Oestrogen may get most of the attention in menopausal hormone therapy, but if a uterus is present, progesterone, or another progestogen, has a crucial role to play.
In Episode 4 of our MHT series, we look at why endometrial protection matters, the difference between progesterone, progestogens and progestins, and how cyclic and continuous combined MHT regimens work.
We also cover micronised progesterone, synthetic progestogens, Mirena as part of MHT, progestogen intolerance, vaginal progesterone, compounded progesterone creams, and why adherence matters when systemic oestrogen is being used.
Plus: when oral micronised progesterone may occasionally be used alongside a Mirena, and which bleeding patterns should prompt further assessment.
If oestrogen is Beyoncé, progesterone is Adele: perhaps a little less flashy, but absolutely essential to keeping the whole performance safe.
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