BIRTH CONTROL? PROGESTERONE

[Guest guest]

DeeTroll wrote: The Libido & progesterone. Excessive progesterone may decrease libido due to anti-estrogen and anti-androgen effect 9, . As well as decreasing libido, excessive levels may also induce depression and

moodiness. 11. (9) Mauvais-Jarvis P, Kuttenn F. [is progesterone carcinogenic]? [Article in French] Nouv Presse Med 1;4(5):323-326 11) Glick ID,

SE. Psychiatric complications of progesterone and oral contraceptives. J Clin Psychopharmacol (6):350-367 ============================================================== http://www.aafp.org/afp/20000701/127.html

Female Sexual dysfunction, Amer. Fam. Physicians The role of progesterone therapy, which is necessary in estrogen-treated patients with an intact uterus, has not been widely studied in terms of sexuality, but one study suggests that it exhibits a negative impact by dampening

mood and decreasing available androgens.'' (So P. again progesterone does diminish the testosterone and from what I've read if the E levels are kept below a certain number or range, the addition of the P may not be necessary at all to protect the uterus. I add E & T orally and do NOT use a progestin at all (prob. 4 yrs now and have my uterus) but I keep an eye on those E. levels. DT ================================ (clipped from long article on dermatological diseases from Medscape ) Autoimmune Progesterone Dermatitis (AIPD) Description of disease. AIPD represents an autoimmune hypersensitivity reaction to endogenous progesterone.[3] The condition presents with a variety of skin eruptions characterized by cyclical recurrent premenstrual exacerbations due to progesterone fluctuation during the menstrual cycle. The type of skin eruptions observed in AIPD include dermatitis, erythema multiforme, urticaria, vesicular lesions, stomatitis, herpes-like dermatitis, and papular lesions.[2] There are no classic morphologic or histologic features. AIPD usually presents during early adult life, and the disease may periodically go into spontaneous remission. Exogenous progesterone (eg, in oral contraceptives containing progestational agents like norethindrone or synthetic progestogens like norgestrel

or levonorgestrel) may aggravate the skin eruptions of AIPD. (thinking of V tissue pain here) DT These eruptions usually flare up during the latter half of the menstrual cycle, peaking premenstrually and resolving within a few days of menses. This disease may become worse during pregnancy.[4] (note* Esp. those who have more pain the last two weeks of ones cycle AND with pregnancy when Progesterone is excessively high, DT) Differential diagnoses. The differential diagnosis of AIPD includes the skin disorders it mimics, such as endogenous and contact dermatitis, various cases of urticaria, erythema multiforme, drug eruption, insect bite reaction, and

scabies. The syndrome is confirmed by evidence of hypersensitivity to progesterone, which is demonstrated by intradermal skin testing with progesterone. Treatment. Definitive treatment of AIPD involves the use of anovulatory agents (such as estrogen) to suppress endogenous progesterone secretion. In mild disease, the skin eruptions may be controlled with midpotency topical steroids and oral antihistamines. However, when patients do not respond to conventional treatment or to oral estrogen preparations, systemic steroids may be necessary. Tamoxifen, a nonsteroidal antiestrogen agent, may be effective in some patients but may cause amenorrhea. In some cases, the eruptions often settle spontaneously after a period of successful treatment.[2] In the most severe cases, however,

oophorectomy may be required to control the skin eruptions of AIPD. ================================== Birth control pills & Libido! http://www.lifesite.net/ldn/2005/may/05052603.html Birth Control Pill May Permanently Reduce Sex Drive Study Finds ==================================== This is from a long (4 hr) cont. med. ed. class/seminar with Dr. Natchigal,

Sarrel, et al, Very well known in the hormonal field and gyne area. Whizzed an A in the test before I even read the lecture, *smile*.. ''Nachtigall: ''Our topic has been vaginal atrophy in the postmenopausal woman, but these examples of similar problems in younger woman underscore the fact that vaginal atrophy stems from estrogen deficiency, however it comes about.'' ''Sarrel: We've seen it even in young students taking oral contraceptives (w. progestins) and with those who have high sex hormone-binding globulin levels. (SHBG,) ''

(This SHBG 'binds' up the active portion of those hormones, dee) ''That (contraceptive use) leads to 'very low' levels of free estradiol and consequent 'loss' of the good superficial vaginal cells.'' ''Changing to a different contraceptive formulation can sometimes solve theproblem, but frequently 'local' treatment with estradiol tablets is effective and much simpler to use.'' ............ '' (by 'local' here,

they mean using an E pill *tablet* (example..Vagifem or E-string possibly, directly inside of the vagina *intravaginally* ) DT Dee~