Weight gain after induced abortion

by Pallavi
(Bangalore, India)


I have been on progesterone suppositories since mid 2016 and have greatly benefited by it. I am from India and choose suppositories as creams prove to be very expensive. I have PCOS and hypothyroid which is under control with diet and also with the progesterone suppositories. I have two kids (age 6 and 4) and have had 1 misacrrige 10 years ago. Typically I have seen that I put on weight afetr delivery.

I am 39 years old, for most of my adult life been between 71 to 73kgs. After my daughter (second child) I had put on 10 kgs and I lost it after getting on progesterone suppositories (100mg twice a day). In July 2017 I got pregnant and opted to abort. Post that I have now again put on 12kgs and currently weigh 86kgs, which is alarming. This brings on a host of other problems for me and particularly insulin resistance increases.

Since August after the abortion I have got my periods only thrice and scanty except for the first one which was heavy. My last "period" was merely spotting.

My diet has not changed much ...for 70% of the time I follow a moderate protein, high fat and moderate carb diet. I have tried 200mg (suppositories- susten or endogest) of progesterone twice a day and that made me have dry skin and a lot of uneasiness. So I switched to 100mg twice a day. I have also tried NAC 600mg once a day for 1 month. Nothing seems to work and I am still gaining weight. I am getting very frustrated now. I have searched your blog for any other similar cases but I did not find any.

Would deeply appreciate a response and any advice on what I can do to shift my weight gain.


Comments for Weight gain after induced abortion

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Jan 22, 2018
Weight gain after induced abortion
by: Joy

Hi Pallavi

I was going to suggest that you try the ketogenic diet but I see that you are more or less eating correctly. Please read the Keto page given, it may help you.

Please read the PCOS and Hormone Testing page. When you say that your PCOS and thyroid are under control, they may not be. The results given on the testing page is what levels should be.

You are also in peri-menopause which can affect weight as well especially if hormones are not balanced. Periods become rather erratic during this time.

Living in India you would probably be deficient in vitamin D3, have you had your level tested? The optimal range is 70-100ng/mL and nothing less than 5,000iu's is needed per day, more if you are severely deficient. A deficiency reduces the benefits of progesterone.

Please read these pages.

How to use Progesterone Cream -

Estrogen Dominance -

Vitamin D3 -

Ketogenic Diet -

Peri-Menopause -

Hormone Testing -

Jan 22, 2018
by: Pallavi

Hi Joy,

Thank you for your time and prompt reply. I follow the Paleo diet, as it has worked for me. As suggested I will take the tests you have recommended and see what turns up. I am pretty certain my Vit D3 is low as the last time i checked it was 11ng/mL so I had started with supplements. Will check that too.

Meanwhile do I continue with progesterone suppositories and NAC? If yes whats the dosage? I have read the links you have sent but I am not able to get an answer for this.


Jan 23, 2018
Weight gain after induced abortion
by: Joy

Hi Pallavi

Yes continue with the NAC, it is one of the nutrients mentioned on the PCOS page. Progesterone should be used no less than twice a day. That is difficult to measure if suppositories are being used, but between 200-400mg is needed. You will have to experiment with this to see what suits you best.

You Vit D3 is low, I suggest that you take 10,000iu's for 3 months, then drop down to 5,000iu's and stay on that amount. Please do not forget the co-factors needed.

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