progesterone effect on uterus??

Posted , 7 users are following.

Hi ladies. can anyone confirm is taking progesterone supposed to keep the womb lining thin? from what i can find on internet it sounds like it has that effect. reason i want to know is I've recently had a transvaginal ultrasound due to prolonged & irregular bleeding (I'm peri btw).  I am on low dose hrt of estrogel - just 1 pump nightly , & utrogestan capsules for 12 days month. i also have the depo provera progesterone injection for contraception(can't be used as the progesterone part of my hrt as it's unlicensed for that use hence the utrogestan capsules).

I have been on the depo injection for 4yrs, & only started getting erratic & prolonged periods last 2yrs so its not the depo causing it.

My ultrasound has come back with thickened womb lining of 11mm & endometrium & myometrium appear merged (report wording). sonographer has recommended gynae assessment of uterus.  I just thought progesterone was supposed to keep the lining thin??? anybody know?  I have other concerns obviously but cannot do anymore until some gynae follow up done, but would like to know what effect progesterone "should" be having on the womb lining. 

Any advice or comments welcomed girls.   xx

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  • Posted

    Yes, you are correct that progesterone's effect is to fluff up the lining, allow it to shed, and to also keep the lining thin.  

    • Posted

      Thanks Gailannie.  What are your thoughts on my ultrasound findings? (don't worry i know you're not a doc & won't hold you to it!!) just like to hear people's thoughts/opinions.   xx

  • Posted

    Hi looloo

    Nice to hear from you. I thought the progesterone was meant to keep the lining thin. Hopefully someone will come along and answer your question. I'm also interested. How are you otherwise? Xx

    • Posted

      Hi Michelle!  Thankyou for asking how i am. my chronic bowel problems seem to be going in the right direction with the "band aid" meds they've given me a few weeks ago in an attempt to try & mask/control symptoms in the absence of finding a cause.  Unfortunately my hubby brought back a cold from visiting family in scotland that he passed on to me,  so that has hindered seeing a true picture of improvement on just the band aid meds as I've had to take meds for cold (side effect constipation - although it hasn't caused that in me just added to slowing bowels down). so when i finally get rid of this cold, I'll see a truer picture of whether the band aid meds are controlling my symptoms in a stable pattern.  I am hopeful (don't want to tempt fate) that I just might be able to start going back to work in a few weeks time if i get a stable pattern of improvement. even if its just a few hours it'll be something.

      I've had a "receipt letter" for the 2nd opinion referral my gastro consultant asked for, but guess this will take a long time to be looked at as the letter states long wait lists, but the main thing right now, is to get control of symptoms & back to work/normal life.

      How are you doing hun? Any developements? Are you still enjoying your job?

      btw, my doc put me on a vit d supplement beginning of september, as i was found to have "insufficient" level; after 2mths approx now being on it, i feel much less "general aches & pains", plus the chronic right outer hip/knee/calf pain I've had last 2yrs which was found to be swollen tendons/muscles at the point of joining the hip bone has been barely there the last 2wks.  my specialist said vit d is very important for muscle/tendon/tissue/bone health. it must  be the vit d that's helped as i haven't changed anything else, & the band aid meds for my bowels wouldn't have affected/contributed to that sort of pain. (some good news for a change!!)  Do you take a good dose of vit d?

      xx

    • Posted

      Hi looloo

      I take 25ug most days. Is that enough? I'm suffering again with stomach problems. I've got the reflux,nausea,bloating and constipation one week and the next loose stools. I'm feeling sick constantly and fatigue. Doctor is doing blood tests for iron,celiac disease on Monday. Also I read if you've had your gallbladder out you are more likely to suffer with bile reflux. I had mine out 2 years ago and didn't even think about that. I'm glad you're starting to feel some relief. You deserve it xxx

    • Posted

      Hi Michelle. 25ug is an "optimum" daily dose according to my doc. she put me on 1600iu ( or 40mg) as my levels were insufficient -probably due to being stuck at home ill. I'm going to continue on that dose probably until spring time because of less daylight now, & then drop it a bit.I have bile acid malabsorption & take prescription meds for it (i still have my gallbladder btw). it causes frequent urgent diarrea, stomach ache, nausea, bloating & sore rectum constantly. i would tend to think thats not the cause of your symtpoms as you would not get constipation with it (quite the opposite actually!)  one test you should ask for is faecal calprotectin stool test. it is accurate in detecting inflammation in the bowels & can help distinguish between an inflammatory condition in the bowels or ibs which are different. the result of that stool test can then guide any further necessary investigation of your symptoms. Hope this helps a bit - I know quite a bit about bowel problems through my experiences the last 4yrs!!

