Ilaaj aur dawaein

HRT mein progesterone ki qismein

Agar aap ki bachedani abhi hai to HRT do hisson mein aati hai, aur yeh doosra hissa hai. Progestogen kya hai, is ki alag alag qismein, aur doctor se kya poochein.

Is safhe par
  1. Lafz aur hidayat
  2. Yeh kya hai
  3. Yeh kyun hota hai
  4. Ilaaj ke baare mein hidayat kya kehti hain
  5. Doctor ko kab dikhayen
  6. Doctor se poochne ke sawal
  7. Deen aur ghar wale
  8. Is par nazar rakhein
  9. Aam sawal
  10. Milte julte mauzuaat
  11. Hawale

HRT ki zyada tar baat estrogen ki hoti hai. Agar aap ki bachedani abhi hai to nuskhe mein aik doosra hormone bhi hota hai, aur is ka kaam aap ki bachedani ki androoni teh ki hifazat hai.

Lafz aur hidayat

English
Progesterone · progestogen
In naamon se bhi dhoonda jata hai
progestin, progestins, micronised progesterone, micronized progesterone
Urdu
پروجیسٹرون · پروجیسٹوجن
Roman Urdu
progesterone · progestogen

Auratein asal mein kya kehti hain

  • ہارمون والی کوائل (hormone wali coil)Hormone wali coil. HRT ka progestogen wala hissa lene ka aik tareeqa, aur saath saath family planning bhi.
  • NICE NG23 sifarish karta hai ke jo auratein HRT lena chahti hain, un mein se jin ki bachedani hai unhein mushtarka HRT di jaye (sifarish 1.8.1). Mushtarka ka matlab hai estrogen ke saath progestogen.
  • Pakistan Menopause Society ki 2026 ki sifarishaat kehti hain ke jin auraton ki bachedani nahin nikalwai gayi, un ke liye micronised progesterone ya masnoi progestogen saath milaya jata hai, taake akele estrogen se bachedani ki androoni teh ke had se zyada barhne aur cancer ka jo barha hua khatra aata hai, woh kam ho (section 5.4).
  • British Menopause Society kehti hai ke jin auraton ki bachedani abhi hai, unhein HRT ke estrogen ke saath progestogen chahiye taake bachedani ki androoni teh mehfooz rahe, aur yeh ke levonorgestrel wali coil HRT ke andar paanch saal tak is teh ki hifazat karti hai.
  • Chhaati ke cancer par NICE NG23 kehta hai ke abhi itna saboot nahin ke tay ho sake ke micronised progesterone ya dydrogesterone wali dawaon se chhaati ke cancer ka khatra doosre progestogen wali dawaon se mukhtalif barhta hai ya nahin.

Yeh kya hai

Progestogen har woh hormone hai jo jism mein progesterone wala kaam kare. HRT mein yeh chand alag alag shaklon mein aata hai.

Micronised progesterone

NHS ki website ise woh progesterone batati hai jo bilkul us hormone jaisa hai jo aap ki ande daniyan banati hain. Yeh jism ke apne jaisa raasta hai, aur NHS ki website kehti hai ke yeh capsule ki shakal mein aata hai. Pakistan Menopause Society micronised progesterone ko un manzoor shuda, license wale jism ke apne jaise hormone mein ginti hai jin ki woh sifarish karti hai (5.10).

European Menopause and Andropause Society (EMAS) kehti hai ke munh se liya jane wala micronised progesterone shayad doosre progestogen se zyada neend mein madad kare, aur America ki The Menopause Society likhti hai ke is se neend si reh sakti hai.

Masnoi progestogen

Yeh progesterone jaisa kaam karne ke liye banaye jate hain, magar bilkul us jaise nahin hote. British Menopause Society ki guide dydrogesterone, norethisterone, medroxyprogesterone acetate, levonorgestrel aur kuch aur ke naam leti hai. Kuch goliyon ki shakal mein aate hain, kuch estrogen ke saath aik hi mushtarka goli ya patch mein hote hain.

Hormone wali coil

Aik chhoti si cheez jo bachedani mein rakhi jati hai aur levonorgestrel naam ka progestogen chhorti hai. Aam bol chaal mein ise hormone wali coil kehte hain. PMS ki sifarishaat likhti hain ke yehi coil family planning ka kaam bhi karti hai (5.12).

