Progesterone cream after endometrial ablation?

by Susan Merritt
(Muskegon, MI)

I'm 43 years old and had an endometrial ablation 3 years ago. I have not had any vaginal bleeding since then, but I have PMS symptoms sporadically monthly.

I have headaches, breast tenderness, vaginal dryness, virtually no libido, bloating, ot flashes, night sweats, insomnia etc. I would like to try progesterone cream for these symptoms, but I'm afraid it will induce vaginal bleeding. Does anyone know how progesterone cream affects a person after having an endometrial ablation and how often should I use it?

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Progesterone cream after endometrial ablation?

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Feb 04, 2011
 Ablation
by: Anonymous

I am thinking of having the ablation myself. Did you end up having all of these symptoms as a result of the ablation?

Thanks :)
Feb 14, 2011
 Progesterone cream after endometrial ablation?
by: Wray

Hi Susan We have many women using progesterone who've had the ablation, and it doesn't cause bleeding, as the ablation has destroyed the lining. Incidentally supplemental progesterone in high amounts of 400-600mg/day stops heavy bleeding. It should help with all the symptoms you've mentioned. The ablation doesn't stop the ovaries making testosterone and oestrogen. And it doesn't prevent ovulation, with subsequent progesterone production. Judging by your symptoms you are now in Peri-menopause, please read this page as it explains how to use progesterone. But before using it please see this page on Oestrogen Dominance. Hot flushes are reduced or eliminated by using 400mg/day progesterone for 4-5 days, then reducing the amount slowly. Consider using some of the cream in your vagina at night for the dryness, and rubbing it on your breasts to help the pain. Take care Wray
Feb 14, 2011
 Ablation
by: Wray

Hi there An ablation doesn't normally cause any adverse symptoms, apart from the usual risks of having a surgical procedure. But if you have heavy bleeding, please consider using progesterone as this does stop it. Oestrogen is a mitogen, it stimulates cells to grow. Vital in stimulating the endometrium each month to grow and thicken ready for a possible fertilised egg. But in excess it stimulates cells to continue growing. MMP?s are enzymes that break down protein. They play a role in the breakdown of endometrial tissues at the end of the menstrual cycle. If they are over active, as would be the case with excess oestrogen in the body, as oestrogen stimulates their production, the result is a pathological reaction. A high level of MMP's can lead to inflammation and excessive bleeding in the uterus. If a low level of progesterone is present, and a high level of oestrogen, the lining will continue to grow. With a high level of MMP's the lining will also continue to break down. Progesterone suppresses both MMP's and oestrogen, see here and here. It is essential to use a high amount of progesterone, between 400-600mg/day. If the bleeding is continual, use it both daily and hourly. Using it hourly keeps the level high throughout the day. If there is a cycle, it?s best to ignore it and use the progesterone daily, hourly too, until the bleeding is under control. The progesterone can be used to regulate the cycle once bleeding has stopped. I'm not sure of your age, but please read these two pages on How to use progesterone and Peri-menopause. Before considering progesterone please read our page on Oestrogen Dominance too. Take care Wray

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