Progesterone

FDA ApprovedExtensive Research

Also known as: Bioidentical Progesterone · Prometrium · Micronized Progesterone · P4

A critical neurosteroid and reproductive hormone that supports sleep, mood, neuroprotection, bone health, and is essential for balancing estrogen in HRT protocols.

Overview

Progesterone is a steroid hormone produced primarily by the corpus luteum after ovulation and by the placenta during pregnancy. Beyond its reproductive functions, progesterone is a potent neurosteroid with significant effects on brain function, sleep architecture, and mood regulation. Micronized bioidentical progesterone (Prometrium) is the preferred form in modern HRT, as synthetic progestins (like medroxyprogesterone acetate) have different receptor binding profiles and risk profiles. In women, progesterone is essential for endometrial protection when using estrogen therapy — it prevents endometrial hyperplasia and reduces cancer risk. But its benefits extend far beyond the uterus: progesterone promotes deep sleep by enhancing GABA-A receptor activity, provides neuroprotection, supports bone formation (stimulates osteoblasts), and has anti-inflammatory and anti-anxiety properties.

In men, progesterone at physiological levels supports brain health, counteracts some effects of excess estrogen, and may support prostate health. It is increasingly recognized as an important hormone for both sexes in optimization protocols.

Mechanism of Action

Binds to progesterone receptors (PR-A and PR-B) to regulate gene transcription. Its metabolite allopregnanolone is a potent positive allosteric modulator of GABA-A receptors, producing anxiolytic and sedative effects. Also modulates mineralocorticoid receptors (anti-aldosterone effect), inhibits 5-alpha reductase, and stimulates osteoblast differentiation.

Key Benefits

Dramatically improved sleep quality (GABA modulation)
Endometrial protection during estrogen therapy
Anxiolytic and mood-stabilizing effects
Neuroprotective properties (myelin repair, BDNF)
Bone-building effects (stimulates osteoblasts)
Natural diuretic effect (anti-aldosterone)
Anti-inflammatory properties
May support prostate health in men

Potential Side Effects

Drowsiness (therapeutic for sleep)
Dizziness
Bloating
Breast tenderness
Mood changes in some individuals

Common Stacks

This peptide is commonly combined with the following compounds for synergistic effects:

Estrogen (Estradiol)TestosteroneDHEAPregnenolone

Known Interactions

The following interactions have been documented for Progesterone. Always consult a healthcare professional before combining compounds.

Synergistic (1)

Standard HRT combination for women. Progesterone balances estrogen's proliferative effects on the endometrium, reducing cancer risk while maintaining hormonal benefits.

View all compound interactions

Scientific References

Quick Reference

Typical Dose

100-200 mg/day (oral, at bedtime); 50-100 mg (topical cream)

Frequency

Daily at bedtime (oral); cyclical or continuous depending on protocol

Route

Oral (micronized capsule); topical cream; vaginal suppository

Half-Life

~16-18 hours (oral micronized); ~34 hours (vaginal)

Cycle Length

Ongoing as part of HRT; cyclical (days 14-28) or continuous

FDA Status

FDA approved (Prometrium) for secondary amenorrhea and endometrial protection

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Use our reconstitution calculator to determine exact syringe measurements.

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This information is for educational purposes only. Consult a qualified healthcare professional before using any peptide. Dosing information reflects commonly reported protocols and may not be appropriate for everyone.

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