Can You Take Oral Progesterone with an IUD? | PYHP 160

One of our listeners: Can you take oral progesterone hormone replacement therapy (HRT) if you already have an IUD?

This topic doesn’t have much research or widespread discussion, but it’s a question we hear frequently. Tammy’s situation is common, and we’re here to provide clarity and guidance.

Topics Covered:

• Why might someone take progesterone HRT while using an IUD?
• Understanding estrogen dominance and its effects
• The differences between an IUD and oral progesterone
• Can too much estradiol cause uterine hyperplasia or bleeding?
• Types of estrogen HRT and how they interact with progesterone
• The benefits of adding progesterone HRT to your regimen

If you’ve ever wondered about balancing hormone therapy with an IUD, this episode will provide practical insights and actionable advice to help you make informed decisions about your health.

Tammy’s Question:

"Hello! I searched for "can i take progesterone with my IUD". I can't find much, but I found your interview. I am a 53yo female, 8 years into menopause. I started HRT Oct of 2024 (200mg progesterone, 1.0 transdermal estradiol). I felt human again! I started bleeding alot (!!) January 2nd 2024. It lasted for 2 months before I called my doctor. A vaginal US revealed thickening of the uterine lining, with some polyps. I had a D&C with biopsy and placement of IUD in April 2024. I stayed on the patch, my progesterone was reduced to 100mg. I lost my sleep, and I have PMS like symptoms since, just like the time before Menopause. My OB suggested to remove the IUD (it's only been 6 months!) and go back on 200mg. My worry is this: wouldn't i start bleeding again? will my lining react again, and it was a little over $2000 to get all that done. Could i not just take 200mg and keep the IUD? I am trying hard to research this topic. there is very little info out there. Thank you so much for reading this."

This episode is packed with valuable insights to help you navigate HRT options and better understand how they can complement your hormonal health, even with an IUD.

If you have a question, please visit our website and click Ask the Doctor a question.

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