I am post-menopausal and have horrible hot flashes, insomnia and anxiety. I don’t have a uterus, so should I still take bio-identical progesterone cream to avoid estrogen dominance?

I have gotten two different answers about taking progesterone cream from local gynecological doctors. There is too much conflicting information out there, so thank you for your help.


For women who have had a hysterectomy, progesterone is primarily used to protect the uterus/endometrium. Progesterone can help with sleep problems, reduce anxiety and help with endometriosis.

It is the estrogen that treats the hot flashes, nights sweats, dry vagina and maintains bone strength.

I would recommend asking your physician to check your estrogen level. And be sure to see a NAMS certified menopause specialist.

All My Best,
Speaking of Women's Health Nurse

September 26, 2013 at 9:35am