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Vertigo

by JR
(HI)

Hello,

What is the connection between progesterone and vertigo/disequilibrium? Just turned 56 and OB said I’m in perimenopause/close to menopause; still have random menstrual cycles. If it’s hormones going up and down with estrogen depletion, would we need to add phytoestrogens like Black Cohosh to balance the depletion?
I did a DUTCH test last December and doctor said levels look good and that I’m in perimenopause (progesterone was slightly higher and estrogen was close to depleted).

Thanks!

Comments for Vertigo

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Aug 08, 2023
 Saliva tests give accurate results
by: Anonymous

Hi, with the onset of menopause oestrogen production falls between 40-60% but progesterone falls to almost zero creating ‘oestrogen dominance’ creating menopausal symptoms. Blood tests checking for hormones use the serum and not the red part of the blood. What shows in serum blood tests is what is circulating in the blood and not what is available to the cells.

Saliva tests show what is available to the cells and is therefore an accurate way to find the ratio of each hormone.

With a normal menopause (someone who has not had a hysterectomy) as the ovaries slow down production of hormones the adrenal glands take over production although not as much as was produced before menopause by the ovaries. Women carrying more fat than slim women are likely to have more oestrogen due to fat cells producing oestrogen as well.
Aug 08, 2023
 Vertio
by: Joy

Hi JR

There is a definite link between hormones and vertigo. It also frequently occurs in women in Peri-Menopause who are nearing Menopause. The cause is from progesterone withdrawal during the few days prior to bleeding, leaving estrogen the dominant hormone. Peri-menopause is a time of dropping progesterone levels, as anovulatory cycles become more frequent. Please read the page on Dizziness.

Estrogen is an excitatory, inflammatory hormone causing water retention. This can affect the fluid in the ear and therefore balance. Progesterone is an excellent diuretic, now given to Traumatic Brain Injury victims to prevent oedema forming.

The hormone aldosterone also causes oedema. Progesterone has a high affinity to the aldosterone receptor sites, so inhibits it's action. It also suppresses estrogen. I suspect that your Vitamin D3 level is low. Any idea what it is? Vitamin D3 and Magnesium are most beneficial, D3 is connected to every single functioning cell in our bodies making it vital. A deficiency also reduces the benefits of progesterone.

To be told that your levels look good means nothing to me. I need to see actual results to work out your progesterone:estrogen ratio or you can compare them, see here.
Aug 08, 2023
 Lab results
by: Anonymous

Hi! Thanks for the information. My D3 was above the normal level because MD put me on D3 supplement 1x weekly for a month. Lab showed.
Estradiol (E2) was 1.2 on Dutch (1.8-4.5 range) and Progesterone was 5.6 (6.0-20 range). This lab was done Oct 2022. Then on Nov 2022 did a blood test and Estradiol was 10 (pg/ML) and Progesterone was 35 (ng/DL).
I’ve since had two to three menstrual cycles.
Aug 08, 2023
 Thank you
by: Anonymous

Thank you for information re: saliva testing
Aug 10, 2023
 Lab Results
by: Joy

Hi JR

Thanks for getting back to me. I don't agree with the 1x weekly for a month of Vitamin D3. What happens after that? Levels start to drop once you stop taking it. As explained on the page, it must be taken every day. D3 levels should be between 70-100ng/ml. Mine is currently around 125ng/ml and I like to maintain it there as that is where I feel at my best.

Using your blood test results, I assume you mean ng/ML and not ng/DL as I have never heard of ng/DL before. Your progesterone:estrogen ratio is 3500:1 which is on the high side but there is nothing wrong with that level. I have dealt with many a 6000:1 and over ratio. The main thing is how you are feeling.
Aug 10, 2023
 Progesterone level
by: Anonymous

Thanks for your feedback. I will stay d3 again. To clarify, is my progesterone level high? If so,, no need to add anymore yea?
Aug 10, 2023
 High progesterone
by: Anonymous

Perhaps the high progesterone level could be contributing to the dizziness as well?
Aug 10, 2023
 Progesterone Level
by: Joy

Hi JR

I'll answer both of your questions here.

HIGH PROGESTERONE - No. I do not believe that it is causing your dizziness. The page on dizziness explains numerous possible causes. Have you addressed those?

PROGESTERONE LEVEL - Excellent idea regarding your D3. You haven't stated what progesterone method you are using or how much. So that is rather difficult for me to answer. Please be advised that information provided is based on Natpro Progesterone Cream which is a 3% cream. If using another cream, please make sure that it equates to that of Natpro.

Personally if I had high progesterone levels I would be more than happy with that and work on keeping it high. The aim of progesterone therapy is to make progesterone the dominant hormone and not estrogen.
Aug 10, 2023
 Progesterone therapy
by: Anonymous

Thanks. I can’t locate the copy of my d3 labs but it was labeled as high on the lab report so the doctor had me stop taking d3 but will continue it ok to be over the amount needed. I use wellena progesterone cream 25mg daily.
Aug 11, 2023
 Progesterone Therapy
by: Joy

Hi JR

I have given you info on D3 so I will not go into detail about it. Please see the page given.

The cream used explains a lot. Have you researched the ingredients? For a start it contains phenoxyethanol as a preservative. This was banned in June 2008 by Ecocert for use in natural and organic skin care Sorry I can't rate it highly for you. Also it doesn't have the correct amount of progesterone concentration. On top of that, the 25mg used is causing more issues. As this website states, between 100-200mg is needed per day, more if symptoms are severe. The 25mg is merely aggravating your estrogen receptors, not what any woman wants.

Good luck.
Aug 11, 2023
 Progesterone cream
by: Anonymous

Ok thanks for the information.

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