Menopause ko samajhna

Progesterone

Tawajjo estrogen ko milti hai, lekin progesterone khamoshi se aik kaam karta hai: bachedani ki androoni teh ko qaboo mein rakhta hai. Yahan parhein ke yeh kya karta hai, menopause ke aas paas is ka kya hota hai, aur HRT mein yeh kyun aham hai.

Is safhe par
  1. Lafz aur hidayat
  2. Yeh kya hai
  3. Yeh kyun hota hai
  4. Hidayat mein kya likha hai
  5. Doctor ko kab dikhayen
  6. Doctor se poochne ke sawal
  7. Is par nazar rakhein
  8. Aam sawal
  9. Milte julte mauzuaat
  10. Hawale

Zyada tar auraton se poochein ke menopause kis hormone ka maamla hai, to woh estrogen kahein gi. Progesterone ka zikr aksar tab tak nahin aata jab tak woh kisi nuskhe par nazar na aaye. Yeh jaanna faide ki baat hai ke yeh kya karta hai, kyunke agar aap ki bachedani maujood hai, to HRT ki har baat mein yeh shamil ho ga.

Lafz aur hidayat

English
Progesterone
Urdu
پروجیسٹرون
Roman Urdu
progesterone
  • NHS ki website kehti hai ke menopause tak aap ki ande daniyan progesterone aur estrogen banati hain, ke progesterone mahwari ke doosre aadhe hisse mein banta hai, aur yeh ke menopause ke qareeb is ki miqdar kam ho jati hai.
  • British Menopause Society kehti hai ke progestogen ke baghair estrogen lene se bachedani ki androoni teh ke had se zyada barhne ka khatra kaafi barh jata hai, is liye jin auraton ki bachedani maujood hai, unhein HRT mein estrogen ke saath progestogen chahiye.
  • Pakistan Menopause Society ki 2026 ki sifarishaat kehti hain ke jin auraton ki bachedani nahin nikali gayi, un ki HRT mein micronised progesterone ya masnooi progestogen shamil kiya jata hai, taake bachedani ki androoni teh ke zyada barhne aur cancer ka khatra kam ho, aur yeh ke jo auratein sirf kam miqdar wala usi jagah lagane wala estrogen istemaal karti hain, unhein is ki zaroorat nahin (section 5.4).
  • BMS mila kar banaye gaye progesterone ki sifarish nahin karti, aur is ki wajah is ke khaalis hone, taqat aur hifazat par khadshaat batati hai, aur yeh ke is ka koi saboot nahin ke yeh bachedani ki hifazat karta hai.

Yeh kya hai

Progesterone aik hormone hai jo aap ki ande daniyan banati hain. NHS ki website kehti hai ke yeh mahwari ke doosre aadhe hisse mein banta hai, aur yeh ke aap ki ande daniyan ise, estrogen ke saath, menopause tak banati rehti hain.

Yeh aik khandan ka hissa hai jise progestogen kehte hain. NHS ki website kehti hai ke progesterone is khandan ki woh qisam hai jo us hormone jaisi hai jo aap ka jism banata hai, aur micronised progesterone, jo kuch HRT mein istemaal hota hai, yehi hormone hai. Is khandan ki baqi qismein masnooi hain. Is khandan ki alag alag dawaein progesterone ki qismein par hain.

Yeh kyun hota hai

Har mahine estrogen bachedani ki androoni teh ko banata hai. Progesterone ise qaboo mein rakhta hai. British Menopause Society kehti hai ke HRT mein progesterone ka kaam bachedani mein estrogen ke asar ko rokna hai, jo jism har mahine ke doosre aadhe hisse mein khud karta hai. NHS ki website kehti hai ke yeh teh ko zyada mota hone se rokta hai, aur jab progesterone rukta hai to teh utar jati hai, mahwari ki tarah.

Menopause ke aas paas kya badalta hai

NHS ki website kehti hai ke menopause ke qareeb aap ka jism jitna progesterone aur estrogen banata hai, woh kam ho jata hai. STRAW+10 ke paimane banane wale researcher tabdeeli ke daur ke baad wale hisse ko hormone ke bohat zyada utaar charhao ka waqt batate hain, jab zyada mahinon mein koi anda nahin nikalta.

Hidayat mein kya likha hai

Bachedani ki hifazat

Asal baat yehi hai. BMS kehti hai ke progestogen ke baghair akela estrogen lene se bachedani ki androoni teh ke had se zyada barhne ka khatra kaafi barh jata hai, jise endometrial hyperplasia kehte hain, aur bachedani ke cancer ka bhi. Woh 1990 ki dahai ke aik tajurbe, PEPI, ka hawala deti hai, jis mein sirf estrogen lene wali auraton mein teh ka barhna placebo, yani baghair dawa wali goli, lene waliyon se kahin zyada tha, jabke estrogen ke saath progestogen lene waliyon mein placebo ke muqable mein koi khaas farq nahin tha.

Is liye hidayat HRT ko do hisson mein baantti hain. Pakistan Menopause Society kehti hai ke jin auraton ki bachedani nikali ja chuki ho, unhein sirf estrogen diya jata hai, aur jin ki bachedani maujood hai, unhein saath mein progesterone ya progestogen diya jata hai (section 5.4). Dekhein HRT aur bachedani nikalwana aur menopause.

