This is a wonderful , God sent article. I started reading it and I knew this information would be so helpful for me. All my unanswered questions started to unfold, just by reading this article. Once I check some things out and do some real research on my own body, I will come back on this site for an update, thanks so much. And Please don’t stop putting info like this out there for people that are at ends wit with health issues.. Again this is an amazing article..
I’m sorry about the challenges you’ve been facing. I am unable to offer any treatment suggestions online but it does sound like your hormones need a tune-up. My suggestion is that you get in to see a naturopathic physician and ask for a comprehensive hormone panel. I recommend a urine panel, to get a closer look at what might needs balancing. Progesterone imbalances are likely accompanying some other hormonal imbalances and it’s worth finding out where you specifically need support. Warmly, Dr Julie
I’m sorry you are having difficulties with the thought of getting off HRT. I know this may sound new to you but healing your digestive system will help with anxiety and depression. Please watch Magdalena’s free workshop on cooking for balance on how to balance hormones with food. You will learn so much and getting off HRT won’t seem so scary anymore. http://www.cookingforbalance.com

Normal Levels of HCG & Progesterone What Are the 5 Events of the Menstrual Cycle? Signs and Symptoms of a Low Progesterone Level Effects of Progesterone on the Uterine Lining Hormones to Help Get Pregnant What to Do If Progesterone Is Low During Early Pregnancy? High Testosterone & Pregnancy Side Effects of Mirena & Copper Coils Drugs That Help the Ovaries Release Eggs to Become Pregnant How to Try to Get Pregnant With One Ovary What Is an hCG Trigger Shot? Abnormal Estradiol Levels Femara Side Effects for Fertility Is Progesterone Supplementation With Birth Control Pills Safe? How to Have a Successful Pregnancy With Low HCG Symptoms of High Progesterone Reasons for Weight Loss After Failed IVF Benefits & Risks of Vitamin B-6 for Fertility What Is the Average HCG Level at 4 Weeks? Does Low Progesterone Cause No Pregnancy Signs?
Hi Donielle. I was wondering if you think progesterone cream would be a good idea for someone like me whose progesterone levels, fsh, and tsh have all tested perfect but who continues to have brown light to medium spotting for 10 days before my period EVERY month. it’s quite frustrating. My doctor says my progesterone looks fine, but i cant help but think it must be dropping low at some point to give me this bleeding. I have a four year old, but have been having this problem for the last year ,and now that we are trying to get pregnant am having no luck. Thank you for all your info!
I’m not Jordan, but my holistic DO ordered me a 24 hour saliva test to test for adrenal fatigue as well as hormones. So four times in one day I had to put a saliva sample in a tube to check and see what my cortisol levels were doing. You can order this test yourself from some independent labs (HealthCheck USA comes to mind). I haven’t heard of many regular docs ordering it though. My MD laughed and said it was a waste of money…….and yet it was the test that finally showed how bad my adrenal fatigue was!
Hormonal imbalances are another reason for infertility, environmental toxins being the cause.  Over 100 estrogen mimics are available today - please see Our Stolen Future for more information on this.  Problems then occur when the developing foetus is subjected to the toxins.  Males are prone  to the effects of these toxins (estrogen) at this stage.
Disclaimer: Although this web site is not intended to be prescriptive, it is intended, and hoped, that it will induce in you a sufficient level of scepticism about some health care practices to impel you to seek out medical advice that is not captive to purely commercial interests, or blinded by academic and institutional hubris. You are encouraged to refer any health problem to a health care practitioner and, in reference to any information contained in this web site, preferably one with specific knowledge of progesterone therapy.
Progesterone is a natural hormone that works to control uterine lining thickness within a woman’s body. When one becomes pregnant, this hormone naturally increases to accommodate your growing child. There are occasions, however, where high progesterone levels can be caused by other instances, such as a lack of exercise or consuming an unhealthy diet. High levels of progesterone can lead to a series of unwanted side-effects. This article will detail the symptoms, diagnosis and remedies to help treat the condition.
Some remedies, however, can be done. Women with progesterone deficiency should eat more food that contains zinc, selenium, magnesium, and different herbal medicines, take vitamin supplements, especially vitamins B and C and have a lot of rest to be able to deal with factors that cause stress and reduce progesterone levels. Maintaining a proper hygiene in the intimate zone is also important. Menstrual cups will provide leak-free protection so that you could feel confident in any situation. Besides, gynecologists don't recommend using perfumed gels or soaps since they can disrupt your natural vaginal flora. So, you can use a naturally-scented Castile soap to maintain pH balance of your intimate area.
Given that the body naturally produces progesterone during pregnancy anyway, and many of the supplements on the market have a chemical makeup identical to the progesterone produced in the body, many physicians feel that supplementing women who have low levels is unlikely to do any harm even if it doesn't help. They decide to go with the philosophy that if progesterone can't hurt and might help, they may as well prescribe it.
I had an ovarian cyst and a fibroid and were removed surgically In june 2014. My gyno made some test nd found out that I have low progesterone.  He gave me 5 day pill treatment and advice me to have a child. The symptoms that I have is spotting, migraine headache,  pains on joints and sugar craving. What advice can you give me to increasing my progesterone while waiting to have a child. I dont have a partner and still raising funds for in vitro whicch I might do in may 2015
Because of the lack of evidence for improved pregnancy outcomes, the ASRM Practice Committee Opinion does not advise luteal phase hormone therapy with HCG or progesterone unless you are undergoing an assisted reproductive technology (ART) procedure, such as in vitro fertilization (IVF). Pituitary suppression drugs used during ART cycles can interfere with corpus luteum function and progesterone production. In this situation, treatment increases pregnancy rates and reduces miscarriages.
Terms of Use, Copyright 2018, Pope Paul VI Institute for the Study of Human Reproduction. All rights reserved. *"NaProTECHNOLOGY" is a registered trademark of the Pope Paul VI Institute for the Study of Human Reproduction. It can be freely used by any person or entity so long as its use reflects the medical concepts and values expressed in the textbook The Medical & Surgical Practice of NaProTECHNOLOGY.

