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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?

  • Progesterone is NOT a Progestogen/Progestin— It’s Estrogen’s Unique Biological Partner

    This article was originally published in our e-newsletter. by Dr. Jerilynn C. Prior, Scientific Director, Centre for Menstrual Cycle and Ovulation Research Current lay and medical women’s health literature considers progesterone, the human hormone made by women’s ovary in the same category as its synthetic, “knock-offs”. “Progestogens. . .include both endogenous progesterone and synthetic progestogens…

  • I’m 49 – why am I getting even more facial hair now?

    I’m getting increased facial hair even though I’m using laser therapy! I am 49 and just started skipping periods—I seem to alternate between a skip and two periods a month (!) with lots of stretchy mucus and constant breast pain. I don’t have PCOS and I’m not heavy. I first had a problem with facial hair when I was 24. I associate this starting when I was put on a progesterone only pill for painful periods.
    Would the hair get even worse if I took progesterone again now?

  • Can a Blood Test Tell Me Whether I Am in Menopause?

    There are several hormone levels that physicians may suggest ordering. For health care providers (HCP) these may include estrogen (our own estradiol is what laboratories can measure), luteinizing hormone (LH) or follicle stimulating hormone (FSH). In general it is reassuring to have a test ordered because your doctor doing something and that makes us feel…

  • Do Fibroids Cause Heavy Flow in Perimenopause?

    In this article written for Ask4UFE, Dr. Jerilynn Prior weighs in to clear up some of the popular assumptions and misconceptions about uterine fibroids and their association with heavy menstrual flow during perimenopause.