Can a person with low libido and erectile dysfunction use progesterone cream?

Question

Hi doctor,

I have got two questions about progesterone cream or low libido and ED. Having issues with libido and ED after being diagnosed with chronic prostatitis ten years ago. Now I am clean from microbes with no other symptoms except low libido, no morning erections, and occasionally ED. My hormones are normal after trying everything (including shockwave therapy for my prostate and penis). I bought progesterone cream. I used it the first time, and I feel like a 20-year-old again. Physically and psychologically. My last progesterone test was 0.99, with an upper limit of 3.1.

1) Can I use it, and for how long?? If I use it only occasionally when I want a sex drive, for example, two times per week, will it mess up my hormones and shut down my HPTA??

2) What is the right scheme of use, considering it releases 20 mg of progesterone per pump?

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Unless it is for a specific reason, progesterone in men is usually not needed. You need to be deficient in it to be able to use it. Excessive progesterone can cause havoc in your body and many side effects, including estrogen dominance. This unintended side effect can occur in a small number of people due to the flow-through effect of excessive natural progesterone in the body. Male usually requires a much lower dose. The normal physiological replacement dose is 20 mg per day of transdermal cream for females needing it for obstetric reasons. Male usually requires a much lower dose, a tiny fraction of it. Not needed mostly.

When someone is in an advanced stage of adrenal exhaustion, it can be unsafe or dangerous to make sudden changes to their daily routine. In the case of progesterone supplementation, anyone with liver congestion should be extra careful. Because progesterone is over 80 percent metabolized by the liver on the first pass-through, the excessive liver burden can be a problem. Those who already have subclinical liver disease are particularly vulnerable. Progesterone can trigger liver congestion or extracellular matrix congestion. Symptoms such as anxiety, brain fog, fatigue, and pain of unknown origin can surface. Always exercise caution when implementing new ideas and protocols, as it is possible that something you are doing to help your condition actually makes it worse. Those in advanced stages of adrenal fatigue syndrome are particularly vulnerable due to their already fragile body and often weak and congested liver.

I hope you find it helpful.

Kind regards.