{"id":51361,"date":"2022-05-18T09:30:48","date_gmt":"2022-05-18T13:30:48","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=51361"},"modified":"2022-05-31T12:10:46","modified_gmt":"2022-05-31T16:10:46","slug":"low-progesterone-levels","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/low-progesterone-levels\/","title":{"rendered":"What are normal progesterone levels?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Over the course of your life, it\u2019s likely you\u2019ve blamed a lot of women\u2019s health issues on your hormones. If you\u2019re irritable the week before your menstrual cycle starts, you assume it\u2019s premenstrual syndrome (PMS). If you\u2019re having trouble getting pregnant, it could be a hormonal issue. Or if you\u2019re dealing with night sweats and other symptoms of menopause, you may chalk it up to a changing levels of progesterone and estrogen.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, you might not realize that you\u2019re not producing enough progesterone unless you\u2019re in tune with these low progesterone symptoms and indicators.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What is progesterone?<\/span><\/h2>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/progesterone\/what-is\"><span style=\"font-weight: 400;\">Progesterone<\/span><\/a><span style=\"font-weight: 400;\"> is a sex hormone produced by the ovaries <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/ovulation-guide\/\"><span style=\"font-weight: 400;\">after ovulation occurs<\/span><\/a><span style=\"font-weight: 400;\">. More specifically, it\u2019s the corpus luteum that produces this hormone as a natural part of the menstrual cycle. The corpus luteum is the cyst that forms every month inside the ovaries right after an egg leaves the ovary. It releases progesterone to help make the uterus ready for pregnancy by stimulating the endometrium (the lining of the uterus) to secrete proteins that make the uterus more hospitable for nourishing a fetus.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.endocrine.org\/patient-engagement\/endocrine-library\/hormones-and-endocrine-function\/reproductive-hormones\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">If you don\u2019t become pregnant<\/span><\/a><span style=\"font-weight: 400;\">, the corpus luteum breaks down, your progesterone levels dip, and menstruation eventually starts. However, if you do become pregnant, the placenta will eventually also produce progesterone to support the corpus luteum\u2014and the growing fetus. This prevents your body from producing more eggs, and it also helps get your breasts ready to produce milk. Progesterone also affects your mood and helps to regulate your blood pressure, <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/treatments\/15245-hormone-therapy-for-menopause-symptoms\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">according to the Cleveland Clinic<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How is progesterone tested?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you have some infertility concerns\u2013maybe you\u2019re having trouble getting pregnant\u2013your healthcare provider might suggest getting your hormone levels, including your progesterone levels and your estrogen levels, tested. The best time to sample serum progesterone is during the <\/span><span style=\"font-weight: 400;\">mid-luteal phase, 18 to 24 days after the onset of menses or seven days before the next menses are expected<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Luckily, it won\u2019t require anything too invasive. It just involves some bloodwork. You don\u2019t even need to do anything in advance to prepare. You\u2019ll just have to roll your sleeve up to give a blood sample, which will be taken to the lab and analyzed. This blood test is known as a serum progesterone test.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, a single serum measurement may not provide all the information that\u2019s necessary for a diagnosis, according to <\/span><a href=\"https:\/\/allarahealth.com\/about-us\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Heather Huddleston, MD<\/span><\/a><span style=\"font-weight: 400;\">, director of the PCOS clinic at UCSF and a medical advisor for Allara. Your progesterone levels may vary, depending on the time of day and the timing of your menstrual cycle. If you have an abnormal result, do not panic! You may need to have repeat testing 2 to 3 days later.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your provider may want to discuss symptoms and the effect that they may be having on you.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It might make more sense to see if your symptoms last for several months. \u201cOne month could just be an outlier,\u201d says <\/span><a href=\"https:\/\/www.linkedin.com\/in\/suzie-welsh-devine-3419178\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Suzie Welsh Devine, MSN, RN<\/span><\/a><span style=\"font-weight: 400;\">, a women\u2019s health nurse and founder of <\/span><a href=\"https:\/\/mybinto.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Binto<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What are normal progesterone levels?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A normal progesterone level will vary, depending on where you are in your menstrual cycle or your pregnancy. Typically, your levels will be low at the beginning of your menstrual cycle, and then they\u2019ll rise when your ovaries release an egg.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Different levels may constitute normal for different women. If you don\u2019t have symptoms, you may not need (or want) progesterone replacement even if your levels are low. \u201cSome physicians will recommend replacement to avoid miscarriage, premature delivery of a pregnancy, or problems with the uterine lining which could eventually lead to uterine cancer,\u201d says <\/span><a href=\"http:\/\/marchandobgyn.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Greg Marchand, MD<\/span><\/a><span style=\"font-weight: 400;\">, OB-GYN and gynecological surgeon in Mesa, Arizona.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The following levels are considered a normal range for women during a typical cycle and during pregnancy.