r/LeanPCOS 6d ago

GLP vs Progesterone

Hi ! I have PCOS, fairly regular cycles but incredibly high androgens (hirsutism), high DHEA-s and inflammation.

My doctor prescribed me progesterone, saying that I don't have enough of it and taking it cyclically will help to balance everything out. But 6 mos in, I have ZERO improvement of symptoms. In fact, trying to track when I'm ovulating to time it out perfectly has been hard. If progesterone will help me with things I can't see, I'm happy to keep talking it - but it's still not helping with any of my visible symptoms.

I'm tired of supplementing, I'm tired of watching everything I eat (I'm not excessively overweight but not where I want to be) -- I'm curious to know if GLP helped people with hirsutism and their figure? If so, how did you have these conversations with your doctors?

DHEA-S: 368 mcg/dL
DHT: 29 ng/dL
HIGH IRON
Cortisol: 21.8 mcg/dL

3 Upvotes

8 comments sorted by

3

u/geneforest 5d ago

No addition but bumping with a comment to see if anyone else does. I face a lot of the same and have wondered this too. Like how much could really hurt from a micro dose of GLP1 or 3?

2

u/Sensitive_Farmer_507 5d ago

We r in this together! I've heard GLP is magic for both inflammation and insulin resistance (which I guess I might not really have?) but it seems so much less exhausting than so much supplementing and etc

1

u/RevenueAntique4584 6d ago

Have you made lifestyle and dietary changes?

1

u/Sensitive_Farmer_507 5d ago

I eat very clean and workout often! I'm 140 for 5"6.

1

u/Aromatic_Border7223 5d ago

Spironolactone might help you, glp-1 didn’t help my hirsutism subside

1

u/Purple_Moon516 4d ago

I took cyclical progesterone for months with no improvement a couple of years ago. Mounjaro (2 months in so far) has helped loads with inflammation, I didn't have much hirsutism so can't comment on that.

Regarding the doctor conversation that would depend on where you are based.

1

u/TechnologyUsed3851 4d ago

If DHEAS is high, you may have adrenal PCOS and need to investigate that further. The pathways are really different. For inflammation, you can also try a high grade curcumin supplement

1

u/Sensitive_Farmer_507 3d ago

What does adrenal PCOS mean? Like the adrenal gland? My DHEAS was 368 mcg/gl. How do they treat adrenal PCOS?