Community Conversation => Transitioning => Hormone replacement therapy => Topic started by: Autumn on February 13, 2010, 01:58:05 AM Return to Full Version
Title: What form of progesterone has a *doctor* prescribed for you?
Post by: Autumn on February 13, 2010, 01:58:05 AM
Post by: Autumn on February 13, 2010, 01:58:05 AM
I have been out for going on two months now - I'm letting the estrogen soak into all the receptors for a bit, something my doctor suggested I could do, plus, I'm too poor to afford it anyway as i'd have to drop like $80 for some black label stuff. My insurance doesn't cover microgest or any other progesterone since I'm legally male.
However, it dawned on me that the $4 scripts program that Target and Wal-mart run covers MEDROXYPROGESTERONE ACETATE. I can't even begin to do the conversions of dosage from that to microgest - and I don't advise anyone to, after all, it's against site policy. But I am curious as to what forms of progesterone other girls have used and whether or not you paid out of pocket from a US pharmacy or not. My insurance won't even tell me what the cost of of micronized progesterone is since it's not covered.
However, it dawned on me that the $4 scripts program that Target and Wal-mart run covers MEDROXYPROGESTERONE ACETATE. I can't even begin to do the conversions of dosage from that to microgest - and I don't advise anyone to, after all, it's against site policy. But I am curious as to what forms of progesterone other girls have used and whether or not you paid out of pocket from a US pharmacy or not. My insurance won't even tell me what the cost of of micronized progesterone is since it's not covered.
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: MeghanAndrews on February 13, 2010, 10:42:06 AM
Post by: MeghanAndrews on February 13, 2010, 10:42:06 AM
I have been taking Yasmin which is a combination of Drospirenone and Ethinyl Estradiol. They are birth control and come in a little 28 day supply thingie. That's all I know about it :) Meghan
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: Janet_Girl on February 13, 2010, 10:49:28 AM
Post by: Janet_Girl on February 13, 2010, 10:49:28 AM
I use an OTC progesterone creme. And only for about 7 day, otherwise it is always Estrafem.
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: rejennyrated on February 13, 2010, 11:20:22 AM
Post by: rejennyrated on February 13, 2010, 11:20:22 AM
Medoxyprogesterone acetate otherwise known as Provera is my least well liked form because it is so easily metabolised into Testosterone that it *can* sometimes trigger hairloss.
Over the nearly three decades that I've been on HRT I've taken Provera, Dupheston and now Prometrium (AKA Microgest/Utrogestan).
Of all the three I have personally found the last one on the list to be the one with least side effects and best overall results. But as metabolisms differ from one person to the next I'm certainly not going to suggest that that would always be the case. It's like everything else, you have to find what suits you.
Over the nearly three decades that I've been on HRT I've taken Provera, Dupheston and now Prometrium (AKA Microgest/Utrogestan).
Of all the three I have personally found the last one on the list to be the one with least side effects and best overall results. But as metabolisms differ from one person to the next I'm certainly not going to suggest that that would always be the case. It's like everything else, you have to find what suits you.
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: maidenprincess on February 13, 2010, 03:21:36 PM
Post by: maidenprincess on February 13, 2010, 03:21:36 PM
hmmm
my doctor doesn't prescribe progesterone because she says it's not necessary
my doctor doesn't prescribe progesterone because she says it's not necessary
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: deviousxen on February 13, 2010, 03:35:01 PM
Post by: deviousxen on February 13, 2010, 03:35:01 PM
Quote from: Maiden on February 13, 2010, 03:21:36 PM
hmmm
my doctor doesn't prescribe progesterone because she says it's not necessary
Your doctor just doesn't wanna be liable about something she obviously doesn't understand... Cause any doctor with half a brain should know that it does do something good. I feel more balanced with progesterone. My energy levels are better. Its rounding things out. I'm being conservative, and yeah sure I'm self medding microgest, but its only because I believe its less responsible to just use estro alone. I believe it all needs to be balanced to be effective... But thats just me.
My doctor also said I could/but that it was unnecessary and said I was acting like a child over the phone when my shrink said no. I was sad/freaked out. Now I'm on it, and it has not made me more depressed. They're nuts.
The shrink gave me a magic wand during my last appointment with her. And ordered me to keep taking that dose of lamictal even though it was giving me night terrors. Yay doctors and shrinks...
So I have yet to be prescribed... But hopefully I can soon. Seeing two gender therapists until I know which one works better...