<\/span><\/p>\n<table class=\"singlecare-table\">\n<thead>\n<tr>\n<th>\n<h3><span style=\"font-weight: 400;\">Progesterone levels chart<\/span><\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Progesterone levels<\/b><\/td>\n<td><b>Stage<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">0.1 to 0.7 ng\/mL<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Follicular stage<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">2 to 25 ng\/mL<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Luteal stage<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<table class=\"singlecare-table\">\n<thead>\n<tr>\n<th>\n<h3><span style=\"font-weight: 400;\">Progesterone levels chart for pregnancy<\/span><\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<th><b>Progesterone levels<\/b><\/th>\n<th><b>Stage<\/b><\/th>\n<\/tr>\n<tr>\n<th><span style=\"font-weight: 400;\">10 to 44 ng\/mL<\/span><\/th>\n<th><span style=\"font-weight: 400;\">First trimester<\/span><\/th>\n<\/tr>\n<tr>\n<th><span style=\"font-weight: 400;\">19.5 to 82.5 ng\/mL<\/span><\/th>\n<th><span style=\"font-weight: 400;\">Second trimester<\/span><\/th>\n<\/tr>\n<tr>\n<th><span style=\"font-weight: 400;\">65 to 290 ng\/mL<\/span><\/th>\n<th><span style=\"font-weight: 400;\">Third trimester<\/span><\/th>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><small><i>Source: <a href=\"https:\/\/www.urmc.rochester.edu\/encyclopedia\/content.aspx?ContentTypeID=167&amp;ContentID=progesterone\" target=\"_blank\" rel=\"noopener\">University of Rochester Medical Center<\/a><\/i><\/small><\/p>\n<h2><span style=\"font-weight: 400;\">What do low progesterone levels mean?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It means that your progesterone levels are below the typical range (less than 2 ng\/ml), which may cause you to have certain symptoms. It\u2019s hard to say whether it\u2019s common. \u201cIt is difficult to say for sure,\u201d Dr. Huddleston says. \u201cOne issue is that it\u2019s actually hard to accurately measure progesterone. Progesterone is pulsatile and can vary across different times in the day. Thus, it is difficult to make a diagnosis of low progesterone on the basis of a serum measurement.\u201d\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">What causes low progesterone?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">According to UCSF Health, conditions that could be responsible for low levels of progesterone <\/span><a href=\"https:\/\/www.ucsfhealth.org\/medical-tests\/serum-progesterone\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">include<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Amenorrhea (absence of menstruation)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ectopic pregnancy (a pregnancy outside of the uterus)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Irregular periods<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Miscarriage<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fetal demise<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In addition to these potential causes of low progesterone, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/most-common-female-health-problems\/\"><span style=\"font-weight: 400;\">aging also plays a role<\/span><\/a><span style=\"font-weight: 400;\"> in an increased risk for low progesterone. \u201cWe do know that as women get older, particularly in the 40s, that low progesterone is more common,\u201d Dr. Huddleston says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hormonal imbalances become more common around perimenopause as your body begins to prepare for menopause. Symptoms of menopause such as hot flashes, night sweats, insomnia, vaginal dryness, and mood swings indicate that a woman\u2019s body is no longer producing its usual levels of estrogen and progesterone.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIt\u2019s not unusual that that is going to happen,\u201d Devine says. \u201cHowever, if you are experiencing bad or frustrating side effects and symptoms, then that is something you should talk to your doctor about.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You could discuss the possibility of starting hormone replacement therapy, which should help relieve some of the symptoms of menopause. You could opt for a therapy that incorporates both estrogen and a synthetic form of progesterone known as progestin, or you could go with an estrogen-only version.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Low progesterone in pregnancy<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Progesterone levels can interfere with your ability to successfully get pregnant. As Dr. Huddleston notes, \u201cWhen progesterone is low, it is possible that this could contribute to difficulty with conceiving and\/or maintaining a pregnancy.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Low levels might also be problematic for some women when it comes to carrying a pregnancy to term. As such, progesterone is often prescribed for recurrent pregnancy loss and preventing preterm birth, according to Dr. Marchand.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You\u2019re unlikely to develop low progesterone during pregnancy. \u201cIn the early part of conception, progesterone is produced by the ovary. But by the later weeks of the first trimester, progesterone is produced by the placenta,\u201d Dr. Huddleston says.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Symptoms of low progesterone<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">One of the most noticeable symptoms of low progesterone levels is a shorter menstrual cycle\u2014or to be more specific, a shorter luteal phase of the menstrual cycle. The luteal phase is the phase that begins after ovulation. It typically lasts between <\/span><a href=\"https:\/\/crh.ucsf.edu\/fertility\/fertility_cycle\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">12 and 15<\/span><\/a><span style=\"font-weight: 400;\"> days, with 14 days as the average.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But a woman who\u2019s not producing sufficient progesterone with ovulation may have a shorter-than-expected luteal phase, like around nine days. And her period may start sooner than she would expect. \u201cOn occasion, a woman with lower progesterone may notice that she has several days of spotting prior to her menses,\u201d Dr. Huddleston adds.