What if progesterone cream does not help with hot flashes?
If a woman’s hot flashes do not respond to progesterone cream for the relief of hot flashes: 1 she may need to increase her dose (keeping to the average 20 mg to 40 mg) 2 she may need some estradiol or estriol (bio-identical estrogens) 3 her androgens (testosterone and DHEA) may be low 4 her Cortisol (stress hormone) may be elevated 5 she may be zinc deficient as ( zinc is needed for the estradiol receptor to use estradiol) This is not to say that she doesn’t need progesterone. She just needs additional therapy.