Is progesterone appropriate after hysterectomy with ovaries removed? I have read that without ovaries the progesterone can't be used properly. Is that true? Are there still benefits to using progesterone?
Hi Tre...this is a great question. From most people have been told by their providers, they don't need progesterone after a hyst. This is a very narrow view of how hormones work in our bodies. It is entirely appropriate to take progesterone afterwards. For the matter of fact, almost every woman in my practice who has had a hyst is also on progesterone. This is because, with or without a uterus, many women suffer from sleep disruption and mood disorder and it is these 2 areas where progesterone does most of its work. It helps with the quality of sleep and stabilizes/enhances mood. I highly recommend it if these issues affect you. Just because you don't have the ovaries that previously made the progesterone, doesn't mean you don't need the hormone they made!
Hope this info is helpful.
Hi, I had a complete hysterectomy, and had my ovaries removed. My doctor put me on progesterone pill once a day, because of the severe endometriosis.
I am feeling pretty good so far. (2 1/2 weeks post op) I was experiencing terrible insomnia, but taking my cal/mag in evening. it's been better.
I am wondering what to expect next? I will talk to my doctor of course, but curious as I am surfing the net.
Will I continue to take the progesterone? How long? and any danger in this?
It's March 1. and this year in PA, it's been cold. So the hot flashes aren't debilitating. I hear I get to look forward to that.
There's no reason for you not to continue taking the progesterone. It is probably helping your sleep improve. Many doctors start their patients on estrogen right after surgery, because now that you have no ovaries you have lost your major supply source. Unless you have had breast cancer or have a significant family history (mother or sisters), you need to be on estrogen for long term health maintenance. Estrogen has a number of very positive effects on the body, including promoting bone growth, protecting the heart, reducing colon cancer, maintaining vaginal and bladder health as well as managing many of the symptoms of menopause like hot flashes. We know, from the most current research, that women who start on hormone therapy either before their last period or within a few years after menopause have better long term morbidity and mortality because we're healthier with our hormones; these women have less heart disease; and they do not have a significant rise in the occurrence of breast cancer. So, the long and short of it is, you don't need to suffer the hot flashes you've been warned about, or the general aging decline that will happen without your hormones. If your current provider is not willing to work with you on this, shop around for one who is up to date on the menopause research and knowledgeable about the use of bioidentical hormones.
Good luck to you, Carol,