At this point, patients are told they have a hormonal imbalance and will need natural hormone replacement that can include estrogen, progesterone, and sometimes also testosterone. Typically, patients are also given thyroid support, vitamin C, vitamin B, glandulars, herbs, DHEA and pregnenolone at the same time. Such a multi-hormone approach is designed to replace diminishing hormones the body may be experiencing. The key to success or failure of such an approach lies largely in the dosage and delivery system of the hormone replacement. Some doctors tend to be quite aggressive, while others are more conservative.


Progesterone is used for building other hormones. In particular, the adult female body can make its own testosterone from progesterone. This is safer, avoids all risk of testosterone overdose, and avoids the risk of side-effects from testosterone supplementation. However, your body can only use real progesterone. It is not able to use synthetic pharmaceutical progesterone look-alikes such as progestin and progestogen. To repeat, if you use an altered progesterone lookalike it will NOT correct your testosterone level. Pharmaceutical companies deliberately name their products with confusingly similar names, and have successfully duped most doctors. For this reason, most doctors are unaware of how easy it is to correct a woman's testosterone levels by using (real) progesterone.
Hi.  Is nausea and headache associated with this?  I am having a hard time convincing my doctors to test my hormone levels.  My Mom, and her Mom, and my great grandma on my mom’s side all had early menopause.  I have been experiencing most of these symptoms,  including hot-flashes.   Because I have been making notes on my weird symptoms,  I have noticed that I know what time of day to expect my hot flashes.  I also noticed that I have been craving the foods that are reccomended to alleviate these symptoms.   I also have a tooth that is withering away, & Yes, I have a dental appointment for that.    I alsohad a re ent eyesight change, and went to the eye doctor,eyes are healthy, just natural aging eyesight.  I am in my very late 30’s. I have been taking a birth control pill for a number of years.  My GYN told me it would be useless to test for menopause because of the birthcontrol.  I also take a prescription for anxiety,  and a doctor recently had to increase the dosage  to help with my increase in symptoms.  At first he wanted yo prescribe me haldol formood swing……. i resonately    refused!!!  I told him I am not aggressive,  or violent in any way, and that Haldol was not appropriate for hormonal mood swings.  Please, I would love to hear a reply on your thoughts on this.        Please, provide more education on the weirder symptoms of early menopause.   
The Women Living Naturally website suggests that xenohormones may contribute to estrogen dominance and low progesterone. Xenohormones are man-made synthetic substances that have hormone-like effects. The Natural Hormones website suggests that exposure to synthetic substances, like plastics, may increase estrogen levels and stimulate a lower progesterone levels. Plastics contain xenohormones, which mimic estrogenic activity and create hormone imbalance. Pesticides, herbicides and fungicides that derive from petrochemicals may also contain xenohormones. Solvents and adhesives like fingernail polish and cleaning supplies may contain xenohormones, as well as automobile exhaust and PCBs.
The female's body produces this hormone to prepare the lining of the uterus to accept a fertilized egg. When no egg is fertilized, progestin falls and the lining is shed, which is what produces menstruation. These hormones are chemicals produced by the body, and travel through the blood to the reproductive system. Estrogen and androgen are related chemicals. Doctors can measure the amount of these substances in the body, especially when trying to find out why a woman is infertile. There are other times when this measure is important, such as in early pregnancy. Then it may help diagnose an ectopic pregnancy. At that point, the level will be low rather than high. The measure can also help evaluate placenta and fetal health. High progesterone levels will also be present when a woman is having more than one birth--twins, triplets, etc.--or sometimes in cases of luteal ovarian cysts, molar pregnancies, and some forms of ovarian cancer. Symptoms may include moodiness, irritably, breast tenderness, and muscle aches.
A study of 20 women published in the Journal of Clinical Endocrinology and Metabolism in 1991 measured the urinary levels of metabolites of estrogen and progesterone during the peak of the luteal phase of the menstrual cycle. The authors reported the levels of hormones were similar whether a woman had an early pregnancy loss or a successful pregnancy. They concluded that the early losses were not related to a deficiency in progesterone or other ovarian hormones in the luteal phase.