Yeh kyun hota hai

Akela estrogen bachedani ki androoni teh ko barha sakta hai. NHS ki website samjhati hai ke estrogen wali HRT is teh ko mota kar sakti hai, jis se bachedani ke cancer ka khatra thora barh jata hai, aur saath progesterone lene se yeh khatra kam hota hai. Pakistan Menopause Society bhi yehi kehti hai: jin auraton ki bachedani nahin nikalwai gayi, un ke liye progestogen saath milaya jata hai (5.4).

Yeh kis tarah liya jaye, yeh is par hai ke aap tabdeeli ke daur mein kahan hain. PMS ki sifarishaat do tareeqe batati hain: sequential, yani baari baari wala tareeqa, jis mein progestogen maheene ke kuch din liya jata hai aur aam taur par har maheene khoon aata hai; aur continuous combined, yani roz donon hormone, jis mein koi tay shuda khoon nahin aata (Table 8). BMS ki guide kehti hai ke jab tak mahwari aa rahi ho, sequential aam hai, aur baad mein continuous par ja kar dekha ja sakta hai.

Ilaaj ke baare mein hidayat kya kehti hain

NICE NG23 sifarish karta hai ke jo aurat HRT lena chahti hai aur jis ki bachedani abhi hai, use mushtarka HRT di jaye, aur jis ki bachedani poori nikalwai ja chuki hai, use akela estrogen (1.8.1).

Kaun sa progestogen ho, is par hidayat yeh kehti hain:

  • BMS ki guide batati hai ke jin tajurbon ko us ne dekha, un mein micronised progesterone aur medroxyprogesterone acetate teh ki hifazat mein barabar nikle.
  • BMS kehti hai ke levonorgestrel wali coil HRT ke andar paanch saal tak teh ki hifazat karti hai. PMS ki sifarishaat ise moassar hifazat ke saath family planning bhi kehti hain, aur kam side effects wali, aur kehti hain ke jin auraton ko chhaati ka cancer ho chuka ho, woh ise istemal na karein (5.12). Chhaati ke cancer ke khatre par British Menopause Society aur Women's Health Concern ibtidai data batate hain jis mein khatra progestogen ki goliyon wali HRT jitna hi dikhai diya, aur coil ke asar ko ghair wazeh kehte hain. International Menopause Society un auraton ke liye is ki sifarish nahin karti jinhein chhaati ke cancer ka zyada khatra ho. Aap ke liye is ka wazan kitna hai, yeh doctor se poochne ka sawal hai.
  • BMS kehti hai ke jild par lagai jane wali progesterone cream aur gel teh ki poori hifazat ghaliban nahin kar pate, aur woh mila kar banaye gaye bioidentical hormone ki sifarish nahin karti.

PMS ki sifarishaat un auraton ke liye, jo progestogen bardasht nahin kar saktin, estrogen ke saath bazedoxifene ka jor bhi batati hain, jo progestogen ke baghair teh ki hifazat karta hai (5.8). In mein se aap ke liye kya theek hai, yeh aap ke doctor ka faisla hai, aap ki kahani saamne rakh kar.

Kya Pakistan mein milta hai?

Kuch had tak. Pakistan mein milne wali hormone wali dawaon ki Pakistan Menopause Society ki 2026 ki fehrist (Table 10) mein hormone wali coil aur do mushtarka goliyan shamil hain jin mein progestogen cyproterone acetate ya norgestrel hai. Estradiol aur dydrogesterone wali aik goli 2027 mein dobara aane ke intezar mein hai, aur estrogen ke saath bazedoxifene wali aik goli, jise alag se progestogen ki zaroorat nahin, online bikne ke nishaan ke saath darj hai. Akela micronised progesterone fehrist mein nahin.

Doctor ko kab dikhayen

HRT ke pehle maheenon mein kuch beqaida khoon aana aam hai. NICE NG23 kehta hai ke pehle chhe maheenon mein yeh aam hai, aur is ke baad be waqt khoon aaye to jald doctor ko dikhane ka kehta hai (1.8.4). BMS ki guide mazeed kehti hai ke agar progestogen badalne ke bawajood chaar se chhe maheene baad bhi khoon aa raha ho to is ki jaanch honi chahiye.

Agar mahwari band ho jane ke baad khoon aaye, jab aap HRT par nahin hain, to is ki bhi jaanch zaroori hai: PMS ki sifarishaat ise khatre ki alamaat mein ginti hain (2.3). Dekhein menopause ke baad khoon aana.