Dene ke do tareeqe

BMS do tareeqe batati hai. Sequential HRT mein progestogen har mahine kuch din liya jata hai, jis se har mahine khoon aata hai; woh kehti hai ke yeh aam taur par perimenopause ke aas paas istemaal hota hai. Continuous combined HRT mein yeh har roz liya jata hai, taake khoon na aaye, aam taur par mahwari rukne ke baad. Woh yeh bhi kehti hai ke hormone wali coil, jo bachedani ke andar progestogen chhorti hai, teh ko kaafi hifazat deti hai.

Jism ke apne jaise aur mila kar banaye gaye

PMS ki sifarishaat manzoor shuda, mayaar ki jaanch wale jism ke apne jaise hormone, jin mein micronised progesterone bhi hai, tajweez karti hain (5.10). Mila kar banaye gaye, har aurat ke liye alag tayyar kiye gaye hormone aik alag cheez hain. PMS kehti hai ke BMS, International Menopause Society aur khud PMS in ki sifarish nahin kartin, kyunke in par koi zabta nahin, aur in ke saboot aur hifazat ke adaad o shumar maujood nahin (5.11). BMS mazeed kehti hai ke progesterone ki creamein aur gel jism mein kitni jazb hon gi, is ka koi bharosa nahin, aur ho sakta hai bachedani ki hifazat na karein. Dekhein bioidentical hormone.

Side effects

NHS ki website micronised progesterone ke aam side effects mein mahwari mein tabdeeli, chhaati mein dard aur sar dard ginwati hai, aur kehti hai ke yeh aam taur par pehle chand mahinon mein behtar ho jate hain.

Is ka asar neend par bhi ho sakta hai. European Menopause and Andropause Society (EMAS) kehti hai ke munh se liya jane wala micronised progesterone baqi progestogen ke muqable mein neend mein zyada madad kar sakta hai. The Menopause Society kehti hai ke is mein halka sa sulane wala asar hai, is liye is se neend si reh sakti hai.

Doctor ko kab dikhayen

HRT shuru hone par kuch bewaqt khoon aana aam hai. BMS kehti hai ke zyada tar auraton mein progestogen badalne se yeh aksar qaboo mein aa jata hai, aur jo khoon is ke bawajood chaar se chhe mahine se zyada chale, ya jis ki miqdar ya pattern fikr ki baat ho, us ki jaanch honi chahiye.

Pakistan Menopause Society HRT ke dauran musalsal bewaqt khoon aane ko scan ki wajoohat mein ginti hai (Table 4). Aur agar aap HRT nahin le rahin, to mahwari rukne ke baad kisi bhi tarah ka khoon aaye to us ki jaanch zaroori hai: dekhein menopause ke baad khoon aana.

Doctor se poochne ke sawal

  1. Meri bachedani maujood hai. Meri HRT mein kaun sa progestogen ho ga, aur wohi kyun?
  2. Kya micronised progesterone mere liye aik raasta hai, ya masnooi progestogen?
  3. Kya is qisam ki HRT se har mahine khoon aaye ga, ya bilkul nahin?
  4. Agar bewaqt khoon aaye, to kitne arse baad hum is ki jaanch karein ge?
  5. Main ne progesterone ki creamein bikti dekhi hain. Kya yeh wohi hain jo aap tajweez karein ge?

Is par nazar rakhein

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Aam sawal

Progesterone aur progestogen mein kya farq hai?
Progestogen khandan ka naam hai. NHS ki website samjhati hai ke progesterone is khandan ki woh qisam hai jo us hormone jaisi hai jo aap ka jism banata hai. Is khandan ki baqi qismein masnooi hain. (Hawala: NHS website, Micronised progesterone (reviewed 5 January 2023))
Agar meri bachedani maujood hai to HRT ke saath progesterone kyun chahiye?
NHS ki website kehti hai ke estrogen wali HRT bachedani ki androoni teh ko mota kar sakti hai, jis se bachedani ke cancer ka khatra thora barh jata hai, aur yeh ke is ke saath progesterone lene se yeh khatra kam ho jata hai. (Hawala: NHS website, Micronised progesterone (reviewed 5 January 2023))
Kya bachedani nikalwane ke baad progesterone chahiye?
Aam taur par nahin. Pakistan Menopause Society kehti hai ke jin auraton ki bachedani nikali ja chuki ho, unhein sirf estrogen wali HRT di jati hai. Aap ka doctor dekhe ga ke aap ka operation kis qisam ka tha. (Hawala: Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026))

Milte julte mauzuaat

Hawale

  1. NHS website, Micronised progesterone (reviewed 5 January 2023)Hissa: About; Key facts · 1 October 2026 ko khola gaya
  2. British Menopause Society, Tool for Clinicians: Progestogens and endometrial protection (reviewed February 2026)Hissa: Key points; Introduction; Rationale for progestogen administration · 1 October 2026 ko khola gaya
  3. Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026)Hissa: Executive summary; 5.4; 5.10; 5.11; Table 4 · 1 October 2026 ko khola gaya
  4. Harlow SD et al. Executive summary of the Stages of Reproductive Aging Workshop + 10: addressing the unfinished agenda of staging reproductive aging. J Clin Endocrinol Metab 2012;97(4):1159-1168Hissa: Late menopausal transition (Stage -1) · 1 October 2026 ko khola gaya
  5. 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
  6. 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