In discussing anecdotal evidence in which progesterone seems to work, doctors who reject progesterone supplements may point to the idea that women with recurrent miscarriages tend to have a high success rate even without treatment—so in an uncontrolled setting, it is just as likely that a woman supplemented with progesterone would have had a successful pregnancy even without treatment.
I’m confused about when to stop using the cream, when using it for fertility reasons. I understand that it’s best to start it after you have ovulated, and then I’ve read to stop using it on the last day of your cycle and once you’ve confirmed that you’re not pregnant. But from what I understand if you’re using it you won’t get your period, so then how do you know when your last day is to stop taking it? Do you just go by when you think the last day would be, based on your previous cycles? Thank you.

Hi.  Is nausea and headache associated with this?  I am having a hard time convincing my doctors to test my hormone levels.  My Mom, and her Mom, and my great grandma on my mom’s side all had early menopause.  I have been experiencing most of these symptoms,  including hot-flashes.   Because I have been making notes on my weird symptoms,  I have noticed that I know what time of day to expect my hot flashes.  I also noticed that I have been craving the foods that are reccomended to alleviate these symptoms.   I also have a tooth that is withering away, & Yes, I have a dental appointment for that.    I alsohad a re ent eyesight change, and went to the eye doctor,eyes are healthy, just natural aging eyesight.  I am in my very late 30’s. I have been taking a birth control pill for a number of years.  My GYN told me it would be useless to test for menopause because of the birthcontrol.  I also take a prescription for anxiety,  and a doctor recently had to increase the dosage  to help with my increase in symptoms.  At first he wanted yo prescribe me haldol formood swing……. i resonately    refused!!!  I told him I am not aggressive,  or violent in any way, and that Haldol was not appropriate for hormonal mood swings.  Please, I would love to hear a reply on your thoughts on this.        Please, provide more education on the weirder symptoms of early menopause.   
Stress triggers the body to put the adrenal glands on overdrive to increase output of the anti-stress hormone cortisol. This is what happens in the early stages of adrenal fatigue. Cortisol, unfortunately, competes for progesterone receptors. The higher the level of stress experienced, the more cortisol the adrenals produce. This means that those receptor sites may be occupied by cortisol rather than progesterone. This leads to reduced progesterone availability to cells. Also, progesterone is a precursor to the synthesis of cortisol. In times of stress, progesterone may be shunted to make more cortisol, resulting in less progesterone being available to the cell as well. Multiple mechanisms therefore can result in lower than normal levels of free progesterone during stress, while estrogen dominance symptoms rise. This may be reflected in laboratory test showing lower than normal progesterone levels in absolute terms, or a low progesterone to estrogen ratio. Physicians not alert to this lowered progesterone level in times of stress may prescribe progesterone in their best intention to increase the progesterone level.

The following can result in hormonal imbalances: Glandular problems like thyroid, pituitary and hypothalamus glands problems. These glands are the primary glands that are responsible in creation and production of reproductive hormones. They can be affected by birth-control pills intake, stress and diseases like hypothyroidism. Once problems are encountered in either of these glands, an imbalance will prevent complete ovulation process to take place, thus the difficulty in conception.
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Dr. Westin Childs is a Doctor of Osteopathic Medicine. He provides well-researched actionable information about hormone-related disorders and formulates supplements to treat these disorders. He is trained in Internal Medicine, Functional Medicine and Integrative Medicine. His focus is on managing thyroid disorders, weight loss resistance, and other sex hormone imbalances. You can read more about his own personal journey here.

I have been seeing an RE and she kind of blew off my question about progesterone. I have been trying to get pregnant for almost three years with no luck. I occasionally experience late cycle spotting, so I thought progesterone could be an issue. I have used creams with no luck. My luteal phase is 13 days, so that is not an issue. I ovulated on day 17 and was thinking of going to get my levels checked 7dpo. Do I need to have them checked again after that to see if they have dropped? Also, a friend has recommended progessence oil. Do you have any info on that product? If my progesterone levels are low I wasn’t sure if an otc cream or progessence would be enough to raise them. I exercise moderately and eat a healthy diet. I’m just struggling because I don’t want to do IUI or IVF so I don’t think the RE wants to help me out much. I’m 37 years old and feel like I’m running out of time. Not sure where to turn.

