What is it?
Progesterone is a hormone that plays a crucial role in the female reproductive system. As menopause approaches, your body gradually stops producing it. To help ease menopause symptoms, progesterone can be taken alone or combined with estrogen.
Why it’s used
Menopause brings a significant drop in reproductive hormones, leading to the end of menstrual periods. While not having periods anymore can be a relief, menopause can bring a host of challenging symptoms like hot flashes, night sweats, vaginal dryness, insomnia, and weight gain. For some, these symptoms are mild, but for others, they can be severe enough to require medical intervention. Progesterone, on its own or with estrogen, can help manage these symptoms.
Benefits
- Reduces endometrial cancer risk: When taken with estrogen, progesterone helps keep the lining of the uterus thin, lowering the risk of cancer.
- Reduces hot flashes: Research shows that taking a daily dose of progesterone can decrease both the frequency and severity of hot flashes and night sweats.
- Improves sleep: Studies have found that taking 300 milligrams (mg) of progesterone at bedtime can enhance deep sleep quality and reduce night sweats.
- Supports cognitive function: There is some evidence suggesting that starting hormone replacement therapy early in menopause might protect against cognitive decline, although the findings are mixed.
Side effects
Progesterone therapy can have side effects, including:
– Constipation
– Diarrhea
– Headache
– Irritability
– Mood swings
– Muscle, joint, or bone pain
– Nausea
– Tiredness
– Vomiting
– Fluid retention or weight gain
– Breast pain or tenderness
– Vaginal discharge or bleeding
If these symptoms are severe or ongoing, it’s important to consult your doctor. Progesterone isn’t suitable for everyone, particularly if you have certain health conditions or risks.
Additional tips
- Stay active: Regular exercise can help maintain a healthy weight, improve sleep, and reduce anxiety and mood swings.
- Watch your diet: Avoid spicy food, caffeine, and alcohol as they can trigger hot flashes and night sweats.
- Manage stress: Practices like yoga, meditation, breathing exercises, tai chi, or engaging in a favorite hobby can help keep stress levels manageable.
- Consider natural remedies: Talk to your doctor about alternatives like black cohosh or evening primrose oil, which might help with hot flashes and night sweats.
Takeaway
Progesterone, often combined with estrogen, is used to treat menopause symptoms such as hot flashes and night sweats. It also helps prevent endometrial cancer and may improve sleep and some cognitive functions. However, it’s not for everyone. Discuss with your healthcare provider to understand the risks and benefits and determine if it’s the right option for you.