---
title: "Progesterone: Your Perimenopause Hero"
entity: "blog"
canonical_url: "https://www.drsmithnd.com/blog/progesterone-perimenopause-hero"
markdown_url: "https://www.drsmithnd.com/llms/blog/progesterone-perimenopause-hero"
lastmod: "2024-05-22T12:00:00.000Z"
---

#### Did you know that bio-identical/body identical progesterone is a star performer in managing perimenopause symptoms?

Bio-identical progesterone can also be used to treat conditions such as PCOS, PMDD, migraines, endometriosis and adenomyosis.

#### Semantics matter:  

When we use the word, “ progesterone ” we are referring to oral micronized progesterone which requires a naturopathic doctor, medical doctor, or nurse practitioner’s prescription. In Canada and the US, the brand name is PrometriumⓇ. Progesterone can also be prescribed as a cream, vaginal suppository or even injection, but here we are referring to oral progesterone.

Progestogen: refers to any progesterone-type product.

Progesterone: refers specifically to bio-identical micronized progesterone.

Progestins: refers to “synthetic”, non bio-identical types such as levonorgestrel, drospirenone, norethisterone. Progestins are in hormonal IUD’s (ie. Mirena) and birth control pills.

Don’t lump progestogens together because they have different side effects and risk profiles. For example, if you experienced weight gain, anxiety or any other side effect from the pill or IUD, it does NOT mean you will have the same experience on progesterone.

It’s important to learn the difference between bio-identical progesterone and progestins, so that you can make the most informed decision for your health.

Let’s compare Progesterone and Progestin:

#### Progesterone

- Stimulates hair growth
- Reduces androgen symptoms (acne, unwanted hair growth/hirsutism)
- Reduces anxiety Improves sleep
- May reduce risk of breast cancer

#### Progestin

- Can cause hair loss
- Can cause androgenic symptoms
- Can cause anxiety
- Can cause depression
- [May increase the risk of breast cancer](https://www.cemcor.ca/resources/does-taking-progesterone-alone-or-estrogen-increase-women%E2%80%99s-risk-breast-cancer)

Dr. Kirsten Smith, ND

Dr. Smith is a licensed, board-certified naturopathic doctor in the province of Ontario, a member of the Menopause Society, the Ontario Association of Naturopathic Doctors and the Canadian Association of Naturopathic Doctors.