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Low progesterone is considered to be the main cause of the pre-menstrual syndrome (PMS). PMS highly affects a women’s physical and mental state. The symptoms of PMS can range from depression, anxiety, weigh gain, mood swings, raging temper, cramps, dizziness, and dehydration to different types of skin problems.
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Beware of Low Progesterone and high Estrogen
Nowadays more and more women start experiencing anovulatory cycles (no ovulation). This has caused PMS to increase for women in their 30’s. This hormonal imbalance is caused by low progesterone and high estrogen levels, due to the influence of xeno-estrogens, an endocrine disruptor which mimic the action of estrogen in the body.
Teenage girls have also started to experience low progesterone and PMS due to the high level of estrogen in their body.
Estrogen dominance suppresses the activity of the thyroid glands, which will give you a temporary hypoglycemia (low blood sugar). This triggers the adrenaline which makes women more irritable and temperamental.
I would suggest small regular meals of proteins and complex carbohydrates every three to four hour to stabilize blood sugar levels.
Weight gain is a result of low progesterone and PMS
In order to raise their blood sugar, women with PMS usually gain weight two weeks before their periods due to cravings for sweet foods. Some women can gain up to 5 kg or more which make them look like they are pregnant, which gets really distressing!!
Natural progesterone therapy will help you control your weight by balancing the estrogen level and adjusts the hormonal imbalance.
Avoid birth control pill to treat PMS
Some doctors and gynecologists prescribe pills such as birth control pills, etc. for PMS. It contains progestin and progestogens which is NOT bio-identical progesterone. This treatment should be avoided as it causes women to become more estrogen dominant, making the PMS worse. To increase the Bio-identical Progesterone dosage for PMS should be considered as the prime treatment.
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Progesterone Dosage for PMS
Usually 400mg/day of progesterone cream is needed to stop heavy bleeding and this corrects the cycle as well.
You could also consider taking at least 2000mg/day NAC (N-acetyl cysteine), 2000mg/day taurine and at least 5000iu vitamin D. Taurine is low in dysfunctional uterine bleeding, and vitamin D is a vital nutrient, a lack causes cells to malfunction, and reduces the benefits of progesterone. Initially progesterone can upset the cycle, but it should have settled by now.
Extract taken from Dr Katherina Dalton's book 'PMS The Essential Guide to Treatment Options'
It is a well-recognized fact about PMS that most sufferers are free of their monthly problems when pregnant, or at least during the second half of pregnancy. This is because the placenta produces huge amounts of progesterone to keep the pregnancy going - it may raise the level of progesterone in the blood to 40 or even 50 times the greatest amount found in non-pregnant women. However, there are a few women who continue to experience their PMS symptoms daily during later pregnancy, and these women are the ones who are most at risk of developing pre-eclampsia (page 150).
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