Signs of a miscarriage might be a heavier period, clots and/or pain. The egg takes about 12-14 days to reach the uterus, if the corpus luteum does not maintain a high level of progesterone during this time, menstruation will take place before the egg is embedded.  This can be easily corrected by supplementing with progesterone thereby extending the luteal phase.
A: Over-the-counter (OTC) progesterone creams, usually sold as natural products or supplements, are not evaluated by FDA; therefore, they have not been approved for safe and effective treatment of medical conditions. Always read and follow the complete directions and warnings on OTC products and discuss their use with your health care provider before using them. You may also find helpful information at: //www.everydayhealth.com/alternative-health/articles.aspx.
@Leah, First off, I would recommend getting your progesterone levels tested with your OB or midwife. if they are very low, they’ll have you use a progesterone suppository- just request a bio-identical one to be prescribed. If you are slightly low, or you just feel that you would like added assurance, work with your practitioner on correct dosage for your body. Often times women use the cream twice a day through the first trimester, dosage depending on the cream. (which would be stated on the package) Then they gradually wean off of it (ex – first in dosage each time, then dropping to once a day, then dosage again until a few weeks later you don’t use it anymore) during the second trimester.
Great post and comment, very informative! Thanks everyone for sharing your insight and stories. I’ve recently started researching low progesterone bc a friend said she’s sure it the reason for the my last two miscarriages and possibly the two/ three before that. After my reading and such, I realize this has been a problem for me much longer than I could have ever guessed!! My luteal phase has always been short (11 days) so, I’ve been very thankful for the four pregnancies/ babies I’ve had. Since my last child my luteal phase has been anywhere from 4-9 days and I know that there is no way a preg can be maintained w a L phase that short. On my last mc, I started bleeding at 9 dpo and figured it was just my period again but my temp continued to rise for the next couple of days. I went in and had hcg and progesterone checked, hcg was low and progest was 8! I realize the levels fluctuate during the cycle but this was post ovulation AND after conception. Ack!!
The most touted symptoms of low thyroid are foggy thinking, cold limbs, fatigue, hair loss, constipation and weight gain.  But I fight with hypothyroidism and I am skinny and tend more towards loose stool, and luckily still have all my hair! There are many manifestations of hypothyroidism, so it’s worth taking a deeper look if you suspect you may have hypothyroidism.  A great place to start looking is the website of Dr. Izabella Wentz, aka the Thyroid Pharmacist.
O'Brien, J. M., Adair, C. D., Lewis, D. F., Hall, D. R., Defranco, E. A., Fusey, S., Soma-Pillay, P., Porter, K., How, H., Schackis, R., Eller, D., Trivedi, Y., Vanburen, G., Khandelwal, M., Trofatter, K., Vidyadhari, D., Vijayaraghavan, J., Weeks, J., Dattel, B., Newton, E., Chazotte, C., Valenzuela, G., Calda, P., Bsharat, M., and Creasy, G. W. Progesterone vaginal gel for the reduction of recurrent preterm birth: primary results from a randomized, double-blind, placebo-controlled trial. Ultrasound Obstet.Gynecol. 2007;30(5):687-696. View abstract.
Progesterone levels generally peak one week after ovulation, and can be measured through blood tests to detect the amount of progesterone present in the blood stream. After establishing a baseline of progesterone in the blood, a doctor will obtain a mid-luteal serum progesterone test around day 21 of the menstrual cycle or, if urinary LH predictor tests show a positive surge consistent with ovulation, seven days after this test is positive.
hmm.. This is interesting. I get confused about the relationship between progesterone and estrogen. I was diagnosed with low estrogen a little over a year ago, and I have like 90% of the symptoms above. It’s been difficult finding info on low estrogen (except for menopausal women, which I am not… I’m in my mid-twenties..), because I think it’s really unusual in this day and age for someone to have low estrogen instead of being estrogen dominant like most people. The test results said that whatever steroid it is that converts into estrogen was really high in my body, but for some reason my body just isn’t converting it like it should, which I attribute to my adrenal issues and my body just being too worn out to do it’s job. But are some of the symptoms for low progesterone the same and for low estrogen? Because I’ve read (and been told by my naturopath) that some of my symptoms like vaginal dryness, painful periods, and low sex drive are due to low estrogen. But then I seem to also have some symptoms of low progesterone (like short luteal phases). I’m confused!
In some cases, people who start using progesterone initially experience an increase in their symptoms. This usually occurs when they have a high level of estrogen, estrogen look-alikes, or toxic xenoestrogens in their body. This is explained in estrogen dominance. The key to avoiding an increase in your symptoms is to use sufficient progesterone initially, do not cut back. This applies to both men and women. So if any symptoms like hot flushes or night sweats appear, please persevere with high doses of the progesterone cream and these symptoms should clear up within a few days, usually less than a week.

There are many things that can lead disrupting hormonal imbalance including if you perform extreme exercise, have too low or too high body fat, poor diet  or are under a lot of stress. If you have one or more of those issues listed and you remedy the issue(s), the hormonal balance should be corrected. Many toxins in our everyday products can also disrupt hormonal balance. 
Stopping progesterone abruptly without proper titration can also be problematic. Many have experienced a huge wave and additional surging of progesterone as it comes out of our tissues soon after abrupt withdrawal. It is a very unpleasant experience. An aldosterone surge can occur that leads to electrolyte imbalances ? which in severe cases requires hospitalization.
Progesterone is one of the major female hormones produces by the ovaries. The other hormone is estrogen and the two hormones work together to control a woman’s menstrual cycle. Doctors often prescribe progesterone as hormone replacement therapy for menopausal women. Progesterone is available in pill form, as a topical gel, as a vaginal insert or as an oil. Due to the way the body uses and produces hormones, it may be difficult to have a one-time overdose of progesterone. Prolonged use can cause several side effects.
Recently, much controversy has arisen about supplemental menopausal hormone therapy. It can either be administered with estrogen only (estrogen therapy or ET) or in a combination of estrogen-progestin therapy (HT). This treatment is used to alleviate progesterone side effects and to prevent bone loss. HT prevents build up of the uterus lining. ET stimulates growth of the lining. This is a possible risk for uterine cancer and should only be undertaken after a hysterectomy. What is advised for women is to receive the lowest dose for the shortest amount of time to correct the problems. More research is being done of the ramifications of this disease and the long-term effects on women. A woman should have a continuing conversation with her health professionals about the treatment she should be undergoing and the risks she faces with that treatment.

