PCOS and Low Progesterone - WHY is this common and WHAT to do about it.

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Many PCOS patients are told that they have low progesterone, but why are they told that and what does their doctor mean?

Here are the 3 most common reasons you may be told you have low progesterone:
1) You aren't ovulating, and because you only make progesterone after you ovulate - no ovulation means no progesterone (thus low progesterone).
2) You ovulate infrequently - if you only ovulate 3-4 times per year, which is fairly common in PCOS you have only about 1/4 of the days that a normal cycling woman has to make progesterone.
3) You ovulate but actually make low progesterone when you do ovulate.

No matter which category you fall into, there are options to help support your own progesterone production. They fall into 3 categories:

1) Nutrition - managing insulin resistance, eating high levels of protein, increasing fiber, eating breakfast are a few ways to support this.
2) Supplementation - myoinositol and vitex are two supplements commonly used in the PCOS population to help support ovulation, egg quality and progesterone levels.
3) Medicine - taking prescribed bio-identical progesterone. This is not the same thing as the progestins in birth control. Be wary of creams and oils as they aren't reliable to have the same amount of progesterone in each dose and don't have a lot of progesterone in them to begin with. Naturopaths can also prescribe cyclical progesterone. Just know once you start taking progesterone it will stop your body from ovulating because it thinks you have already done so.

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This video is not intended as medical advice. While Caitlin Johnson, RD is a functional medicine dietitian, she is not your dietitian, always consult your medical provider before starting medications or supplements.