Do Women Need Periods?

do women need periods

With the 2019 news that women don’t need pill bleeds came the assurance that “women don’t need periods.” But is that accurate?

It’s true that women don’t need monthly pill withdrawal bleeds because they’re not periods, but women do need (or at least benefit from) monthly natural menstrual cycles because natural ovulatory cycles are how women make the hormones estradiol and progesterone.

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Pill Bleeds Are Not Periods

Pill bleeds are not periods.

The pill is commonly prescribed to “regulate periods,” but it can’t actually do that because withdrawal bleeds from contraceptive drugs are not real menstrual cycles.

In episode one of my podcast/YouTube video, I discuss real periods versus pill bleeds and why there’s no medical reason to bleed monthly on the pill.

I also look at the difference between contraceptive drugs and real hormones.

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Why Progesterone Is Both Good and Bad for Mood (and How to Treat PMDD)

Mood effects of progesterone.

Progesterone is usually soothing to mood but can sometimes cause anxiety.

A negative mood reaction to changing levels of progesterone is called neurosteroid change sensitivity or premenstrual dysphoric disorder (PMDD) and affects about one in twenty women.

Also, see Top 6 natural treatments for premenstrual mood symptoms.

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Are You Eating Enough to Get a Period?

Keto period or amenorrhea

Lost your period? You might just need to eat more. A lot more. Losing your period to undereating is called hypothalamic amenorrhea and is common, especially in women under thirty.

Unfortunately, hypothalamic amenorrhea can sometimes be misdiagnosed as polycystic ovary syndrome (PCOS) because both hypothalamic amenorrhea and PCOS can have “polycystic ovaries” on a pelvic ultrasound exam.

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