Who May Benefit from Progesterone Therapy?
Menstruating women with low progesterone levels
Low levels of progesterone can cause abnormal periods or infertility. Levels of progesterone in premenopausal women at the beginning of their menstrual cycle are typically 1 nanogram per milliliter (ng/mL) or less. Expected levels for women in the middle of their menstrual cycle range from about 5 to 20 ng/mL. Supplementing women with progesterone may help restart menstrual periods that unexpectedly stop (amenorrhea), address abnormal uterine bleeding due to hormonal imbalance, and combat severe symptoms of premenstrual syndrome (PMS). The causes of low progesterone levels can include a natural aging, dietary deficiency of vitamins B and C or zinc, stress, or irregular ovary function.
Perimenopausal and postmenopausal women
Postmenopausal women generally have low progesterone levels of less than 1 ng/ml, an expected result of the ovaries ceasing to function after menopause. Progesterone therapy can help perimenopausal and postmenopausal women experience better sleep outcomes and improved mood stabilization. And progesterone can offer endometrial protection for women initiating hormone replacement in the form of estradiol, estriol, or biest (estriol/estradiol) as well as limit estrogen dominance. Progesterone dosage for menopause will vary depending on individual biology.
Men with low hormone levels
Progesterone is not considered routine hormone replacement for men, as their typical amount of progesterone is less than 1 ng/mL. However, men need some progesterone to produce testosterone, the hormone necessary for sex drive, sperm production, muscle mass/strength, fat distribution, bone density, and red blood cell production. Testosterone replacement therapy can sometimes cause estrogen dominance in men, because some testosterone is naturally converted to estrogen in the body. Low doses of progesterone may limit the effects of estrogen dominance like fatigue, low sex drive, erectile dysfunction, mood swings, and increased belly fat.
Men and women with central nervous system conditions
Progesterone has been shown to protect nerve and brain function by producing a calmer mood, improving midlife insomnia, and stress tolerance.