I don’t see why taking both at once would cause an issue. Vitex doesn’t directly add hormones to your body, only supports the production of them. And some women don’t do well on vitex. I don’t mean to go against your NP, but you may want to look into vitex a bit more if you are having symptoms get worse. It’s often touted as THE herb to regulate cycles, but like with any type of plant based medicine, it doesn’t work the same way for everyone as our body chemistry is different. It’s all about fining the herbs suited to your needs.
Infertility. Intravaginal progesterone gel (Crinone 8%) is FDA-approved for use as a part of infertility treatment in women. Some research suggests that applying progesterone intravaginally and injecting it into the muscle may have similar effectiveness for increasing pregnancy rates as giving it by mouth. Also, research suggests that intravaginal progesterone seems to be as effective for pregnancy rates as human chorionic gonadotropin (HCG).

Estrogen and progesterone play a seesaw game over the course of a month, and over the course of your life as a woman.  Estrogen is needed to stimulate your ovaries and grow your uterine lining in the first part of your cycle.  This strong first half leads to strong progesterone in the second half, unless something goes wrong. The following points can all be causes of low progesterone.

Hi, I have just been through my second miscarriage. The first one was ectopic about 2 years ago. I was exercising excessively at the time, cardio and bodybuilding, my periods stopped months before I then started to bleed and get pains, went straight to A&E and was told I had an ectopic pregnancy, I didn’t need surgery, had an injection and I was fine after a few weeks. This time I do not exercise anything like I have in the past, my periods are quite heavy but regular, I conceived within 2 months of trying but miscarried at 6 weeks. My concern is that I have low progesterone. Before I conceived I’ve had dry skin mainly on legs and hands, swollen ankles when I sit for longer periods, heavier periods than normal with cramps, also weight gain but that may be down to less exercise. I was just wondering if my pregnancy losses may be down to low progesterone. Any advice would be helpful. Thanks. Xx
Hormones play a complex role in how the brain interprets sensations of pain from its neurotransmitters. For example, the journal Reviews in Pain reports that during pregnancy when progesterone levels are at their highest, some women experience a reduction in some painful conditions. However, other types of pain are more pronounced in pregnancy, namely lower back pain and temporomandibular joint disorders.23
Nikki didn’t know if her DHEA levels had changed, but I suspect that they had. DHEA levels improve as a result of balanced cortisol due to improved adrenal function, we believe. That would create a more natural hormone balance on Nikki’s body as she was running heavily on cortisol due to the emotional stress from the death of her newborn, the miscarriages, as well as her ongoing concerns.

PCOS - (poly cystic ovary syndrome) is becoming an increasing problem worldwide and is one of the most common signs of infertility.  Anovulation takes place often which leads to problems conceiving and carrying a child.  Like endometriosis, oxidative stress is the major cause.  Anti-oxidants are essential, particularly vitamin D3, both these have successfully reversed PCOS in a number of women.

I’ve got a question… I had a miscarriage in ’05. Then had a very healthy pregnancy in ’08. Since then this past Feb we tried again and I suffered a horrible miscarriage. Last month I had yet another, luckily this one was quick and my body actually took care of it all. If I have low progesterone, could this cause the miscarriages? And if so, should I be tested for this before we try to conceive again?
I miscarried my first pregnancy in April 2013 at 8 weeks. I started charting in June, which indicates luteal phases of 9, 10, 11 and 13 days. I suspect low progesterone is part of the problem even though I am of healthy weight, active, eat well, etc. You mention getting testing done, but can you name the specific tests and the time during my cycle the testing should be done? Thanks!

Case No. 3:  The limited mucus cycles, endometriosis, ovarian dysfunction and a husband with a very low sperm count were identified in this patient who had failed two previous IVF procedures.  In spite of these abnormalities, with proper NaProTECHNOLOGY treatment, she achieved a pregnancy and had a normal healthy baby (from Pope Paul VI Institute).

