Using natural progesterone for endometriosis

[meowallthetime]

My doctor has put me on Norlutate 5mg (Norethindrone) daily, to suppress symptoms of endometriosis. However I am experiencing some severe side effects which point to low estrogen symptoms (hot flashes, weight gain, 14+ days of debilitated migraines a month, while feeling nauseas and with severe heart palpitations all the “good” days). I am not functional or productive at all! And I know this is not sustainable.

I have asked my gyne about switching to Prometrium, but he does not feel it can be a substitute for Norlutate. My ND is willing to prescribe natural oral progesterone for me (I had used it prior to Norlutate for the last 2 weeks of my cycle for a few years, and it helped lessen my normally heavy flow, but did not help with the pain - no side effects).

My question is, if I stay on Norlutate, will estradiol add back be helpful to minimize side effects? Or if I switch to Prometrium, would be be taken continuously and at what dosage? Would it stop my period like Norlutate?

Thank you!

[Lara]

As I describe in my endometriosis podcast episode, the main treatment for endometriosis is immune treatment, not hormonal. Once immune treatment is in place, Prometrium can usually have more of an effect.

[meowallthetime]

Thanks Lara! Appreciate the quick reply!

I worked with a naturopath and the wonderful guidance from your books and blog, and have used most of the protocols mentioned. Unfortunately there was no significant improvements, and I ended up choosing to go on Norlutate as I needed a break from the endo symptoms!

I will revisit those protocols again in the near future.