Susan's Place Transgender Resources

Community Conversation => Transitioning => Hormone replacement therapy => Topic started by: DollTG on October 14, 2015, 02:31:11 PM

Title: Prescribed Prometrium, have questions
Post by: DollTG on October 14, 2015, 02:31:11 PM
So, I tried the tgboards and no reply there so I hope to have better luck here.....

Copypaste

QuoteSo, I've been on HRT for over 2 years (I think) and I have been taking Provera for 1 1/2 years or so of it but now I am switching over to Prometrium/Micronized Progesterone now. The problem is my endo says they don't really sell that stuff in Australia and I would need to look at online shops for them.

My endo recommended  and  (Although I think he meant  since  doesn't seem to have any progesterone at all but I may have the wrong site....) but I was wondering if anyone here can recommend If there are anymore good sites for where I can get some prometrium?

Also, my doctor prescribed me to take <Not Permitted> a day and I was wondering if that's too much?

Also also, I'm probably going to do the cycle thing since they're really expensive for me, so can anyone tell me how much on/off days you should do for it?

Also, any advise about which brand to choose? I am confused about Microgest/Naturogest/Susten/Actual Brand Prometrium etc.....

Mod Edit: Removed dosage information- pharmacies that allow you to get meds without a prescription are against TOS 8
Title: Re: Prescribed Prometrium, have questions
Post by: Laura_7 on October 14, 2015, 02:47:09 PM
The thing to go for is bioidentical progesterone which should be available via a doctor/endo/pharmacy.

The brand name is not important.

iIt might help with mood, with breast growth, even out some side effects of estrogen and have some anti androgen effects.
https://www.susans.org/forums/index.php/topic,192953.msg1733564.html#msg1733564

You might cycle for ten days, for fourteen days or take continously.
Many people take it in the evening because it might make sleepy.

Half of what you wrote is considered average.


In Australia (and other places) there are pellet implants for both bioidentical estrogen and bioidentical progesterone.
Only problem with progesterone implants is the possibility of extrusion which according to literature can be avoided with intramuscular application. You might talk about this with an endo.
Title: Re: Prescribed Prometrium, have questions
Post by: Dena on October 14, 2015, 02:53:46 PM
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Title: Re: Prescribed Prometrium, have questions
Post by: AnonyMs on October 14, 2015, 04:12:01 PM
I discussed this same thing with my endo in Sydney so I know the answer, but I'm not sure if its against the sites terms of service to post or PM it. Normally it would be, but I assume he's going to provide you with a prescription so I've no idea.

Could a mod provide some guidance?
Title: Re: Prescribed Prometrium, have questions
Post by: iKate on October 14, 2015, 04:29:09 PM
Quote from: DollTG on October 14, 2015, 02:31:11 PM
So, I tried the tgboards and no reply there so I hope to have better luck here.....

Copypaste

Also, any advise about which brand to choose? I am confused about Microgest/Naturogest/Susten/Actual Brand Prometrium etc.....

Mod Edit: Removed dosage information

Microgest is bioidentical progesterone, just like prometrium. It's cheaper than prometrium.

I take a generic made by Teva, and it is available in US pharmacies.

I find it weird that the pharmacies in Australia don't have progesterone. It is used for other things besides MTF HRT, including fertility treatment.

I have ordered from in house, they are pretty good. They do require a prescription if you're using a credit card though.
Title: Re: Prescribed Prometrium, have questions
Post by: DollTG on October 14, 2015, 08:03:58 PM
So sleepy....not sure if I should reply but here goes...

I ask about the brand thing because when I went searching for information about it there was a thread that said that prometrium and microgest was different...or something, so I wasn't sure about it because my endo prescribed 'Prometrium' and I wasn't sure if I can substitute it with other Micronized Progesterone. I really should have discussed it with my endo 2 days ago but I didn't think there was multiple brands.....I guess I'll go the cheap one if they're not so different.

Also, about In House, after checking there payment options, the only choice I see that looks appealing for me is International Money Transfer but does that require you to register on another site? Cause I don't really want to do that....

Quote from: Laura_7 on October 14, 2015, 02:47:09 PM
In Australia (and other places) there are pellet implants for both bioidentical estrogen and bioidentical progesterone.
Only problem with progesterone implants is the possibility of extrusion which according to literature can be avoided with intramuscular application. You might talk about this with an endo.

I'm holding out from implants because I'm kinda nervous about them I guess. I'll probably get more nerves for it in my next appointment....

<Dosage thing> Oh, sorry for that, didn't realize that but then I should have read the rules I guess....kinda assumed.....which one should really not do.....

Hope this all make sense....
Title: Re: Prescribed Prometrium, have questions
Post by: Rainbow Bay on October 22, 2015, 04:57:53 AM
Quote from: iKate on October 14, 2015, 04:29:09 PM
I find it weird that the pharmacies in Australia don't have progesterone. It is used for other things besides MTF HRT, including fertility treatment.

Apparently, according to my endo, we don't have it in Australia because the market is too small and there's really no financial benefit for the pharmaceutical companies to bring it over. So, if we don't want to be on Provera then we have to get bio-identicals from overseas, which is just another expense to add to the list  :)

Title: Re: Prescribed Prometrium, have questions
Post by: Ms Grace on October 22, 2015, 06:22:09 AM
Quote from: DollTG on October 14, 2015, 08:03:58 PM
I'm holding out from implants because I'm kinda nervous about them I guess. I'll probably get more nerves for it in my next appointment....