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: Cindy Stephens on February 13, 2010, 06:56:29 PM
Post by: Cindy Stephens on February 13, 2010, 06:56:29 PM
I take medroxyprogesterone by injection, once a month. It is working fine for me. I would suggest going to Prometrium.com and check out what they say regarding the various progestins. I would suspect that they would be advertising any benefit to their molecule vrs the others. They don't and maybe that says something. They even state that "There is no evidence that bio-identical hormones are safer or more effective than other progestogens." Suzanne Sommers believes otherwise and has written a bunch of books shilling the bioidentical formula. Belive who you will, after you do your own investigation.
I actually prefer it because you use a much lower dosage because it is an injection and it bypasses the liver before acting. That is very important to me.
I actually prefer it because you use a much lower dosage because it is an injection and it bypasses the liver before acting. That is very important to me.
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: Valerie Elizabeth on February 13, 2010, 11:53:43 PM
Post by: Valerie Elizabeth on February 13, 2010, 11:53:43 PM
Quote from: Muffin on February 13, 2010, 08:23:57 PM
Is it possible to vary the hormone dosages on a monthly basis so as to roughly mimic a female menstrual cycle?
Cycling hormones before removal of the testes is not recommended. The gonadotropin axis (feedback mechanism) is already precarious in a pre-op under hormone therapy; small fluctuations in the hormone regimen can translate into large variations in the endogenous androgen level, causing significant physical and emotional discomfort.
I've been taking Prometrium for 10 days every month, and I am pre-op. I admit that when taking Prometrium, sometimes I get pretty depressed. I don't know how it relates to being pre-op, but for me it doesn't matter. I'm having SRS in 11 days and I have to be off my hormones before it's time for my next cycle.
So, I take Prometrium for 10 days every month.
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: tatiana on February 14, 2010, 12:00:41 AM
Post by: tatiana on February 14, 2010, 12:00:41 AM
I'm also on Prometrium - no cycling. Just take it everyday.
My psychiatrist doesn't normally prescribe it, but I specifically requested it because my endocrinologist's guideline suggested it.
My psychiatrist doesn't normally prescribe it, but I specifically requested it because my endocrinologist's guideline suggested it.
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: Cindy Stephens on February 14, 2010, 12:46:39 PM
Post by: Cindy Stephens on February 14, 2010, 12:46:39 PM
Muffin quotes Dr. Jeffrey Dach, MD on bio-identical hormones. Dr. Dach specialized in interventional Radiology and is a board member of the "American Academy of Anti-aging Medicine." He also: Doesn't believe that the HIV virus causes AIDS, believes that Darwin was wrong and pushes intelligent design, believes that tiny amounts of mercury in vaccines cause all sorts of problems. Wasn't that last one pretty much demolished by the British Medical Society just recently? Sorry, neither he nor Suzanne Somers seem terribly convincing to me. Sometime it may come out, through extensive testing, that one form or the other is superior, but I don't see any proof or even strong evidence yet. I do, however, see people making huge bucks pushing bio-identicals basing their arguments on little more than innuendo and allusions to some vast medical conspiracy.
Please note, given the choice of same price, dosage, means of administering, etc. I would probably prefer the bio-identical. At least I am honest.
Please note, given the choice of same price, dosage, means of administering, etc. I would probably prefer the bio-identical. At least I am honest.
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: Kay on February 14, 2010, 10:15:48 PM
Post by: Kay on February 14, 2010, 10:15:48 PM
Hi Autumn,
.
I was prescribed Medroxyprogesterone acetate.
At the clinic's pharmacy it was $45 for a 3 month supply. It's not covered under my insurance, so it's completely out of pocket. (Spiro was the budget buster at $250 for 3 months, with Estradiol around $60.)
.
My doctor told me that I would be on progesterone for 2 years, and then since the majority of breast growth is completed in that span, that I would be taken off of it. (due to the health concerns that have been raised regarding its long term use)
.
$4? Really? Gosh...I may have to look into getting my scrip filled there...
.
I was prescribed Medroxyprogesterone acetate.
At the clinic's pharmacy it was $45 for a 3 month supply. It's not covered under my insurance, so it's completely out of pocket. (Spiro was the budget buster at $250 for 3 months, with Estradiol around $60.)
.
My doctor told me that I would be on progesterone for 2 years, and then since the majority of breast growth is completed in that span, that I would be taken off of it. (due to the health concerns that have been raised regarding its long term use)
.
$4? Really? Gosh...I may have to look into getting my scrip filled there...
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: Naturally Blonde on February 15, 2010, 05:46:15 AM
Post by: Naturally Blonde on February 15, 2010, 05:46:15 AM
Re: What form of progesterone has a *doctor* prescribed for you?
None!
But whenever I get my blood tests done there are reasonable progesterone levels in the test results!
None!
But whenever I get my blood tests done there are reasonable progesterone levels in the test results!
