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SUMMARY:Missing the Mark on Progesterone: What Most Menopause Doctors Get Wrong
DESCRIPTION:Featuring Dr. Phyllis Bronson & Carol Petersen\, RPh | Hosted by Jill Chmielewski \nSeptember 10\, 2025 at 10am MST/11 am CST \nIntroduction (Jill) \n\nWelcome audience\, introduce Phyllis & Carol.\nContext: After the 2002 WHI study\, menopause medicine was largely abandoned. Training stopped\, myths spread\, and providers were taught incomplete or inaccurate information\, especially about progesterone.\nPurpose: To shine a light on overlooked truths\, answer common questions\, and empower both providers & women to make informed choices.\n\nThe Progesterone “Bombshell” (Phyllis) \nPrompt: “Many women are told that transdermal progesterone doesn’t really absorb\, doesn’t impact mood or sleep\, and doesn’t protect the uterine lining. What are your thoughts about that?” \n\nDebunk the myth of poor absorption.\nShare evidence of therapeutic levels\, GABA receptor impact\, calming vs. sedative effects.\nDiscuss clinical use of transdermal vs. oral\, or in combination (i.e.\, what does progesterone prescribing look like in your practice(s) – Phyllis and Carol.\n\nCommon Myths & Misconceptions (Carol) \nPrompt: “Many women are told that progesterone is only made after ovulation\, only needed to protect the uterine lining\, or isn’t necessary without a uterus. What are your thoughts about that?” \n\nClarify physiology: progesterone levels through the menstrual cycle\, progesterone-to-estrogen ratios and ranges (ng/mL vs. pg/mL) – Address the “luteal phase only” myth.\nExplain the importance of progesterone beyond the uterine lining: brain\, bones\, mood\, and receptors.\n\nDosing Concerns & Clinical Judgment \nPrompt: “Many women are told they only need very low doses\, like 100 mg\, or that if they don’t have a uterus\, they don’t need progesterone at all. As experts\, what are your thoughts about that?” \n\nAre women being underdosed compared to physiology?\nWhen to consider higher doses\, cycling\, or alternative routes. \nHow do women know if their dose is optimal?\n\nPrompt: Many women say that they feel worse after starting progesterone\, such as increased anxiety\, achy\, reflux\, flu-ish\, constipation\, increased brain fog\, or that their symptoms return after a few months. They often are told that they are “progesterone intolerant” and that they should switch straight to a synthetic progestin or a progestin-containing IUD. As experts\, what are your thoughts about that?” \n\nWhy side effects may occur.\nHow to distinguish true intolerance vs dose/route issues.\n\n\nClinical pearls for managing side effects or intolerance (grogginess\, reflux\, worsening PMDD) – Differentiating intolerance vs estrogen rebound effects.\nTouch on why providers confuse progesterone with progestins.\n\nPrompt: “Many women are told that bleeding after starting progesterone\, or even losing their cycles\, is abnormal. As experts\, what are your thoughts about that?” \n\nNormal vs concerning bleeding.\nDoes bleeding or spotting always mean more progesterone is needed ot balance estrogen’s stimulatory effects on the uterine lining?\nDoes progesterone suppress ovulation or cycles?\n\nHormone Testing \nPrompt: “Many women are told that serum testing is the best way to track progesterone therapy. As experts\, what are your thoughts about that?” \n\nLimitations of serum testing.\nWhat really matters: receptor activity vs numbers.\nWhen testing may or may not add value\, and what type of testing do you recommend?\n\nSpecial Populations & Clinical Considerations \nPrompt: “Many women are told that progesterone has no role in younger women\, or conditions like endometriosis\, PMS\, postpartum\, pregnancy\, or even after breast cancer. As experts\, what are your thoughts about that?” \n\nEndometriosis & endometrial hyperplasia.\nPMS\, PMDD\, premenstrual seizures.\nBreast cancer risk & protective evidence.\nOther clinical applications for progesterone\, such as post-concussion syndrome\, post-stroke\, etc.\n\nClosing (Jill) \n\nReiterate why this conversation matters: misinformation harms women by creating fear and limiting options.\nInvite attendees to carry this knowledge forward – providers in their practices\, as well as women in their healthcare decisions.\n\nRegistration Link: https://us06web.zoom.us/webinar/register/WN_3e4e0rmbTeGVLWKb4TF2Ew \nShare this:\n				Share on Facebook (Opens in new window)\n				Facebook\n			\n				Share on X (Opens in new window)\n				X\n			\n				Share on Nextdoor (Opens in new window)\n				Nextdoor\n			\n				Share on Reddit (Opens in new window)\n				Reddit\n			\n				Share on Pinterest (Opens in new window)\n				Pinterest\n			\n				Share on LinkedIn (Opens in new window)\n				LinkedIn\n			More\n				Email a link to a friend (Opens in new window)\n				Email\n			\n				Print (Opens in new window)\n				Print\n			\n				Share on Threads (Opens in new window)\n				Threads\n			\n				Share on Bluesky (Opens in new window)\n				Bluesky\n			\n				Share on Tumblr (Opens in new window)\n				Tumblr\n			\n				Share on WhatsApp (Opens in new window)\n				WhatsApp\n			\n				Share on Mastodon (Opens in new window)\n				Mastodon
URL:https://thewellnessbydesignproject.com/event/missing-the-mark-on-progesterone-what-most-menopause-doctors-get-wrong/
LOCATION:Online
CATEGORIES:Seminars
ATTACH;FMTTYPE=image/png:https://thewellnessbydesignproject.com/wp-content/uploads/2025/08/Webinar-asset-Missing-the-Mark-on-Progesterone-What-Most-Menopause-Doctors-Get-Wrong-1.png
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