The progesterone cream I have used in the past is from Beeyoutiful. While all natural progesterone within the different brands creams shoudl be the same, the other ingredients in it can make a big difference. Watch out for creams and lotions that contain xeno-estrogens and make sure to check for parabens and pthalates. Beeyoutiful’s cream contains just coconut oil, jojoba oil, avocado oil, extra virgin olive oil infused with organic wild yam root, organic comfrey root, and cayenne, 1000 mg USP progesterone, sweet orange essential oil, rosemary essential oil, candelilla wax, beeswax. From my limited experience with it, it goes on easily, absorbs quickly, and has no smell.


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It is such a relief to finally know what I’m dealing with. I also was having fatigue, weight gain, palpitations and extreme brain fog. My PA that I go to  specializes in caring for midlife issues in women and she is a Godsend!  I would recommend finding a physician for those that are having these issues. It is so worth it. Thank you for your website and sharing the information. 
No one test result can determine is a woman has unhealthy amounts of progesterin. The hormone increases and decreases through numerous factors, such as age, test method, and the procedures of different labs. Also important is to know where the woman is in her menstrual cycle since the amount of the horome will change with the time of the month. There is more of the chemical when the egg is released from the ovary. The amount continues to rise if a pregnancy occurs or falls if menstruation begins. That's why serial measurements will be taken. Therefore, a woman will undergo numerous tests to determine what her cycle is doing.
Progesterone is an important hormone as it is responsible for preparing the lining of the uterus for implantation. Progesterone is also responsible for maintaining a pregnancy. Progesterone is secreted from the ovary after ovulation by a mass called a “corpus luteum.” The corpus luteum is maintained by the hormone hCG until the placenta is capable of taking over progesterone production. HCG is the hormone detected in blood and urine in a pregnancy test. If pregnancy does not occur, the corpus luteum begins to die, progesterone levels plummet and a woman starts her menstrual cycle over again with menstruation. It is easy to see how important progesterone is and why it is commonly referred to as “the pregnancy hormone.”

Low progesterone levels can be caused by several known factors or unknown factors. Due to the complexity of hormones, some women may have no difficulty getting pregnant but for some reason, the placenta does not create the proper levels when it should. Researchers believe that high levels of stress, poor nutrition and lack of exercise can contribute to low progesterone levels. Certain medications can also interfere with the body’s ability to produce progesterone.


Hi, i am 49 and definitely in Peri menopause for sure. I do have fibroids, but they have never really given me much trouble except for heavy periods. Last year i did have a lot of stress, including my wedding which ironically was the month i started having prolonged periods. They would go on for about 2 weeks, then a 35 day cycle until my next. Some months were great, some i had two periods in a month, or spotting that would then lead to a period. I have kept a journal so i can show my GP, and have (since last November) removed alcohol from my life, except for an occasional drink, lost weight through healthy eating and exercise, and as such have had no period problems since. This year my cycles have been 28 days, to some months being as long as 35 days, 7 day duration, and not overly heavy. March was the only odd month where i had a two day period, then they turned up again two weeks later.

