You wake up at 3 a.m. with your heart racing, and you cannot figure out why. The anxiety out of nowhere, the PMS that got worse. It may trace back to one hormone that started leaving your body years before your first hot flash.
This episode is part of Tamsen Fadal’s series breaking down the topics from her New York Times bestselling book How to Menopause, one conversation at a time.
This week it's progesterone. Tamsen starts with a confession: her doctor prescribed it, and it sat in her medicine cabinet so long the pills congealed into a brick. She never took one, because nobody ever told her what progesterone was or why she needed it. So she spent a year struggling with the exact symptoms it would have helped.
She's not a doctor. She's a journalist who has lived this, breaking down what the leading menopause doctors she's interviewed have taught her, so you can take it to your own doctor.
Inside the episode:
- Why progesterone is one of the first hormones to drop, often years before anything else feels off
- The brain receptor that explains your 3 a.m. wake-ups
- Why it's non-negotiable if you still have your uterus and you're taking estrogen
- The straight answer on progesterone and breast cancer, and why the study that scared everyone doesn't tell the whole story
- Body identical vs. synthetic, plus the exact words to use with your doctor
- The one side effect that means you call your doctor instead of quitting
You deserve to understand what's going into your body and why.
Get the free Hormone Therapy 101 guide: https://www.tamsenfadal.com/menopause-education-hub/hormone-therapy-101
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guest appearing in this episode
Tamsen Fadal
Tamsen starts with a confession: her doctor prescribed it, and it sat in her medicine cabinet so long the pills congealed into a brick.
Resources
medical disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
0:00 Intro
3:47 What Progesterone Does and Why It Drops First in Perimenopause
4:44 The Link Between Progesterone, Anxiety, and Better Sleep
5:55 Can Progesterone Help Hot Flashes and Night Sweats?
6:44 Who Needs Progesterone During Menopause?
8:03 When Progesterone Alone May Be the Right Starting Point
9:26 Progesterone and Breast Cancer Risk, What Women Need to Know
10:29 Bioidentical vs Synthetic Progesterone Explained
12:49 Questions to Ask Your Doctor Before Taking Progesterone
14:46 Progesterone Side Effects and How to Manage Them








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