      Thankyou for your good wishes Michelle. keep me posted how you get on. xxx

  • Posted

    Hi, Looloo,

    I've also learned that progesterone is supposed to assist in shedding the lining and keeping it thin.

    I am hoping you are doing okay otherwise.  Please let us know how you get on, will you?  xx

    • Posted

      Hi Lynda,

      Thankyou for your reply hun.  I posted to Michelle 46271 on this discussion how I'm currently doing otherwise (  I don't know how to send same sort of reply to more than 1 person on here or if it's possible!!I'm not very techie!!)

      I will let you know how i get on.

      xx

    • Posted

      Hi, Looloo,

      Please do!  I read your post to Michelle 46271.  Do you have an appointment set up with the gyn yet?

      Best to you! xx  

    • Posted

      No not yet, my doc has done referral very promptly though after she got results (without me prompting). they are not usually that efficient, so thats preying on the back of my mind a tiny bit too.

      xx

    • Posted

      Well, I can understand why; it is worrisome.  Usually when a uterine lining is more than 4mm the MD will order a biopsy. That's just to make sure that there isn't something else going on.  It is, as they say, "Best medical practice."  If something's occurring that shouldn't be, they want to get it sorted right away.  

      Please try to take each step as it comes.  And, keep in touch! Let us know when you get your appointment and what's going on with you!

      xx  

    • Posted

      Only if you're past menopause it shouldn't be more than 4mm,when peri it's normal to have a lining as thick as it could be due to monthly cycle and where it is at time of scan.😊hope this helps xxx

    • Posted

      Okay, I thought they normally tested regardless.  Thanks for letting me know! xx
    • Posted

      I've had scans this year showing 7mm 7mm and 8mm and there was no concern then it was 11mm and it was too much said slightly thickened xxx

    • Posted

      Thankyou Lynda.  I spoke with my gp tonight on a telephone appt. we have a good relationship. she is not unduly worried anything synister is going on, but definately needs checking out by gynae at hosp. i suggested a ca125 blood test in meantime which she agreed to. she will leave to gynae as to what investigation they may do as there are several (eg hysteroscopy, d&c. ct scan).  she agreed "2 + 2 aren't adding up" with the amount of oestrogen versus progesterone intake i have.(more progesterone = thinner lining).

      I did tell her my concern as my granny on mums side died of womb cancer at 54, & my mum had hysterectomy in late 30's due to prolapse (so we wouldn't know if mum would've ever have developed the same).

      I do thankfully have this kind of in perspective. I have a history of anxiety/depression bouts spanning over 25yrs, & have invaluably learnt cbt techniques to deal with life's challenges & (try) to not "what if " or "catastrophise" about what may or may not happen in life/future. doesn't mean i don't think/worry about things like this, but i am on the whole able to think/worry rationally about things, especially when matters have to take their respective courses/procedures. i can push when i need to too. I totally agree with you- taking each step as it comes - dealing with the NOW. My doc is doing the right course of action, so I'm satisfied for now.

      Thankyou so much for your advice, comments, & care Lynda. I am so often trying to help other people with the same, it's lovely to receive it too when i need it.

      xxx

    • Posted

      Thakyou Michelle. i posted how i feel in my post to Lynda if you'd like to read (but i am so not techie i don't know how to post to several people at the same time!!! there probably is a way, i just don't know it!!).  thankyou so much for your re-assurance;  i hope it'll turn out to be "something & nothing" as the saying goes. at least it's being followed up.

      xxx

    • Posted

      I understand. It makes sense that they're more concerned about the thickness post menopause.  xxx

    • Posted

      Hi, Looloo,

      I am glad that you're being proactive, and have a good perspective on this!  I tend to have difficulty taking each step as it comes.  All I can do is try smile  xxx  

       

    • Posted

      Hi Lynda. I rung gynae at hospital couple of weeks ago as still hadn't had an appt through, they said my referral had been triaged by a consultant & i was on the list for an appt which would be approx 22.3weeks!!!  they said if my doctor felt it was necessary to be seen sooner than that she could fax them an expedite letter & it would be triaged again to see if gynae dept thought i should be seen sooner. i wrote to my doc giving all the facts,symptoms, irregularities etc & asked her to do an expedite letter which she done & i suggested she send a copy of my letter with her expedite letter so they have all the facts when my referral gets triaged for a 2nd time. following all that i now have an urgent appointment within 2wks - next tuesday morning, so I'll see how i get on & let you know.  xx

    • Posted

      I'm glad to hear from you!  I'm glad you put pressure on the doctor, and got yourself into see a gynae sooner! I'm convinced that no one cares as much as you do about your health!

      Please let me know how you continue to do! xx

       

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