Premenopause

When Should I Have Sex to Get Pregnant?

I am a 36-year old woman and we have been trying to conceive for a while. I know my fertile window is 3 days before ovulation the day of and after ovulation. Does that mean that you cannot fall pregnant if you engage in sexual activity a week before your next period? Thank you for your…
Depo-Provera Use and Bone Health

New science decreases concerns even about use in teenagers by Drs. Azita Goshtasebi & Jerilynn C. Prior Many teenagers and women of all ages around the world use a three monthly injection of medroxyprogesterone for contraception. This long-acting and highly effective birth control method is officially called DepoProvera® but for simplicity here we will call…
Stopping Depo-Provera

Many women experience difficulty when they stop taking Depo-Provera contraception – everything from heavy flow to amenorrhea, sore breasts, mood swings and weight gain. In this article based on a re:Cycling blog post for the Society for Menstrual Cycle Research (SMCR), Laura Wershler interviews Dr. Jerilynn Prior about what causes these adverse effects and what…
The ABCs of Osteoporosis Prevention for Premenopausal Women

Bone Health: As Simple as ABC! Bones are complex and important parts of us—carrying us around and protecting our vital organs as well providing a store of calcium. The premenopausal years are a time of gain to peak bone in the spine and to preserve maximum bone through until normal bone loss begins in perimenopause…
Documenting Ovulation with Quantitative Basal Temperature (QBT)

If our cycles are regular – about a month apart we assume we are ovulatory – meaning releasing an egg and making normal amounts of progesterone. However, ovulation is highly variable for all women. Progesterone raises our first morning (or basal) temperature a little bit. But so do many other things. Thus “basal body temperature”…
Manipulating Menstruation with Hormonal Contraception — what does the Science say?

The flood of recent articles and magazine reports and even books (1) about so-called “menstrual suppression” describe taking the Pill continuously or for longer than 21 days with seven days off. The advertising suggests that this is giving women a “choice” to do away with menstrual flow or menstrual problems. The Federal Drug Agency in…
Young Women and Osteoporosis — Good news about treatment and prevention

Osteoporosis and broken bones are an old woman’s disease-right? No, that is not right! Young women do get osteoporosis-although rarely. The sooner we understand that young women can and do fracture bones and develop osteoporosis the better. Also, the sooner we accept that the bone we build in our childhood and teen years provides a…
Ovulatory Disturbances: They Do Matter

For the woman who isn’t trying to get pregnant, does it matter if an ovulatory pattern is normal? Recent studies indicate that it does. One study showed that women with only one nonovulatory cycle a year lost an average of 4% of their spinal bone. Strong evidence suggests that lack of cyclic normal progesterone is…
Preventive Powers of Ovulation and Progesterone

This series of articles, originally published in the CeMCOR newsletter, illustrate the importance of ovulation throughout women’s reproductive life. Scientific evidence shows that ovulation (and therefore an approporiate progesterone level) is necessary for the optimum development and functioning of several physiological systems in women’s bodies. The articles explain what ovulation is and address some of…
Very Heavy Menstrual Flow

When periods are very heavy or you are experiencing “flooding” or passing big clots you have what doctors call menorrhagia. The purpose of this article is to define normal and very heavy menstrual bleeding, to explain what causes heavy flow, and to show what you yourself can do in dealing with heavy flow. This, and…