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Progesterone

Common Brand Names: Prometrium

Drug Information

Medically reviewed by Jessica Swirble, PharmD
Last updated on April 21, 2025

Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

Quick facts:

  • Brand Name: Prometrium
  • Generic Name: Progesterone
  • Uses: Treatment for hormone replacement therapy, menstrual disorders, and to support pregnancy in women with infertility
  • Drug Class: Progestin hormone
  • Availability: Prescription only
  • Generic Status: Yes
  • Controlled Substance: No

What is progesterone?

Progesterone is a naturally occurring female sex hormone responsible for regulating ovulation and pregnancy and preventing certain diseases (namely uterine cancer). Progesterone also helps regulate functions such as:

  • Bone density
  • Weight management
  • Skin health
  • Sleep
  • Mood

As a hormonal supplement, progesterone is commonly prescribed for women who have passed menopause or women who experience irregular menstruation. Progesterone levels are usually at their highest during pregnancy. It is frequently used in birth control pills for this exact reason – it can actually trick the body into not ovulating. Progesterone levels usually start to decrease after menopause, which can lead to an increased risk of ovarian and uterine cancers.

What is progesterone used to treat?

Progesterone is commonly prescribed as a part of hormone replacement therapy, a treatment that supplements low levels of certain hormones. Low levels of progesterone are diagnosed through a blood test.

Common symptoms of low progesterone include:

  • Irregular menstruation
  • Shortened menstrual cycles
  • Mood changes (anxiety or depression)
  • Breast tenderness
  • Weight gain
  • Decreased sex drive
  • Trouble sleeping
  • Hot flashes

Progesterone supplements restore hormonal balance in the body and can help the symptoms listed above.

How does progesterone work?

Progesterone is a naturally occurring hormone in the body. However, progesterone is prescribed for individuals who have been diagnosed with hormonal deficiency - meaning that the ovaries and adrenal glands are not producing enough of the hormone.

Progesterone medication works by supplementing low hormonal levels in the body through an oral tablet. These capsules release progesterone into the body, which restores hormonal balance and reduces the symptoms of low progesterone.

How do I take progesterone?

Progesterone is available in the following forms:

  • Oral capsules
  • Vaginal gel
  • Vaginal suppositories
  • Injectable solution

Follow your healthcare provider's instructions regarding dosage and schedule. Do not exceed the prescribed dose or frequency of use without consulting your provider.

How long until I feel better?

Progesterone is used for hormone replacement therapy, to manage menstrual disorders, and to support pregnancy in women with infertility. You may notice the effects of progesterone within a few weeks of starting treatment. It may take several months to achieve the full effect, especially for hormone-related conditions.

Continue using progesterone as prescribed, even if you start feeling better. Regular use according to your prescription is crucial for the management of your condition.

Are there any other uses for progesterone?

While progesterone is primarily used for hormone replacement therapy, menstrual disorders, and to support pregnancy, healthcare providers may prescribe it off-label for other conditions, such as to treat premenstrual syndrome (PMS) or to support early pregnancy in women with recurrent miscarriages.

Discuss any alternative uses of progesterone with your healthcare provider.

Dosage forms of progesterone

Progesterone is available in the following dosage forms:

  • Oral capsules
  • Vaginal gel
  • Vaginal suppositories
  • Injectable solution

Progesterone is a prescription medication. You must have a valid prescription from a licensed healthcare provider to obtain it.

Side Effects and Precautions for Progesterone


Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

What are the side effects of progesterone?

The use of progesterone can lead to various side effects in some individuals.

Common mild side effects of progesterone use include:

  • Nausea/ upset stomach
  • Vomiting
  • Diarrhea
  • Constipation
  • Headache
  • Fatigue
  • Mood changes
  • Vaginal discharge
  • Menstrual cycle changes
  • Breast tenderness or pain
  • Weight changes
  • Drowsiness
  • Dizziness
  • Bloating
  • Joint pain
  • Runny nose
  • Sneezing
  • Cough

More severe side effects include:

  • Unexplained breast lumps
  • Unusual or unexplained vaginal bleeding
  • Heart attack
  • Stroke
  • Blood clot
  • Pain during urination
  • Migraine headaches
  • Loss of vision or blurred vision
  • Drowsiness or dizziness
  • Confusion
  • Fast heartbeat
  • Chest pain
  • Wheezing or hoarseness
  • Coughing up blood
  • Seizures
  • Uncontrollable shaking
  • Depression symptoms
  • Hives
  • Skin rash
  • Itching
  • Swelling in the hands, feet, or legs
  • Leg pain
  • Light colored stool
  • Yellowing of the skin or eyes

If you experience any severe or concerning side effects while taking progesterone, contact your healthcare provider right away.

