Progesterone (Serum)

Optimal Result: 0.3 - 50.6 nmol/L, or 0.09 - 15.91 ng/mL.

Progesterone is the reproductive hormone that prepares the uterus to receive a fertilized egg. If the egg is not fertilized, the menstrual cycle will start and progesterone levels will fall. Progesterone levels rise after ovulation for about five days. Then they start falling. 

During pregnancy, it’s the placenta that produces high levels of progesterone. Thus, levels are higher if you are carrying twins or triplets.

Progesterone is a hormone that thus balances estrogen. An imbalance between the two hormones can cause health issues, some that are quite serious. For example, in women, an imbalance in estrogen and progesterone can cause infertility, fibroids, ovarian cysts, brittle bones, or even adrenal gland cancer. 

Healthy progesterone levels help balance blood sugar levels. They stimulate growth of the bones and good bone density. They also allow you to sleep well at night and reduce anxiety during the day.

Normal Ranges for Progesterone in ng/mL or nmol/L:

Progesterone

Phase

Reference Range

FOLLICULAR

0.057 - 0.893 ng/mL

OVULATION

0.121 - 12.0 ng/mL

LUTEAL

1.83 - 23.9 ng/mL

Postmenopause

0 - 0.126 ng/mL

Pregnant women (trimester)

1st

11.0 - 44.3 ng/mL

2nd

25.4 - 83.3 ng/mL

3rd

58.7 - 214 ng/mL

Normal Progesterone levels vary depending on the time of the menstrual cycle, the trimester of the pregnancy, and whether or not one is menstruating or is male. 

Progesterone Levels for Young Girls (Pre-Puberty): 0.1-0.3 ng/mLProgesterone Levels for Menstruating Females:

  Day 1-14 during the menstrual cycle: <1 ng/mL or 0.5-2.3 nmol/L

  Day 15-29 during the cycle: 2-25 ng/mL or 6.4-79.5 nmol/L

During Pregnancy:

   1st trimester:  10-44 ng/mL or 32.6-140 nmol/L

   2nd trimester:  19.5-82.5 ng/mL or 62-262 nmol/L

   3rd trimester:  65-290 ng/mL or 206.7-728 nmol/L

 Menopause: <1ng/mL or <2 nmol/L

 Men:  <1 ng/mL or <3.2 nmol/L

Critical Range: Anything outside of the normal range

Sources: 

http://www.lifeextension.com/Vitamins-Supplements/itemLC004317/Progesterone-Blood-Test

https://www.webmd.com/women/progesterone-15286#1

https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID=progesterone

What does it mean if your Progesterone (Serum) result is too high?

Understanding Elevated Progesterone Levels: Causes, Symptoms, and Treatment Options

Progesterone is a vital hormone in women's health, playing a significant role in regulating menstrual cycles and supporting pregnancy. However, when progesterone levels rise above normal, it can indicate various health conditions, some of which may require medical attention.

Common Causes of Elevated Progesterone Levels:

  • Pregnancy: This is the most typical natural cause of high progesterone, especially in cases of twins or triplets.
  • Hormonal Medications: The use of birth control pills containing progesterone or hormone therapy can increase levels.
  • Ovarian and Adrenal Conditions: Ovarian cysts, ovarian cancer, adrenal gland overproduction of hormones, adrenal cancer, and rare tumors in these areas can lead to elevated progesterone.
  • Molar Pregnancy: An abnormal pregnancy that can cause higher progesterone levels.
  • Congenital Adrenal Hyperplasia: A genetic condition affecting adrenal gland function.

Symptoms to Watch For:

  • Menstrual Changes: Irregularities or alterations in the menstrual cycle.
  • Mood Fluctuations: Mood swings and depression.
  • Physical Discomfort: Fatigue, drowsiness, bloating, weight gain, headaches or migraines, and breast tenderness.

Potential Treatment Options:

  • Lifestyle Adjustments: Dietary and exercise changes may help in balancing hormone levels.
  • Medications: Hormonal treatments can be used to regulate progesterone levels, but only under medical supervision.
  • Addressing Underlying Conditions: Treating any identified ovarian or adrenal conditions.
  • Surgical Interventions: In certain cases, surgery might be required, especially for tumor removal.
  • Regular Monitoring and Support: Keeping track of hormonal levels and seeking counseling for emotional symptoms is important.

Special Consideration: Progesterone Supplementation

Elevated progesterone levels can also result from taking progesterone supplements, often prescribed for hormone replacement therapy, menstrual irregularities, or pregnancy-related issues. It's crucial to follow the guidance of a healthcare provider regarding the dosage and duration of progesterone supplementation to avoid hormonal imbalances.

Regular medical check-ups are essential when using progesterone supplements to ensure hormone levels remain within a healthy range and to adjust treatment as needed.

Key Takeaway:

Elevated progesterone is a condition that varies based on individual health and underlying causes. It's important to consult with a healthcare professional for accurate diagnosis and personalized treatment. While this overview provides general information, it should not replace professional medical advice.

What does it mean if your Progesterone (Serum) result is too low?

- Low progesterone levels may be caused by ovulation problems, not enough female hormones (hypogonadism), or miscarriage. 

- Low progesterone levels might be normal for postmenopausal women.

- Men, children, and postmenopausal women all have lower progesterone levels than women in their childbearing years. What is considered a “normal” progesterone level depends on a person’s age and gender. In women, other factors include whether you’re pregnant and where you are in your menstrual cycle. Progesterone levels fluctuate throughout the menstrual cycle. They peak about seven days before your period. And levels can vary during a single day.

--------------------

These are the progesterone reference ranges from LabCorp in ng/mL:

Follicular phase 0.1 - 0.9

Luteal phase 1.8 - 23.9

Ovulation phase 0.1 - 12.0

Pregnant

- First trimester 11.0 - 44.3

- Second trimester 25.4 - 83.3

- Third trimester 58.7 - 214.0

Postmenopausal 0.0 - 0.1

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