So, the proliferative hormone is estrogen. The balancing hormone, the restraining hormone is progesterone. Those two hormones, when they’re in balance women feel wonderful. Okay? Progesterone means promoting gestation, promoting pregnancy. So, it’s the hormone that promotes the pregnancy by maturing the inner lining of the womb. Now as a woman marches through her menstrual life, by the time they hit their mid 30s into their 40s, the ovaries begin to produce lower and lower levels of progesterone. While estrogen levels may fall too, they don’t fall as dramatically as progesterone. So, they come into a problem known as estrogen dominance, or the other side of the coin is progesterone deficiency. They become deficient in progesterone.
A few days ago, I saw a progesterone cream that a friend of mine gave me a couple of years ago in my cabinet, and decided to just use it up, I didn’t think much of it nor expect anything but this week I suddenly feel energized again and wake up without the alarm clock and ready to go, even if it’s raining or cold. So I started wondering if maybe my progesterone levels were low and I didn’t know it and this cream is helping me. My luteal phase also had shortened by 4 days, I’ll see in a month if it goes back to 4 weeks. Thank you for all the info!
Hi there I suffer from embarrassing and painful re-occurring bacteria vaginosis. I was doing some research into natural alternatives and came across an article that describes acidosis and the ph of body along with low progesterone levels playing key factors. I then came across this and seem to fit almost every symptom mentioned. I was wondering what your thoughts were on this? I am 25 have a loving partner who I would love not only be intimate with (and not be burdened with the horrible symptoms of the bv) but would dearly love to have children also. Any help and advice you can give me would be a blessing. Thank you 
I had low progesterone levels when I was (5 weeks) pregnant. I was put on a progesterone supplement that I would inset into my vagina every night. A few months before this my doctor had told me I had a t-shaped uterus and it may be hard for me to get pregnant. I was put on birth control to regulate my periods – since I had my first period I have always been irregular. I remember in middle school only getting my period twice in a year (and as of now its been 3 months!). I got off birth control and my last period was in late may. My husband and I conceived our first child two weeks later – we found out 3 weeks after that. Thats when we got the news my progesterone levels were low. 
The use of a NaProTECHNOLOGY approach to infertility or miscarriage will also allow us to observe events that formerly had been ignored.  An example of this might be that found in Figure 40-7.  Here a woman with four consecutive miscarriages has charted her cycle.  She has multiple days of premenstrual spotting prior to the beginning of her next period.  The hormonal correlation shows a significantly reduced progesterone production by the corpus luteum suggesting an inadequate corpus luteum as one of the underlying causes of her repetitive miscarriages.
What happens is as a woman moves towards menopause, she’ll have multiple anovulatory cycles. Maybe not quit ovulating altogether and that’s when she gets these heavy, heavy periods. She gets fibroid developing in her womb. She ends up going to the OBGYN to help her and he’s always got an answer and it has to do with a scalpel or a knife. Hysterectomy is always his answer. But the reason we had that problem is because the hormones are declining and they’re imbalanced and the progesterone is deficient.
What you have experienced is quite common. The root problem remains unattended while symptoms are patched. You felt better for a while and then starting getting worse. No need to give up. The body has tremendous healing power if you do it right. Find someone who knows what they are doing holistically is key because your body has weakened and swings from one approach to another can be very stressful. If you need more help, call my office.

A: Progesterone is a female hormone that is important for ovulation and menstruation. It is given to balance the effects of estrogen, another female hormone. Estrogen is the hormone used to ease the symptoms of menopause and to prevent postmenopausal osteoporosis. Estrogen can be given by itself to a woman who has had a hysterectomy and no longer has a uterus. However, when estrogen is given to a woman with a uterus, the endometrium (lining of the uterus) can build up over time and increase the risk of developing endometrial cancer. Progesterone is given to allow the endometrial cells to shed, similar to a menstrual cycle, which decreases the risk of endometrial cancer. A search of the medical literature did not result in information about the effective use of progesterone alone to prevent osteoporosis. Your doctor or gynecologist is best able to guide your treatment decisions based on your specific circumstances. For more specific information, consult with your doctor or local pharmacist for guidance based on your health status and current medications, particularly before taking any action. Sarah Lewis, RPh, PharmD
Miguel Cavazos is a photographer and fitness trainer in Los Angeles who began writing in 2006. He has contributed health, fitness and nutrition articles to various online publications, previously editing stand-up comedy and writing script coverage as a celebrity assistant. Cavazos holds a Bachelor of Arts in philosophy and political science from Texas Christian University.

@Kelsey, this conversation happened a couple years ago. I was struck by what you said because I was diagnosed with the same problem. My androstenedione , which is supposed to convert to estrogen and testosterone , was at really high levels and wasn’t converting , leaving me with low estrogen, low testosterone, and low progesterone. Did you ever find out why it was doing that? Did you find a workaround? I’m 36 now and finally had the hormone testing, but am sure I’ve had this problem since I was 20. I am so sick of feeling this way. Any info you have would be great.
Thanks for the question, Shari! You’re absolutely right, progesterone deficiency symptoms are vague and can overlap with symptoms from other conditions. Fibromyalgia might certainly be your dianosis but it would be worth ruling out other overt deficiencies too. I urge you to see a naturopathic doctor for supportive treatments for your condition. Depending on the specific symptoms, your treatment options will vary. Please keep me posted!

