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Polycystic ovaries

by Julie Gilroy
(Sterling, IL USA)

Hi Wray, I have been dealing with cysts since my early teens! When they first discovered a cyst I was 15 and they put me on birth control Lo- Oval 35 I believe! I took birth control for many years and have never really had a normal period, usually lasting 3 days until the last year where they have been around five days! I could not have children because the leutenizing hormone was not strong enough! That is ok at this point in my life as I am 45.

I recently had an ultra sound and after having my period for 2 weeks straight in which I had a hemorging cyst! So they put me on a progesterone birth control for two months and I am due for another ultra sound on the 12th of December! My question is am I candidate for using the cream on a daily bases considering that I have irregular periods and occasional cysts and twice ended up in the ER with excruciating pain for them to find nothing wrong but it could have been a cyst that errupted!!! I have also been having night sweats now for close to a year considering I am in the pre menapausal years.

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Dec 08, 2011
 Polycystic ovaries
by: Wray

Hi Julie It does sound as if you could do with some progesterone, cysts are an indication progesterone is too low. Unless the follicle bursts and releases an egg, ie ovulation takes place, no progesterone is secreted. Instead of a functioning corpus luteum, the follicle has become a cyst. LH is needed to initiate ovulation, but there is a surge in progesterone just prior to LH being secreted. This progesterone comes from the brain, and is needed to cause the LH surge, see here, here, here and here. Your doctors should have considered giving you progesterone, instead of looking at your low LH. As you're now in Peri-menopause, please look through this page we have. I do recommend using it daily if cycles are irregular, particularly if in P-M when they become impossible to follow! I would hope the progesterone helps with the cysts, and the pain too, it is an anti-inflammatory. Please use sufficient, I normally recommend 100-200mg/day dependant on symptoms. But for hot flushes I've found 400mg/day is needed to stop these, usually within 4-5 days. Women who've used 250mg/day have found it takes about 4-5 weeks. Once they've gone reduce the progesterone by no more than 16mg/day, waiting a few days before reducing again. Too quick a reduction will cause them to come back again. Before you consider using progesterone, please look at our Oestrogen Dominance page. Incidentally the last thing they should have given you for the cysts was a Contraceptive. These prevent ovulation, so preventing progesterone secretion. We do have a page on PCOS you might like to look through. Take care Wray

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