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Case Study -  Menopause, hormonal replacement therapy, progesterone, estrogen, and sexual orgasm
Reader 1: 8/15/2001>
I am menopausal (almost 4 yrs. now) and use natural progesterone cream w/a bit of estriol (not estradiol or estrone) as a topical cream. Even tho most of the time I can have vaginal orgasms during penetration, sometimes I get overly excited and cannot have an orgasm at all, like I'm congested or something, even with the engorged genitals. Also during the past year I notice that the orgasms are weaker. That, as well as not getting horny much on my own. I can become stimulated but it just doesn't seem that I get randy horney like I used to, it just feels weaker like the orgasms themselves. And I sure do miss both. Looks like 3 questions.

Dr. Lin: 8/17/2001>
Yes! you have experienced the typical sexual response for orgasmic menopause women - vaginal over-excitation or over-stimulation due to the thinner vaginal lining.
Generally speaking, progesterone is not a partner of sexual orgasm. Progesterone is to thicken the uterine lining, dampen the uterine contraction and reduce orgasmic responses to secure the pregnancy, but it won't restore the thickness of vaginal lining which can be done by estrogen.
By the way, it is worthwhile to tell you the effect of progesterone on sexual orgasm.  The progesterone secretion in the luteal phase (the high-temperature period as shown in http://www.actiontao.com/image/cycle.jpg ) for young women will be around 20-30 mg per day, about 10-fold of the other times. In the Luteal Phase when the progesterone level is at the peak, female orgasms become much weaker or more difficult to achieve than those in the other times; female orgasmic responses suddenly jump up in 5-10 folds about 1 or 2 days before the beginning of period when the progesterone drops to the lowest point in the menstrual cycle to prepare for separation of the uterine lining - menstrual bleeding.  The resulted violent orgasm may, in turn, trigger menstrual bleeding. The variation of progesterone and testosterone affect female orgasm profoundly in the menstrual cycle.  Progesterone can ,generally,  block estrogen receptors.  This is why excessive progesterone will also result in depression, mood swing, stress, anxiety, PMS and vaginal dryness in addition to dampening sexual orgasm.  Progesterone-based birth control pills do have those side effects. The only common effect of both progesterone and estrogen on sex is  that Excessive progesterone or estrogen generally stimulates the liver to produce excessive SHBG (Sex-Hormone-Binding-Globulin) protein that binds (freezes up) testosterone and kills libido and sexual/orgasmic responses. All of birth control pills/injection share this common side effect.   Fortunately, our ViaGrowth-III and _IV, DopaFibra, Heat Tea, and ViaPal-hGH packages (particularly ViaPal-hGH-P will middle-age and senior couples into sex maniac!)) are formulated to reduce the SHBG production and thus, free testosterone from binding. 
For menopause women, Progesterone replacement therapy by any forms is much easier than estrogen in fooling the hypothalamus's hormone receptors so that the hypothalamus-pituitary axis can stop/reduce broadcasting LH in the bloodstream to the ovaries. This is because in peri- or post-menopause, LH is increased by 5 folds while the FSH level may become more than 10 times.  The mechanism of LH  is to stimulate ovulation and then, after the egg is released, stimulate corpus luteum to secret progesterone for possibly seeding a fertilized egg (and  lower down libido and orgasmic responses), while the pituitary's FSH  is to stimulate the development of out-of-stock follicles and then, in turn, bolster the diminishing estrogen for menopause women.  If the brain's hormone receptors are overloaded by estrogen or/and progesterone, the hormone negative feedback controller will shut down the FSH or/and LH and therefore no eggs will be available or released -  the principle of birth control pill or injection. On the other hands, if there is no follicle in stock, FSH or/and LH should be brought down to the minimum levels which won't stimulate the aged ovaries again.  Stimulating the aged ovaries will no longer help estrogen or progesterone secretion, but can squeeze out a little androstenedione and testosterone juice from the aged ovaries to change the balance of the testosterone-estrogen ratio, where testosterone and estrogen are the heating and cooling hormone for the sympathetic nervous system, respectively.   An excessive testosterone-estrogen ratio with a low estrogen level will automatically trigger the sympathetic "Fight and Flight" responses such as hot flushes, night sweating, restless, sleeping disorder or early wakening, anxiety, stress and so on.   The less  estrogen/progesterone in the hypothalamus' hormone receptors, the more FSH/LH the pituitary will generate.  As a result, the testosterone-estrogen ratio can jump several times, resulting to an increase of sexual/orgasmic responses, but painful intercourse (vaginal dryness)  and orgasms (with persistent post-orgasm pains and cramps in the pelvis),
if the testosterone level is retained above a critic level (about 30 nd/dl).  It is like a sex engine running with sufficient fuel, but  without sufficient cooling water and engine oil.  Note that libido is driven by the testosterone and dopamine levels.
  To prevent the pituitary from going crazy, you need something to fool your brain. There are many ways to achieve this. Hormonal replacement therapy is one of them. However, it seems you have used excessive progesterone, but given your body insufficient estrogen (particularly, estradiol or estrone), leading to the unbalance of the estrogen-progesterone ratio. You should add 50 mg isoflavones (plant estrogen) a day, and reduce the dosage of progesterone, and let isoflavones fool your brain's estrogen Negative Feedback Controller since isoflavones can take over the estrogen receptors in the brain and other parts of the body. For the best result in controlling menopause symptoms, you should take DHEA, androstenedione and isoflavones along with your existing hormonal replacement therapy (or simply  with a progesterone cream). DHEA and androstenedione can be converted to natural estrogen and testosterone by the aromatazation in cells .  Note that DHEA and androstenedione help increase the vaginal lubrication, normalize the vaginal lining thickness,  and power libido and sexual/orgasmic responses up.  Thus, You can have an optimal uterine lining to produce higher orgasmic response without uterine bleeding or spotting, and an optimal vaginal lining for a good G-spot/Epicenter stimulation to orgasm without intercourse pain and vaginal irritation. Yes! you can do it very easily for having a powerful orgasm without experiencing peri- or post-menopause symptoms. 
For menopause women, there are Four main factors affecting orgasmic responses:
1. The Estrogen/progesterone levels and their relative ratio for the optimal thickness of the vaginal and uterine lining, vaginal lubrication, and uterine contraction magnitude and frequency during orgasm. 
2. The DHEA/androstenedione (testosterone) levels in the urethral/vaginal tissues for the heating of the urethral/G-spot nerves, bioelectrically charging of sexual energy in the parasympathetic nerves, ultimate orgasmic fires in the sympathetic nerves, libido, and the flexibility of the vaginal/uterine tissues and their adjacent muscles and contractile fibers which may cause orgasmic pains and cramps if they are frigid. Please note that DHEA and androstenedione will be turned to estrone and then estradiol by the natural liver enzyme aromatase. They will lubricate your vagina well and make your vagina ready for penetration with very comfortable pleasures any times. When they team with a little progesterone and plant estrogen (isoflavones), they can fool your brain and suppress the menopause symptoms very effectively. 
3. The Neurotransmitter Dopamine level for libido and orgasm responses.
4. The Neurotransmitter Acetylcholine level for the sensitivity of sensory nerves, engorgement of the clitoris, G-spot and urethral spongy tissues - storing sexual energy in the parasympathetic sexual nerves for a powerful orgasm release, and urinary/bowel continency and control during orgasm. 

Therefore, ViaGrowth-IV (1-005) and DopaFibra (1-016) will help you out, 
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