4. Depression, anxiety, mood swings – as we age, many women attribute a shift in estrogen for their mood symptoms. But actually after age 30, most of us experience a drop in progesterone and one of the first signs of this lowered level is a shift in mood. Progesterone is responsible for stabilizing our mood so if you are experiencing uncomfortable shift in mood lately, please check your levels.
Progesterone is not a "feminising" hormone. That reputation belongs to estrogen. Excess estrogen or estrogen-imitators (including many pollutants in the environment) cause a variety of health problems for both men and women. Progesterone is a natural antagonist to estrogen. Progesterone helps to balance and neutralise the powerful effects of excess estrogen in both men and women. Without sufficient progesterone in the body, estrogen becomes harmful and out of control (unopposed estrogen or estrogen dominance).
I am 26 years old, para 5 gravida 3.  I have hypothyroidism and struggle with worsening anxiety and depression in the last few years. My two pregnancies I’ve lost we’re at 6 and 12 weeks. With my last pregnancy I took Promethium to help maintain the pregnancy.  I was finally able to stop taking the Promethium at 28 weeks. I was blessed with a beautiful, healthy baby. My husband and I have been trying for our fourth and final baby for six months now. I have not seen my doctor, but we’re struggling with what I would possibly consider infertility.  However, I have not yet had a menstrual cycle post partum. My question is if progesterone could be playing a huge role in my current situation, especially since I have a history of low progesterone and pregnancy loss. Thank you for your help. 
I am 34. My DH and I have been trying to conceive for 7 years. I have done tons of researching!! We have been medically checked and told we have unexplained fertility. My hormone, and thyroid tests came back good. I have spent 2 years BBT. Temps ranging 96- 97.4 pre O and anywhere from 97.6- 98.2 post O. My temps fluctuate a lot. I became very frustrated with temping and finally gave it up. I have a short follicular phase. Will see O fluids as early as 7 days past period. My cycles range from 24 to 27 days with 2-4 days of brown spotting before period actually starts. I have tried so many different herbs. Did the whole vitex thing only to quit when I discovered the negative side of it. I’ve done progesterone cream, but always stopped before too long as I did not want my body to become dependent on it. I have symptoms of low progesterone and find in frustrating to know how to correct it. We eat a VERY clean organic paleo diet. Have been for 2 years.

If you are taking progesterone and get pregnant, you must continue taking progesterone until at least the 16th week. I personally would not stop if I had seriously low levels to begin with, but it is best to work with your health care practitioner if this is the case. They will continuously monitor your levels to make sure they are healthy for pregnancy.

I’ve never been tested during my cycle, but was put on Progone B that I was supposed to take from the date of ovulation until the first day of my period, to try and boost things. I never had any kind of … success with that. The next time we decide to try, which won’t be for a couple of years, I want to make sure that I have implemented more natural ways of balancing my progesterone…


I’m so sorry about your previous miscarriages. Low progesterone is only one cause of a miscarriage – though I wish this were easier for me to answer. While I can’t offer you direct advice, I can tell you that when miscarriages are not understood, many doctors will opt to prescribe progesterone preventatively, in the hopes that it helps to maintain a pregnancy. Please let me know how things go. Warmly, Dr Julie
If you have symptoms of abnormal progesterone levels in early pregnancy, doctors may take a blood test. They will check that progesterone levels are not too low or too high. The Journal of the Turkish-German Gynecological Association reported that progesterone levels can be an indicator of the health of the pregnancy. Low progesterone results could indicate a risk of miscarriage.7

The level of estrogens, estrogen look-alikes and xenoestrogens rises in men's (and women's) bodies as the years go by. Progesterone opposes and balances excess estrogen (and xenoestrogens). It is progesterone that inhibits the harmful effects of too much estrogen (unopposed estrogen) more than anything else. So as estrogen levels rise in older men, there is no parallel rise in progesterone to balance this. A slight hormonal imbalance becomes a major imbalance - fast.
I am 44 years old and was diagnosed with endometriosis last year, after numerous visits to the doctors, but oftened wonder why I had got it and after googling a few symptoms, I found this site and can not believe I have learnt more about my body and endometriosis of here than I had after talking to the doctors and consultants. After a few very stressful years, due to a house repossession, the sudden death of my father and a bitter marriage break up, I know realise I could have low progesterone levels. I have now met my soulmate and had hoped to have a baby, but thought my chances were very slim, but after reading this, there may be a glimmer of possibility. Thank you so very much :0)
In some cases, infertility can be caused by low progesterone levels. Progesterone is one of the hormones released by the ovaries, and its role is to prepare the lining of the uterus for the implantation of an embryo. Furthermore, maintaining a pregnancy is facilitated by proper levels of progesterone. As you can see, progesterone plays a vital role in pregnancy. That is why abnormal levels might significantly reduce pregnancy chances. Claim Your 20 Free Pregnancy Tests – Click Here
Progesterone cream can help to oppose the estrogen dominance that occurs with PCOS. By using progesterone cream you are able to mimic a natural cycle and help the body to establish its own cycle, including ovulating, again. Dr. John Lee believed that with progesterone cream and changes to the PCOS specific diet and exercise, PCOS could become obsolete.
The following can result in hormonal imbalances: Glandular problems like thyroid, pituitary and hypothalamus glands problems. These glands are the primary glands that are responsible in creation and production of reproductive hormones. They can be affected by birth-control pills intake, stress and diseases like hypothyroidism. Once problems are encountered in either of these glands, an imbalance will prevent complete ovulation process to take place, thus the difficulty in conception.
During pregnancy, the level of progesterone will likely continually fluctuate. Generally, progesterone levels can range from 1 to 28 ng/mL. As your child grows, as does this number, climbing to around 9 to 47 ng/mL at around 9 weeks into pregnancy. As you reach the 12 th week of pregnancy, the average progesterone levels will have risen to around 17 to 146 ng/mL. At the 28 th week of pregnancy until your child’s birth, progesterone levels average at around 55 to 200 ng/mL. 
In discussing anecdotal evidence in which progesterone seems to work, doctors who reject progesterone supplements may point to the idea that women with recurrent miscarriages tend to have a high success rate even without treatment—so in an uncontrolled setting, it is just as likely that a woman supplemented with progesterone would have had a successful pregnancy even without treatment.