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your progesterone levels can have an impact on your estrogen levels. So, the symptoms of low progesterone are pretty much the same symptoms of higher-than-normal estrogen levels, such as irregular menstrual cycles and intermittent spotting between periods, Devine explains.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other possible signs of low progesterone levels include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mood swings or mood changes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sore breasts<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vaginal dryness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sleep troubles<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Migraines or headaches<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low sex drive\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weight gain<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Low progesterone can have negative health effects, including difficulty getting pregnant or maintaining a pregnancy, increased risk of endometrial cancer, and irregular menses.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">High progesterone levels<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">But it\u2019s also possible to have <\/span><i><span style=\"font-weight: 400;\">high<\/span><\/i><span style=\"font-weight: 400;\"> progesterone levels, which can cause their own set of symptoms, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breast tenderness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anxiety<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fatigue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weight gain<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">High progesterone is a lot less common in older women, who are more likely to have lower levels as they head into menopause. But high progesterone levels could suggest the possibility of an underlying health condition such as congenital adrenal hyperplasia. If you\u2019re experiencing any of those symptoms, it might be worth mentioning them to your healthcare provider. High progesterone can have negative health effects including acne, hair thinning, depression, lactation, and liver dysfunction.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How to increase progesterone<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">You may not want to undergo any treatments for low progesterone levels if you\u2019re not trying to get pregnant or carry a pregnancy to term\u2013or you\u2019re not experiencing symptoms of menopause that you want to address.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you do want to address your symptoms or make sure your progesterone levels won\u2019t undermine your ability to get pregnant and carry a baby, talk to your healthcare provider about low progesterone treatment possibilities.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You do have a few options for <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/progesterone\"><span style=\"font-weight: 400;\">treatment for low progesterone<\/span><\/a><span style=\"font-weight: 400;\">, such as:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Progesterone pills that you take by mouth<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Progesterone creams, gels, or suppositories inserted vaginally<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Progesterone injections<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Injections are most likely to be used by people undergoing <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/ivf-cost\/\"><span style=\"font-weight: 400;\">IVF<\/span><\/a><span style=\"font-weight: 400;\">, notes Devine. If you were hoping for a natural supplement to help boost your progesterone levels, you may be disappointed. \u201cThere\u2019s really no supplement that you can take for low progesterone,\u201d says Devine.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/drug-classes\/progesterones\"><b>List of progesterone products<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Progesterone supplementation can cause <\/span><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a604017.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\">. Common progesterone side effects include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breast tenderness or pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Upset stomach, vomiting, diarrhea, or constipation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tiredness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle, joint, or bone pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mood swings, irritability, excessive worrying<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sneezing or runny nose<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coughing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vaginal discharge<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urination problems<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The bottom line is that you don\u2019t necessarily have to take any action if you have low progesterone if it\u2019s not interfering with your goals or quality of life. If you are concerned, or have questions, call your healthcare provider.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Over the course of your life, it\u2019s likely you\u2019ve blamed a lot of women\u2019s health issues on your hormones. If you\u2019re irritable the week before your menstrual cycle starts, you assume it\u2019s premenstrual syndrome (PMS). If you\u2019re having trouble getting pregnant, it could be a hormonal issue. Or if you\u2019re dealing with night sweats and [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":51273,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[729,8905,8670],"coauthors":[9482],"class_list":["post-51361","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-doctor-visits","tag-seasonal","tag-womens-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Low progesterone symptoms and treatment<\/title>\n<meta name=\"description\" content=\"Low progesterone can affect mood, menstrual cycle, and the ability to get or stay pregnant. 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