Perimenopause

  • Naming Women’s Midlife

    For many decades, the language around women’s midlife has been confusing. Without clear names, treatments cannot be scientific. Some call “menopause” everything changing and negative for women in their 40s, or the “final menstrual flow” (which can’t be considered final without a no-period year).  This confusion means Perimenopause, often women+’s most difficult time, gets lost.…

  • Menstrual Flow and Timing Changes Following COVID-19 Infection or Vaccination

    Acute COVID-19 Illness and Menstrual Cycles During hospitalization for acute illness with COVID-19 infection, younger women in Wuhan, China’s outbreak experienced changes in their menstrual cycles1.  The most common change was to have menstrual cycles that were 33 or more days apart (that occurred for 42% of the 237 women studied)1. These longer cycles were…

  • Does taking progesterone pose an increased risk for breast cancer?

    I am using Prometrium 300 mg before bed, as it is the only intervention I have tried (pharmaceutical and naturopathic) that has worked.  I am concerned about breast cancer, and can’t seem to find any reliable information about how bio identical progesterone would affect risk. If you are able to shed light on this, it is much appreciated.

  • Healing the Menstrual Cycle in PCOS

    It is difficult living with PCOS or Anovulatory Androgen Excess (AAE) Current understanding PCOS is difficult to treat and can never be cured “The Pill”, combined hormonal contraceptives (CHC) of high estrogen/progestin is our best currently available and scientifically proven PCOS therapy Metformin is an important and safe medicine that acts to make insulin work…

  • PCOS & Heavy Flow – Cyclic Medroxyprogesterone or the Mirena® IUD?

    I am a health care provider wishing to treat PCOS and menorrhagia in my patient. Current clinical practice where I am is to offer the Mirena® IUD (long term levonorgestrel). What are the pros and cons of using cyclic medroxyprogestrone versus the “Mirena® IUD” in treating these conditions?