It’s a cause because you can get too high in estrogen due to carrying excess body weight, and your fat tissue produces estrogen.  Even if you are thin, you can put yourself into excess estrogen if you have high blood sugar and  insulin resistance.  Insulin resistance is a state in which your cells block insulin from getting inside because your blood sugar is too frequently too high.

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!
Many doctors will have you get your lab test done on day 21 of your cycle…but if you don’t ovulate on day 14 the results will be off. You need to know when you ovulate for best results! Some Reproductive Endocrinologists actually test progesterone levels multiple times during the cycle when progesterone is chronically low, even after trying to boost it naturally and using supplementation.
What we know is that it can take anywhere from 4-12 months to bring progesterone levels back up in women with very low progesterone levels. In general we suggest its use, while following a holistic natural fertility program, for a minimum of three months, up to 6 months while paying attention to how the body is responding/shifting before making a change to said program. It would also be a good idea to have progesterone levels monitored during this time to know how levels are shifting and if you might need to adjust the dose, or if you can wean off of progesterone cream. Each woman will be different, so the length of safe use for you will likely be different from the length of safe use for me or another.
Hormone balance is deeply connected to the food we eat, the exercise we get, the toxins we absorb, the weight we carry, and the stress levels we put up with. How these multiple factors impact the overall hormone picture is crucial, particularly at midlife when most hormone production is taken over by the adrenal glands. If stress takes center stage in our lives and becomes chronic, cortisol floods the system and total hormone production lags. This forces the body to steal from its own supplies of available progesterone, to make more cortisol, thus depleting this key balancing hormone with obvious implications for estrogen dominance. Prolonged stress tears up our bones, melts our muscles, robs us of strength and energy, lowers our libido and overwhelms our immunities, putting us at serious risk for chronic illness and autoimmune disease.
My periods were 15/20 days since I was like 15 years old . nothing helped.I’m 27 and about two years ago my body told me I was stressing my doctor offered me anxiety pills bcp etc all theses test were ran my progesterone level was non existent anyways I stopped stressing over little things like someone not calling me back or thinking about what someone else was doing and I swear my periods changed that month they have been seven days ever since and the first regular period was 3 days now there all seven days this article is true I tell everyone with crazy periods try not to stress Iam the happiest person alive learn your stress listen to the little voice inside 🙂
When we got “the talk” about periods, sex, and baby making, most of us learned what happens without much understanding of how it happens. Yet more women than ever are looking for answers about irregular or painful periods, trouble conceiving, or carrying a baby to term. In all of these issues, one common denominator keeps coming to the fore: progesterone. 
A little heads up though. Most doctors are so set in their understanding of the 28 day model of a woman’s menstrual cycle that explaining this to them will be like banging your head on a wall over and over again. No matter how many times you try to explain it, or even if you bring in your charts and show your doctor, you’ll be told to come in on day 21 of your cycle.
Vitex (Chaste Tree Berry) is one of the most powerful herbs for women’s fertility and menstrual health. There are numerous studies and testimonials of Vitex and its effects on the body. One of the reasons Vitex is so effective and popular is because of its ability to balance hormones while not containing hormones itself. Vitex supports hormonal balance in the body by having an effect on the hypothalamic-pituitary-ovarian axis (hormonal feedback loop), correcting the problem at the source.
I have always thought I had a hormonal imbalance because I have been having symptoms for a year now,first the emotional spells and then i got insomnia so bad,doctors didnt believe me when i told them i think im in perimenapause,I get night sweats before my period and my period are either short or clotty,I’m on remeron and it works for now,I want to get my hormones checked,because i know im not crazy

