It’s time to bring progesterone into the conversation about women’s health. That’s according to Canadian endocrinology professor Jerilynn Prior in her paper “Women’s Reproductive System as Balanced Estradiol and Progesterone Actions—a revolutionary, paradigm-shifting concept in women’s health.” In the paper, Professor Prior makes the case that historically there has been a “cultural over-emphasis on estrogen” while “progesterone tends to be ignored or associated with negative effects.”
What is the difference between polycystic ovary syndrome (PCOS) and hypothalamic amenorrhea?
PCOS is the condition of androgen excess when all other causes of androgen excess have been ruled out. It can also cause irregular periods.
Hypothalamic amenorrhea (HA) is the loss of periods due to undereating. It can also present with mild acne, facial hair, and polycystic ovaries.
To treat PCOS, you need to know what’s driving it. In other words, you need to know your type of PCOS.
You could have insulin-resistant PCOS, post-pill PCOS (which is temporary), inflammatory PCOS, or the far less common adrenal PCOS.
A menstrual cycle is, by definition, an ovulatory cycle in which ovulation is the main event and progesterone is made.
Any other kind of bleed is either an anovulatory bleed or a pill-bleed — neither of which are real menstrual cycles. Ovulatory cycles are the only way to make progesterone which is important for general health, not just for making a baby.