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: Kay on February 15, 2010, 09:07:14 PM
Post by: Kay on February 15, 2010, 09:07:14 PM
Quote from: Muffin on February 15, 2010, 12:36:49 AM.
Does this mean natal females should be using progesterone blockers by the age of 16?? Just curious. And would these 'alleged' health concerns be from synthetic or natural progesterone's?
Heh...well someone sounds a bit touchy on this subject. Sorry to offend, that's just what my doc told me.
.
The studies that have been done deal with synthetic progesterones that are administered in HRT regimins of post-menopausal cis-women. The main concern has been regarding the increased risk of cancer, notably breast cancer. Unfortunately I couldn't find the study that I remembered reading last year. There was one study that concluded in the UK late last year that showed significant increases in the rate of breast cancer for women who took synthetic progesterones for 5 years or more. Nothing as bad as double-digit concerns in cancer increase...but significant enough to cause doctors to keep a closer eye on their prescription habits...and balance whether or not there is any appreciable benefit in continuing synthetic progesterones for an extended period of years that would outweigh these newfound risks.
Hope this helps.
Kay
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: Dale on February 15, 2010, 09:26:39 PM
Post by: Dale on February 15, 2010, 09:26:39 PM
I take cyclogest, microgest and progesterone injected monthly, along with my other meds
My doctor is please with my levels. I feel great and breasts are growing nicely
My doctor is please with my levels. I feel great and breasts are growing nicely
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: pheonix on February 16, 2010, 03:46:36 PM
Post by: pheonix on February 16, 2010, 03:46:36 PM
Quote from: Autumn on February 13, 2010, 01:58:05 AMHowever, it dawned on me that the $4 scripts program that Target and Wal-mart run covers MEDROXYPROGESTERONE ACETATE.
My Endo prescribes that to me and I get it at WalMart.
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: Autumn on February 17, 2010, 08:52:38 AM
Post by: Autumn on February 17, 2010, 08:52:38 AM
Quote from: pheonix on February 16, 2010, 03:46:36 PM
My Endo prescribes that to me and I get it at WalMart.
So on closer inspection, it's Depo, and you do get it for $4?
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: pheonix on February 17, 2010, 01:24:16 PM
Post by: pheonix on February 17, 2010, 01:24:16 PM
Quote from: Autumn on February 17, 2010, 08:52:38 AM
So on closer inspection, it's Depo, and you do get it for $4?
Yes $4.
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: Kay on February 17, 2010, 07:29:58 PM
Post by: Kay on February 17, 2010, 07:29:58 PM
Quote from: Kay on February 14, 2010, 10:15:48 PM.
I was prescribed Medroxyprogesterone acetate.
At the clinic's pharmacy it was $45 for a 3 month supply. It's not covered under my insurance, so it's completely out of pocket. (Spiro was the budget buster at $250 for 3 months, with Estradiol around $60.)
I checked out Walmart today. Muuuuuch cheaper...by about half.
(it helps that 2 of them are on their $4 prescription list)
$122 for 3 months of Spiro
$10 for 3 months of Estradiol
$30 for 3 months of Medroxyprogesterone
Thanks for the tip. :)
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: Kaori on February 17, 2010, 09:54:26 PM
Post by: Kaori on February 17, 2010, 09:54:26 PM
I was taking Medroxyprogesterone for just over 8 months.
My new Endo took me off. I'm moving in 3 weeks and will need to see a new Therapist and get back on HRT with a new Endocrinologist.
I guess we'll decide what to do about progestines and what not at that time.
My new Endo took me off. I'm moving in 3 weeks and will need to see a new Therapist and get back on HRT with a new Endocrinologist.
I guess we'll decide what to do about progestines and what not at that time.
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: pheonix on February 18, 2010, 04:01:36 PM
Post by: pheonix on February 18, 2010, 04:01:36 PM
Quote from: Kay on February 17, 2010, 07:29:58 PM$122 for 3 months of Spiro
I suspect I know how you came to this price; if your doctor will prescribe a lower dose pill but with a greater frequency, you can cut the prices far further. ;)
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: Anne Selene on February 27, 2010, 11:17:51 AM
Post by: Anne Selene on February 27, 2010, 11:17:51 AM
Utrogestan 10 days per month. One pack with 30 capsules cost US$ 8.10 and last for 3 months. When I don't take P4 the P4 blood test shows about 0.4 ng/dl and during the 10 days with P4 it shows about 2.5 ng/dl.
Title: Re: What form of progesterone has a *doctor* prescribed for you?
Post by: Naturally Blonde on March 01, 2010, 06:21:35 PM
Post by: Naturally Blonde on March 01, 2010, 06:21:35 PM
No one's ever prescribed Progesterone for me!
but it still comes up in my blood test results.. :o
but it still comes up in my blood test results.. :o