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Menopause

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Implant and progesterone

4 replies

pinkrabbits39 · 12/04/2021 11:05

I have previously had the Nexplanon implant for contraception and it was fine for me, no problems at all, during a chat with a meno specialist I was advised this would mean I can tolerate the utrogeston in my HRT as they’re the same...thought it might help some people Smile

OP posts:
JinglingHellsBells · 12/04/2021 11:34

You were actually told it's the same as Utrogestan= micronised progesterone? It isn't. :)

pinkrabbits39 · 12/04/2021 12:47

Ah! That’s not ideal, I may delete this post then as don’t want to give incorrect advice and I’ll check back with the Doc - thank you @JinglingHellsBells

OP posts:
TheMirrorofHerDreams · 12/04/2021 12:47

I was told this today (I just got a new implant)

To be fair it was an appt for something else but the topic came up as i have another appt to discuss HRT.

Can someone explain the difference as I am expecting for my appt to ask for HRT to be rather troublesome especially as the surgery have already hinted that they don't like to interfere in 'a natural aging process'

(sorry to jump on your thread op)

JinglingHellsBells · 12/04/2021 13:16

I have no idea @pinkrabbits39 or@TheMirrorofHerDreams

This is what is in the implant
Each radiopaque implant contains 68 mg of etonogestrel

Etonogestrel is a progestogen, or an agonist of the progesterone receptor. It is less androgenic than levonorgestrel and norethisterone, and it does not cause a decrease in sex hormone-binding globulin levels.

I suspect what your dr meant is that is it a different progestogen to both Norethisterone (in all combined patches) and levonorgestrel (in the Mirena.) They are androgenic meaning they are more likely to cause side effects associated with male hormones, like acne.

The implant is not the same as Utrogestan, which is micronised progesterone and also used to help fertility (as a pessary) to prevent miscarriage.

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