so another one of the hormones that you
frequently prescribed to him is
progesterone correct so how does it work
sure had us a woman know if she's
lumbered Esther own progesterone is a
one of the key hormones that all women
make and no women should be without
their Randi there are four clinical
scenarios where I use progesterone any
menopausal woman gets progesterone
uterus or not because we have
progesterone receptors not only in our
uterus in our vagina in our breasts we
haven't been our brain on our blood
vessels traditionally women only got
progesterone if they had a uterus
because they just thought to protect
against endometrial cancer I see a lot
of patients in my in my practice who
come into me without a uterus not on
progesterone so they get progesterone
because progesterone is very calming it
protects against breast and Demetrio
cancer it works synergistically with
estrogen to protect their heart their
bones in their brain it's very calming
it's involved in the sexual behavior
response every woman gets progesterone
so that's number one women who are men
up every woman gets progesterone
everyone.this every woman in my practice
needs progesterone some women are making
it naturally they don't need it but I'm
gonna give it a clinical scenarios where
we use it like 38 40 years old
30 40 it's so-so menopausal women are
gonna get progesterone perimenopausal
women so women who have noticed they're
skipping periods for the first time in
their life they're moody they're gaining
weight they may have some hot flashes or
night sweats night sweats cuz they're
getting these wild swings and their
hormone levels how you balance them is
to give them progesterone so
progesterone is so powerful in
perimenopause which is an asana stalks
para menopause is when it's you're just
starting to get symptoms you're just
starting to get symptoms you notice you
might skip a period you might go a month
you'll put you're bleeding maybe a
little bit more irregular those women do
great with progesterone they don't need
antidepressants which a lot of women get
they need progesterone the third most
common scenario of using progesterone in
a reapered in a woman who's in a
reproductive ages for PMS women who have
PMS bad symptoms of PMS and if you're
suffering from PMS I want you to hear me
very clearly there is a solution for you
it's not to take the birth control pill
and wipe it out which works for a lot of
women but the problem with birth control
pills is birth control pills deplete you
of B vitamins they deplete you of coins
on q10 the increase for the risk of
clotting they wipe out your libido right
because they lower free
to Austrian levels you give these women
progesterone because what will happen is
the second half of the cycle and they
see these drops if they don't get
pregnant they get these severe drops and
their hormone levels if you give them
progesterone they will feel great and
I've had women tell me for their PMS
it's a lifesaver the last scenario we
use progesterone is something called
PCOS polycystic ovarian syndrome I was
talking about it before the show okay it
affects 10% of women of reproductive age
it's the most common endocrine disorder
in women of reproductive age what
happens to them is they don't ovulate
they can skip periods they have a lot of
acne they have some hirsutism which is
coarse black hair and their chin in
their lip area around their nipples
these women don't make progesterone in
and if you look at the statistics for
PCOS they have a four times increased
risk of breast cancer their increased
risk of endometrial cancer they miscarry
like crazy they get pregnant they have
multiple miscarriages and the solution
for them one of the solutions is to use
progesterone so progesterone is a very
critical form so when you do that on
some of your patients the hair goes away
right with any other Chan or cos is
multifactorial we treat their insulin
resistance we treat their high androgen
levels with medication it's not from the
progesterone progesterone is one
component of treating PCOS but it is a
critical component so menopausal women
everyone gets progesterone if you're
watching this and you don't have a
uterus and you're not on progesterone I
will send you are there women though
that that fit into that category the
medical community still teaches if you
have a uterus
you get progesterone but if you don't
have a uterus if you don't get
progesterone why because progesterone is
so protective against endometrial cancer
estrogen stimulates the uterus
progesterone causes differentiation in
it attenuates the effects of estrogen so
it's not a stimulatory so protects
against endometrial cancer so two
traditional medical community a lot of
OBGYNs out there still practicing if you
have a uterus you get progesterone if
you don't have a uterus you don't get
progesterone
if you pick up a physiology textbook and
you look at progesterone it'll say the
first the first paragraph we have
progesterone receptors in our brain in
our blood vessels in our heart in our
vagina so you love progesterone
progesterone
ezal with very nice because it's super
super safe you can give very high doses
of Rajesh your own and women just feel
better no this is a cream is that right
I don't use progesterone creams there
are a lot of women who are on
progesterone creams we use it either
sublingually okay
well we give it to orally in a capsule
because if you have a if you have
trouble sleeping which many women do in
perimenopause and menopause they come
they can't go to sleep they have freak
they wake up frequently throughout the
night because of hot flashes night
sweats or they just have disrupted sleep
patterns you give them a progesterone
orally in a capsule because of how it's
metabolized it puts them to sleep and
they get the best sleep of their life so
if you have sleeping issues you get out
or oil in a capsule you can use it
during the day if you don't want it to
sedate you would be a sublingual the
creams you get very poor absorption and
you have to use a lot so again when we
met when we're putting patients on
hormones I checked their levels monthly
until their optimal why because it's
important we get them in that nice
healthy range where they're balanced we
don't just give them a ton of
progesterone what we found in science is
if you're using progesterone creams
which still a lot of patients are
unprocessed Iran Korea they come to me
because they don't feel great in a
solution I switch them to a capsule or
sublingual trokey or rapid assault
tablet it's like night and day so final
message finally final message is get
your hormone levels tested that's the
first step because once we have the
blood work in front of us now it's
apples to apples we know what we're
talking about because remember health is
multifactorial there's stress there's
nutrition there's exercise there's sleep
there's all these other factors they get
a place but if we have your hormone
levels in front of me in your
progesterone level is 0 or 0.1 or 0.2
which commonly it is when patients come
in then we know what then we know how to
fix it the solution is easy ok good so
they want to get started they call your
office
go to the website go to the website talk
to my patient coordinator she will walk
you through step by step on how to
become a patient within a week we'll sit
down I'll review your medical history
we'll have your blood work in front of
me we'll sit down for two hours and then
within days we'll have you balanced ok
good only thank you for coming there
interesting you've been watching the
Wellness hour I'm Randy Alvarez we'll be
right back