5. Low libido, fatigue, foggy thinking –  most often women come in to our clinic complaining of these symptoms post-partum but many women in their 30s and 40s, regardless of their child-bearing status, will start to experience an energy, sex drive, and mental shift with a drop in progesterone. Less than keen on sex? Feel like having an afternoon nap? Can’t remember names or words as well as you once did? Please ask your doctor to test your progesterone in your next check-up.
Progesterone level: Progesterone increases on the day of ovulation and peaks seven days later (midluteal phase). A normal blood level around that day was used as standard evidence of normal ovulation and corpus luteum function. However, a 2016 paper published at NCBI notes the test is not reliable for diagnosis of low progesterone because the hormone secretes in pulses. Blood levels can range widely, depending on when it is performed in relation to the timing of the pulses.
The Natural Hormones website suggests that progesterone levels may fluctuate during the course of a woman’s normal menstrual cycle, and low progesterone levels are common during the follicular phase of the menstrual cycle. Women with low progesterone levels may suffer from estrogen dominance. Psychological symptoms of low progesterone levels in women include anxiety, irritability and mood swings. Physical symptoms of low progesterone in women include headaches and premenstrual syndrome.
Clomid does not increase progesterone levels on its own; only if the drug stimulates production of a more mature follicle will it have any effect on progesterone levels. Some women will still need supplemental progesterone even if they take Clomid. If Clomid does not stimulate production and ovulation of a follicle, progesterone levels won't rise. Neither Clomid nor progesterone alone, or both together, will fix all the potential problems that can arise with embryo implantation.

Oestrogen is not the only hormone that causes weight gain; cortisol also has its role. Belly fat is not fun for anyone, but for men and women long-term high cortisol increases the fat deposit around ones midriff. As most of us already know the thyroid also controls our metabolism and weight balance. Thankfully progesterone can balance oestrogen and improve thyroid function, plus it reduces stress and keeps cortisol in check.
Progesterone is essential to mature the uterine lining (endometrium) for implantation of the early embryo. Therefore, many specialists assumed low levels after ovulation (luteal phase deficiency) might cause failure of implantation and reduce your fertility at this stage. However, current evidence does not show low progesterone during the luteal phase interferes with implantation.
I am six weeks and two days pregnant and a little worried, I have a beautiful seven year old girl but last year I miscarried the times, I found out I was pregnant last week and my Dr instantly started me on progesterone supplements because after losing three we did labs and I was extremely low, I go in today to get results from blood work I did Friday and Sunday and I'm nervous we really want a baby and I want this to work, has anyone had success with this kind of thing?
@Barbara, You’re right, taking a bio-identical hormone may negatively affect fertility when they are not needed. Progesterone can increase the chance of keeping a pregnancy in a woman who is chronically low. (to low progesterone and miscarriage is likely) And using some short term supplementation with progesterone can help a woman who is estrogen dominant.
I have extremely low progesterone and have had it since puberty. I have been fired from jobs (dealing in customer service) because I would become irate and become a total b*tch on my period, I have severe insomnia (I sometimes go 5 days with 3 hrs a night of sleep), constipation (1 bowel movement a week if I am lucky), I know the minute my period starts and even the minute I start ovulating because the pain becomes unbearable, I can’t be on birth control because IUDs were worse then childbirth for me, I now have seizures every time I ovulate and menstruate (in the last 3 months I have had 6 seizures), my heartbeat is horrifically irregular and my chest always hurts, I have a constant headache and I do mean constant for like months at a time, I have breathing problems, sometimes all I do is pass blood clots on my period, I have horrid neck pain and all over pains, if I pick at my nails the whole nail comes off, I have lost the hair on the sides of my head, I become dizzy up to 20 times a day, night sweats, I get cysts almost constantly, I am tired all the time even when I just woke up, spotting, I get taser like shocks all over my body, and I can go on and on but those are the truly scary things that can happen with low progesterone.

Hi Camille, PMS is very challenging no matter what age. PMS is estrogen dominance issues and boosting progesterone is very helpful for this. You might also consider Magdalena’s Herbs for Balance program that will go into this issue much more in depth. http://www.herbsforbalance.com/join. Think about liver health and metabolizing estrogen better. See this article about the topic. https://hormonesbalance.com/articles/what-is-estrogen-dominance-as-a-hormonal-imbalance-in-women/. Hope that helps.