause symptoms
Replies: 1
Views: 10205

Re: Inositol for Peri-menopause symptoms

Yes, inositol can be a good choice. A higher dose (eg 3-6 grams) is usually needed for sleep.
by Lara
Wed Jan 04, 2023 5:09 pm
Forum: Blog posts
Topic: Do higher levels of progesterone in the Luteal Phase decrease insulin sensitivity?
Replies: 1
Views: 10468

Re: Do higher levels of progesterone in the Luteal Phase decrease insulin sensitivity?

There's been some debate about that and conflicting results. I suspect the direct effect of progesterone is that it does slightly decrease insulin sensitivity, but at the same time, progesterone can have an important testosterone-lowering effect (see my cyclic progesterone blog post ). Progesterone ...
by Lara
Wed Jan 04, 2023 5:04 pm
Forum: Introductions
Topic: Pre Ovulation Syndrome?
Replies: 1
Views: 2583

Re: Pre Ovulation Syndrome?

Pre-ovulation symptoms are often related to mast cell or histamine issues.
by Lara
Tue Nov 29, 2022 4:46 pm
Forum: PCOS
Topic: Typical duration of post-pill PCOS
Replies: 2
Views: 11508

Re: Typical duration of post-pill PCOS

So, a temporary post-pill androgen surge can go on for up to a couple of years. But ovulation and regular periods should be established quite quickly. In your case, underactive thyroid could have been a factor in lack of periods, so you should give the thyroid medication a few months to work and the...