Myself, and many other women on the forum, have estrogen implants. They are seriously awesome. My endo used to offer progesterone implants too but there were "issues" and he stopped using them but continues with the estrogen.
Title: Re: Prescribed Prometrium, have questions
Post by: Laura_7 on October 22, 2015, 08:48:06 AM
Quote from: Ms Grace on October 22, 2015, 06:22:09 AM
My endo used to offer progesterone implants too but there were "issues" and he stopped using them but continues with the estrogen.
The issues might be extrusions.
According to literature intramuscular application might help.
You might have a look here:
https://www.susans.org/forums/index.php/topic,193313.msg1723640.html#msg1723640

Maybe you could tell them... its not widely known.
Title: Re: Prescribed Prometrium, have questions
Post by: KayXo on October 27, 2015, 03:56:51 PM
Dydrogesterone (Duphaston) is available in Australia. It is a relatively safe, non-androgenic progestin.
Title: Re: Prescribed Prometrium, have questions
Post by: judithlynn on October 27, 2015, 08:41:33 PM
Actually:
A spokeswoman for Abbott Australasia said Duphaston was withdrawn last year due to lack of demand. Ogen was discontinued in 2009 after it became impossible to maintain supply.

''This was due to the manufacturer ceasing production of the tablets and difficulties in sourcing another supplier,'' a spokeswoman for Pfizer said. ''No safety, quality or efficacy issues were associated with this discontinuation."

MSD Australia has also confirmed that production of Oestradiol implants would cease and advised women who use the treatment to discuss alternative oestrogen replacement therapies.

''MSD has advised doctors and relevant health authorities of the decision to cease manufacturing, distributing and supplying Oestradiol implants in Australia,'' a company spokesman said
Title: Re: Prescribed Prometrium, have questions
Post by: Laura_7 on October 28, 2015, 11:13:38 AM
Quote from: judithlynn on October 27, 2015, 08:41:33 PM
Actually:
A spokeswoman for Abbott Australasia said Duphaston was withdrawn last year due to lack of demand. Ogen was discontinued in 2009 after it became impossible to maintain supply.

''This was due to the manufacturer ceasing production of the tablets and difficulties in sourcing another supplier,'' a spokeswoman for Pfizer said. ''No safety, quality or efficacy issues were associated with this discontinuation."

MSD Australia has also confirmed that production of Oestradiol implants would cease and advised women who use the treatment to discuss alternative oestrogen replacement therapies.

''MSD has advised doctors and relevant health authorities of the decision to cease manufacturing, distributing and supplying Oestradiol implants in Australia,'' a company spokesman said

Pellet implants are considered one of the best methods.
Here are sources, there are compounding pharmacies delivering worldwide.
There is also enough info there to get an endo not aquainted with them started.
https://www.susans.org/forums/index.php/topic,192044.msg1713877.html#msg1713877

In the UK for example there are sources for menopausal women.
Its possible there might be something similar in Australia.
Otherwise there are compounding pharmacies which might still produce them.
Title: Re: Prescribed Prometrium, have questions
Post by: AnonyMs on October 30, 2015, 12:03:58 AM
MSD is not the only source of estrogen implants in Australia as my endo gets them elsewhere.
Title: Re: Prescribed Prometrium, have questions
Post by: DollTG on October 31, 2015, 11:15:28 PM
So, I finally decided to order the Microgest pills from <Not Permitted> but after placing an order with my debit card I decided to check reviews for the site (I should really do it the other way around....) and there was some reviews talking about fraudulent claims from china after ordering with their credit card. Should I be worried about this? Does anyone here have any experience with ordering via card with the site? Should I try and cancel my order?

Mod Edit Self Medication Information

Edit: Ah darn it, that's my second one....

Oh well, I guess I'll just try to cancel my order. I think I'll just not take P till I can see my doctor about implants...
Title: Re: Prescribed Prometrium, have questions
Post by: AnonyMs on November 01, 2015, 01:25:03 AM
There's a big difference in liability between credit and debit cards. If a debit card is fraudulently its you who loses. If its the credit card then its the banks problem. I only use a debit card at a bank ATM, nowhere else. Credit card for the rest. If you have to use a debit card keep the balance low so it doesn't matter too much if you lose it all.
Title: Re: Prescribed Prometrium, have questions
Post by: iKate on November 01, 2015, 06:53:26 AM

Quote from: AnonyMs on November 01, 2015, 01:25:03 AM
There's a big difference in liability between credit and debit cards. If a debit card is fraudulently its you who loses. If its the credit card then its the banks problem. I only use a debit card at a bank ATM, nowhere else. Credit card for the rest. If you have to use a debit card keep the balance low so it doesn't matter too much if you lose it all.

I've had my debit card skimmed and used and I wasn't liable. Maybe the rules in oz are different.
Title: Re: Prescribed Prometrium, have questions
Post by: Dena on November 01, 2015, 12:08:41 PM
In the United States the both cards received the same protection from the bank. The problem is with a debit card, you are out that money until the bank make it good. With a credit card, you protest the charge and don't pay that part of the bill. The banks wanted people to start using their debit cards for regular purchases to reduce the mouth of cash they handled so they offered the same liability as a credit card.