Thanks for the information.  I have all of the above frustrating symptoms except for infertility as we’ve completed our family.  I have recently started taking Chasteberry, Estrogen Blockers and an Adrenal SAP based on the recommendations from my ND.  She indicates that it will likely be a few months before I notice any results and reminds me to be patient and focus on the positive.  Like most people, finding the balance of full-time family, full-time work, life and self-care is incredibly challenging.  I’m wondering if you have any suggestions for facial skin care?  a year after I stopped breast-feeding my daughter i developed acne around my chin/jawline and have tiny red bumps all over my forehead which never seem to come to a head, they are just small red bumps.  Any tips that you can provide for facial regime would be great.  Thanks very much for this information.
However, some studies also point to the fact that if you have low progesterone, raising progesterone can help to alleviate some stress. A study published by the University of Michigan found that increasing progesterone helped to reduce stress in some cases. Women felt more inclined to help others and it was easier to bond with others. It was also noted that strong relationships can also help to increase progesterone.22
This isn’t an easy answer.  Stress reduction takes real work.  We cannot just promise to sleep more or to spend more time with ourselves or our families, and then let these promises drift away as life marches on.  Instead, we have to make concrete changes to our schedules, to our jobs, to our relationships, to our feelings about our existence. Often, psychologists can be uniquely helpful, as can group involvement, friendship, spiritual communities, and yoga and meditation.
I am confused as to why I cannot seem to naturally heal myself…I eat only whole food. This includes plenty of healthy fats from grass-fed beef tallow, dairy, and bone broths, soy-free pastured eggs, organically grown vegetables (fresh from the farmer’s market), and meats from grass-finished beef and lamb. I eat fatty fish at least once a week and also avoid vegetable oils (and other polyunsaturated fats). I do not consume any sugar and probably only eat about 20% of calories from carbohydrates. Could this be the issue and is supplementation with a progesterone cream the only hope? If so, is using cream a temporary treatment until progesterone levels are regulated or is this a life-long treatment?
Dr. Hotze: Thanks. Ladies do any of you all have problems with irregular menstrual cycles, or heavy periods, or premenstrual symptoms, restless sleep, or anxiety, or panic attacks? Have problems with flu retention and weight gain premenstrually? Have problems with infertility? All of this can be related to a progesterone efficiency, a progesterone decline as women matures in age.
Hi there I suffer from embarrassing and painful re-occurring bacteria vaginosis. I was doing some research into natural alternatives and came across an article that describes acidosis and the ph of body along with low progesterone levels playing key factors. I then came across this and seem to fit almost every symptom mentioned. I was wondering what your thoughts were on this? I am 25 have a loving partner who I would love not only be intimate with (and not be burdened with the horrible symptoms of the bv) but would dearly love to have children also. Any help and advice you can give me would be a blessing. Thank you 
If you have problems conceiving, there are many possible causes for your infertility. Low progesterone levels have different symptoms, but, many times, they are common to those of other medical conditions. Some of the symptoms of low progesterone are appetite changes, depression, mood swings, anxiety, irritability, weight changes, fatigue, irregular menstruation, headaches, low sex drive, painful intercourse, vaginal dryness, polycystic ovarian syndrome, lack of concentration and insomnia. Most of the times, women do not suspect low progesterone levels until they encounter infertility issues. Testing remains the most accurate way of diagnosing low progesterone levels.
Hi, thank you for this Info!! I found out my husband and I are pregnant after having a miscarriage 2 months ago. I had blood work done and I have extremely low progesterone levels and may quite possibly lose this baby. We think that may be the cause of my other 2 miscarriages, although we do have 1 daughter. Can low progesterone lead to uncontrollable irritability? I know it can lead to mood swings. I was on progesterone birth control for a long time, and the high levels of progesterone made me extremely difficult and moody. I’m wondering if I just need a more balanced progesterone level. Your article helped me understand jus how much my extreme stress is hurting my body!! Thank you!
The use of a NaProTECHNOLOGY approach to infertility or miscarriage will also allow us to observe events that formerly had been ignored.  An example of this might be that found in Figure 40-7.  Here a woman with four consecutive miscarriages has charted her cycle.  She has multiple days of premenstrual spotting prior to the beginning of her next period.  The hormonal correlation shows a significantly reduced progesterone production by the corpus luteum suggesting an inadequate corpus luteum as one of the underlying causes of her repetitive miscarriages.
I also feel that by relying solely on bio-identical hormones, you are turning a deaf ear to all the causes of low progesterone such as emotional stress, physical stress from bacterial, viral or parasitic infections, toxicity issues, excess alcohol, etc. No doubt, some women who, for example, lost their uterus or who live in stressful circumstances that won’t go away any time soon, will benefit from bio-identical progesterone to get on with their lives.
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