What should I tell my healthcare provider before using progesterone?

Inform your healthcare provider about any existing medical conditions, allergies, or other medications you are taking before starting treatment with progesterone. This includes prescription drugs, over-the-counter medications, and dietary supplements, as they may interact with progesterone.

Tell your provider if you are taking these medications or supplements:

  • Antiarrhythmics
  • Antifungals
  • H2 receptor antagonists
  • Macrolide antibiotics
  • Immunosuppressants
  • Androgen hormones
  • HIV medications
  • Calcium channel blockers
  • Selective serotonin reuptake inhibitors (SSRIs)
  • HIV protease inhibitors
  • Antituberculosis agents
  • Proton pump inhibitors (PPIs)
  • Nitroimidazole antibiotics
  • Serotonin-norepinephrine reuptake inhibitors (SNRIs)
  • Oral contraceptives
  • Antiplatelets
  • Leukotriene receptor antagonists

You should also mention medical conditions such as:

  • Abnormal vaginal bleeding
  • A history of miscarriages
  • Breast cancer
  • Cancer of the female reproductive tract
  • Blood clots
  • Stroke
  • Heart attack
  • Peanut allergy
  • Migraines
  • Asthma
  • Kidney disease
  • Liver problems or liver disease
  • Gallbladder disease
  • A history of depression

If you are pregnant, planning to become pregnant, or breastfeeding, discuss the potential risks and benefits of using progesterone with your healthcare provider.

Are there any other special instructions I should follow?

Take progesterone exactly as prescribed by your healthcare provider. Do not exceed the recommended dose or duration of treatment.

Progesterone can cause dizziness or drowsiness. Do not drive or operate machinery until you know how this medication affects you.

Complete the full course of treatment, even if you feel better, to ensure the medication's effectiveness in managing your condition.

What should I do in case of an overdose?

In case of a progesterone overdose, seek medical attention immediately. Symptoms of overdose may include severe dizziness, nausea, vomiting, or drowsiness. If you suspect an overdose, contact the poison control helpline at 1-800-222-1222 or call emergency services.

Proper Use & Dosage Information for Progesterone


Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

What is the typical starting dose for progesterone?

Progesterone is available in the following forms:

  • Oral capsules (100 mg, 200 mg)
  • Vaginal gel
  • Vaginal suppositories
  • Injectable solution

The typical starting dose of progesterone varies depending on the condition being treated, the severity of symptoms, and individual patient factors. It is crucial to follow your healthcare provider's instructions regarding dosage and administration.

For hormone replacement therapy in people receiving estrogen therapy:

  • Adults: The typical dose is 200 mg for the first 12 days of each month

For menstrual disorders:

  • Adults: The typical starting dose is 400 mg per day, taken at bedtime.

For supporting pregnancy in women with infertility:

  • Adults: The typical starting dose is 100 mg vaginally two to three times daily.

The dosage may be adjusted based on the response and tolerance to the medication. Your healthcare provider will determine the most appropriate dose based on your medical history and your response to the medication.

Progesterone should be taken as prescribed by your healthcare provider. Do not exceed the recommended dose or duration of treatment without consulting your provider.

If you have any questions about your dosage or need adjustments, contact your healthcare provider for guidance. If you want to talk to a provider right away, consider scheduling an online doctor appointment through a telehealth platform like Sesame.

What should I do if I miss a dose of progesterone?

If you miss a dose of progesterone, take it as soon as you remember unless it is close to the time for your next scheduled dose. In that case, skip the missed dose and continue your regular dosing schedule. Do not double the dose to make up for a missed one.

Take progesterone around the same time every day to maintain a consistent amount of medication in your body.

What should I do if I'm feeling better while taking progesterone?

Continue taking progesterone as prescribed by your healthcare provider, even if you start feeling better. It's important to keep taking the medication as directed to manage your condition effectively.

Do not suddenly stop taking progesterone; this can cause a return of your symptoms.

If you have any concerns or questions about your medication, discuss them with your healthcare provider for medical advice and recommendations.

How should I store progesterone?

Store progesterone according to the instructions provided by your healthcare provider or pharmacist. Keep it at room temperature, away from light and moisture. Ensure the container is tightly closed and out of reach of children.

Do not use expired medication or medications that appear damaged or discolored. If you have any questions about storage, consult your healthcare provider or pharmacist for guidance.

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