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Prometrium dose

A MyEndometrialCancerTeam Member asked a question 💭
Australia

Hi, I am new here. I've just been diagnosed with Endometrial Atypical Hyperplasia. My ultrasound scan showed severe focal adenomyosis with a trace of vascularity detected.
I will have to wait to see my preferred surgeon as he is on leave.
I've stopped my estrogen patches.
What dose of prometrium should I be taking whilst waiting for a hysterectomy?
I am taking 200mg, but would taking a higher dose be beneficial?

July 13
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A MyEndometrialCancerTeam Member

It's the gynecologic oncologist that I am waiting to see.

July 13
A MyEndometrialCancerTeam Member

Taryn,
Isn't there someone at your gynecologists office who can advise you on the prometrium dose that would be best for you right now? I never used it so cannot offer an opinion.
Sending you peace and healing prayers

July 20
myEndometrialCancerTeam

What dose of Prometrium is appropriate while waiting for a hysterectomy after an Endometrial Atypical Hyperplasia diagnosis?

Welcome — it's completely understandable to want to feel like you're doing everything possible while waiting for surgery. Stopping estrogen patches was a sensible step.

Prometrium (progesterone) Show Full Answer

What dose of Prometrium is appropriate while waiting for a hysterectomy after an Endometrial Atypical Hyperplasia diagnosis?

Welcome — it's completely understandable to want to feel like you're doing everything possible while waiting for surgery. Stopping estrogen patches was a sensible step.

Prometrium (progesterone) works by mimicking the hormone progesterone, which can help shrink a thickened endometrial lining and reduce cancer risk. However, specific dosing is something only your doctor can safely advise on. Adjusting your dose without medical guidance could carry risks, especially given the complexity of your situation. Here's what's worth considering:

- Don't adjust your dose independently — higher isn't always better and could have unintended hormonal effects
- Contact your surgeon's office now — even if your preferred surgeon is away, a covering doctor or nurse can advise on your current dosage
- Ask about monitoring — your doctor may want an ultrasound or biopsy in around three months to check how you're responding to treatment

Getting a second opinion from a gynecologic oncologist while waiting is also a really worthwhile option. They specialize in exactly this situation and can give you confidence that your current plan is the right one.

July 13

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