Q: What's your opinion on the safety and efficacy of the natural progresterone creams sold in health food stores for perimenopausal and menopausal symptoms?
A: Many women prefer natural progesterone products to the synthetic progesterone (progestins) typically prescribed as part of hormone replacement therapy (HRT). HRT combines estrogen and progesterone to help relieve menopausal symptoms and prevent bone loss that could lead to osteoporosis. You don't need progesterone if you've had a hysterectomy and no longer have a uterus. If that is not the case, replacing estrogen alone can overstimulate the uterine lining, raising the risk of endometrial cancer.
The problem with synthetic progesterone is that it can cause PMS-like side effects, which are usually less likely to occur if you use natural progesterone instead. Sometimes, natural progesterones are recommended to relieve premenstrual symptoms that may worsen as some women approach menopause. Read more...
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