Progesterone & Hormone Balance

April 12, 2023 3 min read

Progesterone: Hormone Balance in Perimenopause & Menopause

 

When we talk about hormonal changes during perimenopause and menopause, estrogen gets the most attention. However, estrogen’s “partner,” progesterone, plays an important role. If you are in perimenopause, it likely hasn’t been since puberty that you’ve experienced such a wild hormonal ride! 

All About Progesterone
Progesterone, like estrogen, is a steroid hormone the body makes from cholesterol. While estrogen is the “star” of the first half of the cycle, progesterone is the main hormone during the second half.

Estrogen thickens the uterine lining and prepares for ovulation. After ovulation, progesterone rises, balancing estrogen. Progesterone helps you to feel calm, warm, less inflamed and get better sleep. Like estrogen, progesterone is also important for protecting your bones, heart and brain.

But what happens to progesterone after the reproductive years?

As we get older, ovulation slows down. In perimenopause, we begin to experience irregular cycles, including some cycles where we don’t ovulate. If we don’t ovulate, we don’t make progesterone. Without progesterone to balance out estrogen, we experience estrogen dominance and the associated symptoms like heavy bleeding, mood swings and insomnia.

After the final menstrual period (menopause), estrogen levels become less variable than they were in perimenopause and settle in at a new lower level. Without ovulation, progesterone production from the ovaries effectively ceases, although a very tiny amount is made by the adrenal glands.

The loss of these sex hormones in menopause causes the body – including the brain and immune system – to recalibrate to the new hormonal landscape--- roughly the same levels as we had before puberty.

Natural Ways to Support the Hormonal Changes of Perimenopause & Menopause
The body is adaptable and it’s possible to have a peaceful transition to menopause. Here are some lifestyle tools to help:

  1. Support the adrenals. Your adrenal glands sit above your kidneys and are most well known for their role in the stress response. In menopause, however, the adrenals take over some sex hormone production, so we want them functioning optimally. Stress management is key, along with eating enough protein, B vitamins and vitamin C.
  2. Maintain your rhythm. All hormonal systems are connected and driven by the body’s daily rhythm. Support natural hormonal cycles by going to bed and waking around the same time each day. Regular mealtimes are also supportive.
  3. Prioritize sleep. A drop in progesterone can certainly impact sleep. It’s time to practice good sleep hygiene by limiting screens (and stress) before bed, sleeping in a cool and dark room and getting outside in natural sunlight first thing in the morning.
  4. Kick inflammation. Inflammation is prone to increase as progesterone and estrogen decline, which exacerbates uncomfortable symptoms. Adopt an anti-inflammatory diet full of produce, nuts and seeds, good fats like avocado, wild salmon and olive oil and herbs and spices including turmeric and rosemary. Eating regular meals and meeting daily protein needs helps to balance blood sugar which reduces inflammation.
  5. Embrace supplements. Certain nutrients, such as magnesium and B vitamins, help ease symptoms and support health. In addition, the herbal medicine Pueraria mirifica is a popular phytoestrogen containing herb that helps to decrease the symptoms of perimenopause and menopause, supporting a more comfortable transition.  The phytoestrogen in Pueraria Mirifica won't result in endometrial lining build up, and there is no need to add progesterone, which is often the case with mammalian estrogens.  

Try some of these lifestyle suggestions to help you feel grounded and support your body’s recalibration as you transition to menopause with grace and ease.

Amata Life
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