Thyroid Issues and Progesterone
Endometriosis was associated with a thyroid problem - In clinic with Dr Sandra Cabot
Georgina had come all the way from New Zealand to see me as she was desperate to find relief for her chronic abdominal and pelvic pain. This was caused by endometriosis growing on her bladder and bowel despite having had a hysterectomy, which unfortunately had provided only partial relief. She was in her late 30s and had not had children. Georgina was a lovely lady with a bright bubbly personality and I admired her positive attitude and toughness, as she had managed to keep working despite this chronic pain.
Georgina was using a progesterone cream that was not strong enough to reduce the endometriosis growing on her bowel and bladder and when I checked the strength of her cream it was only 4 % (40mg per gram) and she had been using only half a gram providing her body with a daily dose of 20mg of progesterone.
I prescribed progesterone vaginal pessaries of 200mg strength and she was to insert a pessary once daily into her vagina as high up as possible. I also prescribed a progesterone cream of 10% strength (100mg per gram of cream) which she was to rub into the skin of her inner upper arm once daily after her shower. If natural progesterone was going to be able to control her severe endometriosis we had to use an adequate dose.
I explained to Georgina that it was vital to strengthen her immune system and reduce inflammation with nutritional medicine.
To achieve these goals I recommended the following –
• Liquid fish oil in a dose of one tablespoon just before every meal
• An ultra strong magnesium powder in a dose of ½ teaspoon twice daily to ease her bladder and bowel cramps
• A probiotic
• Raw vegetable juices from fresh green herbs (parsley, basil, mint, etc), carrot, ginger, citrus, cabbage and apple. This would reduce inflammation and improve liver function.
• A powerful liver tonic containing the herb St Mary’s Thistle, B vitamins and sulfur bearing amino acids. In all cases of oestrogen dominance it is vital to improve liver function, so that the liver can break down the excessive oestrogen produced from the ovaries and fat tissue.
I also noticed that she had a slight goitre with a few small nodules on her thyroid gland and on checking her serum vitamin D levels I found these to be deficient. Her urinary spot iodine concentration was very low thus revealing a deficiency of iodine. Thyroid problems are often caused by deficiencies of vitamin D, iodine, zinc and selenium.
Thyroid problems will often cause imbalances in the function of the ovaries leading to progesterone deficiency. Progesterone deficiency leads to oestrogen dominance and this worsens endometriosis. Thus it was vital to improve her thyroid function so I prescribed a capsule containing vitamin D, selenium, zinc and iodine to improve thyroid health.
Posted by Dr Sandra Cabot MD at 4:33 PM
http://blog.liverdoctor.com/2012/02/in-clinic-with-dr-sandra-cabot.html
Georgina had come all the way from New Zealand to see me as she was desperate to find relief for her chronic abdominal and pelvic pain. This was caused by endometriosis growing on her bladder and bowel despite having had a hysterectomy, which unfortunately had provided only partial relief. She was in her late 30s and had not had children. Georgina was a lovely lady with a bright bubbly personality and I admired her positive attitude and toughness, as she had managed to keep working despite this chronic pain.
Georgina was using a progesterone cream that was not strong enough to reduce the endometriosis growing on her bowel and bladder and when I checked the strength of her cream it was only 4 % (40mg per gram) and she had been using only half a gram providing her body with a daily dose of 20mg of progesterone.
I prescribed progesterone vaginal pessaries of 200mg strength and she was to insert a pessary once daily into her vagina as high up as possible. I also prescribed a progesterone cream of 10% strength (100mg per gram of cream) which she was to rub into the skin of her inner upper arm once daily after her shower. If natural progesterone was going to be able to control her severe endometriosis we had to use an adequate dose.
I explained to Georgina that it was vital to strengthen her immune system and reduce inflammation with nutritional medicine.
To achieve these goals I recommended the following –
• Liquid fish oil in a dose of one tablespoon just before every meal
• An ultra strong magnesium powder in a dose of ½ teaspoon twice daily to ease her bladder and bowel cramps
• A probiotic
• Raw vegetable juices from fresh green herbs (parsley, basil, mint, etc), carrot, ginger, citrus, cabbage and apple. This would reduce inflammation and improve liver function.
• A powerful liver tonic containing the herb St Mary’s Thistle, B vitamins and sulfur bearing amino acids. In all cases of oestrogen dominance it is vital to improve liver function, so that the liver can break down the excessive oestrogen produced from the ovaries and fat tissue.
I also noticed that she had a slight goitre with a few small nodules on her thyroid gland and on checking her serum vitamin D levels I found these to be deficient. Her urinary spot iodine concentration was very low thus revealing a deficiency of iodine. Thyroid problems are often caused by deficiencies of vitamin D, iodine, zinc and selenium.
Thyroid problems will often cause imbalances in the function of the ovaries leading to progesterone deficiency. Progesterone deficiency leads to oestrogen dominance and this worsens endometriosis. Thus it was vital to improve her thyroid function so I prescribed a capsule containing vitamin D, selenium, zinc and iodine to improve thyroid health.
Posted by Dr Sandra Cabot MD at 4:33 PM
http://blog.liverdoctor.com/2012/02/in-clinic-with-dr-sandra-cabot.html
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