Doctor se poochne ke sawal

  1. Meri bachedani abhi hai. Aap jo HRT tajweez kar rahe hain, us mein kaun sa progestogen hai, aur yehi kyun?
  2. Mere is mor par mujhe sequential qisam par hona chahiye, jis mein har maheene khoon aata hai, ya continuous qisam par?
  3. Kya hormone wali coil mera progestogen ban sakti hai, aur kya yeh mere liye family planning ka kaam bhi kare gi?
  4. Kya micronised progesterone yahan mujhe mil sakta hai, aur agar nahin to sab se qareebi raasta kya hai?
  5. Pehle chand maheenon mein kaisa khoon aane ki tawaqqo rakhoon, aur kab is ke baare mein wapas aaoon?
  6. Mujhe endometriosis tha. Kya meri HRT mein progestogen bhi hona chahiye?

Deen aur ghar wale

Coil wahan baithti hai jahan menopause aur family planning milte hain, aur is se yeh do logon ki baat ban sakti hai. PMS ki sifarishaat likhti hain ke aakhri mahwari ke baad bhi kuch arse tak auraton ko family planning ki zaroorat rehti hai (5.13), aur yeh aik wajah hai ke doctor coil ka mashwara de sakta hai. Family planning ke baare mein miyan biwi jo bhi tay karein, woh un ka faisla hai. Yeh deen ke lihaaz se theek hai ya nahin, is tarah ka koi bhi sawal kisi mustanad aalim se poochne ka hai.

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Aam sawal

Kya progesterone aur progestogen aik hi cheez hain?
Progesterone, progestogen ki aik qisam hai. NHS ki website micronised progesterone ko progestogen ki woh qisam batati hai jo bilkul us hormone jaisi hai jo aap ka jism banata hai. HRT mein istemal hone wale baqi progestogen us jaisa kaam karne ke liye banaye jate hain, magar bilkul us jaise nahin hote. (Hawala: NHS website, Micronised progesterone (reviewed 5 January 2023))
Kya usi jagah lagane wale estrogen ke saath progestogen chahiye?
Pakistan Menopause Society kehti hai ke jo auratein kam dose wala usi jagah lagane wala estrogen istemal karti hain, unhein alag se progestogen ki zaroorat nahin (5.4). (Hawala: Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026))
Kya kisi specialist pharmacy se banwai gayi progesterone cream aik mehfooz mutabadil hai?
British Menopause Society kehti hai ke jild ke zariye liya gaya progesterone bachedani ki androoni teh ki poori hifazat ghaliban nahin kar pata, aur woh mila kar banaye gaye bioidentical hormone ki sifarish nahin karti. (Hawala: British Menopause Society, Tool for Clinicians: Progestogens and endometrial protection (reviewed February 2026))

Milte julte mauzuaat

Hawale

  1. NICE NG23, Menopause: identification and management (last updated 15 April 2026)Hissa: 1.8.1; 1.8.4; Terms used in this guideline; risk table, breast cancer · 1 October 2026 ko khola gaya
  2. British Menopause Society, Tool for Clinicians: Progestogens and endometrial protection (reviewed February 2026)Hissa: Key points; Intrauterine progestogen administration; Transdermal micronised progesterone; Unscheduled bleeding on HRT · 1 October 2026 ko khola gaya
  3. NHS website, Micronised progesterone (reviewed 5 January 2023)Hissa: About micronised progesterone · 1 October 2026 ko khola gaya
  4. Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026)Hissa: 2.3; 5.4; 5.8; 5.10; 5.12; 5.13; Table 8; Table 10 · 1 October 2026 ko khola gaya
  5. British Menopause Society and Women's Health Concern, 2020 recommendations on hormone replacement therapy in menopausal women (updated September 2025)Hissa: Breast cancer; Progestogens and endometrial protection · 10 October 2026 ko khola gaya
  6. International Menopause Society, Recommendations and key messages on women's midlife health and menopause (Panay et al., Climacteric 28(6), first published 23 December 2025)Hissa: Recommendations on menopausal hormone therapy, progestogens · 10 October 2026 ko khola gaya
  7. European Menopause and Andropause Society, Menopause Essentials 2026: Sleep problems (July 2026)Hissa: Medical interventions for sleep problems: hormonal options · 15 October 2026 ko khola gaya
  8. The Menopause Society (then The North American Menopause Society), The 2022 hormone therapy position statement, Menopause 2022;29(7):767-794Hissa: Sleep disturbances · 15 October 2026 ko khola gaya