Q: How should you use progesterone if you are trying to conceive?
For most uses you would begin to use progesterone by using this calculation
Figure out the first day of your period. Subtract two weeks. That day would be the first day you start using the progesterone cream.
Example: An average cycle length is 28 - 30 days. In this case you would begin using progesterone on day 12 of your cycle, counting the first day of your period as day 1. If your cycle is shorter or longer than the given example you would start two weeks before day one of when your period is due. If you have no period at all then you would choose a date and work from there.
Q: I have found out that my progesterone is low. What does this mean to my reproductive health?
In a study published in the Lancet, a group of 18 regularly cycling women, average age 29, seven of them (39%) were found to not be ovulating and were not producing progesterone.
Q: If someone has PCOS and/or doesn’t have a regular menstrual cycle, how do they know what days to take the progesterone on?
This works because despite the length of a cycle, the days between ovulation and day 1 of the period is consistently two weeks.
Q: Does progesterone cream benefit those of us with PCOS, without a regular cycle? Or are we better off just taking Vitex and/or Maca?
Vitex works great in conjunction with progesterone cream. Vitex is working on the the underlying imbalance (which takes some time) while the progesterone helps in the current cycles.
If you do not menstruate at all then you may want to check out our article on bringing your period back and talk with your health care provider to find out what the imbalance may be.
Q: I know that I am ovulating. Do I still need progesterone? Could my progesterone levels still be low?
Q: How do I know if I have low progesterone?
Length of luteal phase
Saliva Hormone Testing
You can order an “at home” saliva test that you will take at a certain time during your cycle and then send away to a lab for analysis. They will then mail back the results so you can find out if you have any hormonal imbalances.
Q: Can I have both low progesterone and low estrogen?
Q: What is the difference between natural progesterone cream and progesterone that is prescribed by a doctor?
Q: Can I use wild yam cream instead of progesterone cream?
Q: What is the difference between Fertilica Progesterone and Emerita Progesterone?
The progesterone in both products are formulated from a substance found in Mexican wild yams. United States Pharmacopoeia (USP) denotes a recognized standard of purity and strength. It is sometimes referred to as “human-identical” or “bio-identical” progesterone, which differentiates it from synthetic progestins. USP classifies the progesterone as the highest quality available. Both progesterone creams contain USP grade natural progesterone.
Fertilica Natural Progesterone cream contains 20mg of USP Progesterone per full pump. The bottle contains approximately 70 pumps. It also includes additional hormone balancing herbs.
Emerita Pro-Gest cream contains 450 milligrams (mg) of USP Progesterone per ounce (900 mg per two-ounce tube). Each 1/4 tsp contains approximately 20 mg of USP Progesterone.
Q: Which is the best to take if I have low progesterone… progesterone cream, maca or vitex?
Progesterone cream is a direct way to increase progesterone levels. This is helpful in the case of luteal phase defect, preventing recurrent miscarriages and reversing conditions such as endometriosis and ovarian cysts.
Maca is a nourishing food for the endocrine system, aiding both the pituitary, adrenal, and thyroid glands (all involved in hormonal balance.) Maca has the ability to affect key hormones in both women and men without containing hormones itself. In women maca has been shown in studies to help regulate estrogen and increase progesterone (if that is what the body needs). In men It has been shown to regulate estrogen and increase libido and sperm health.
Vitex has been found to help normalize ovulation, improve a short luteal phase and reduce Polycystic Ovary Syndrome (PCOS), all known fertility inhibitors. In one study, vitex helped normalize progesterone levels and increased the luteal phase from 5.4 days to 11.4 days. In addition, two double-blind studies show vitex extract increases a woman’s fertility and chances of successful conception.
Q: Can you use both progesterone cream and vitex or maca?
Q: If I am using Maca to boost my progesterone should I stop taking it once I become pregnant?
Dr Wong “Currently Maca is being used throughout South America to prevent miscarriage and help women carry to term. It also has shown itself to provide a further benefit of increasing the birth weight of children. The average weight of babies born in Denver is lower than of babies born at sea level and Denver is only 5000 feet high. What happens at triple that in the Andes? Nothing, because the Maca increases progesterone production and this adds valuable mass to the child. The higher the birth weight the greater the chance of survival!”
Q: I am using Vitex to increase my progesterone levels should I stop taking it once I become pregnant? Is it safe to take during pregnancy?
In placebo controlled studies for teratogenicity and mutagenicity were conducted in rats, and even with the animals ere administered 74 times the dosage typically consumed by humans, no toxicity nor aberrations in fetal development were seen. While Vitex can be used to help a miscarriage that is acute, it is best to use at least 3 months prior to conception and continued into the first trimester to maintain stable progesterone levels. The Botanical Safety Handbook provided no contraindications to use during pregnancy.
Q: I have been taking progesterone and am now pregnant. How much progesterone should I use for pregnancy and how long should I use it for?
In the first trimester of pregnancy progesterone production is the sole responsibility of the ovaries, often fail to produce sufficient levels to maintain the pregnancy. By the second trimester, the placenta itself is responsible for producing progesterone, and it hikes the level of this hormone to 486% higher than the non-pregnant norm.
Synthetic progesterone drugs, not being natural progesterone, have side effects that if used to maintain the pregnancy may do damage to the baby.
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.
Q: Is progesterone cream safe to take while on the Fertility Cleanse?
If you are starting the Fertility Cleanse and progesterone cream at the same time I would suggest that you wait and begin the cream after your cleanse. The reason for this is that the Fertility Cleanse has a lot of different herbs that are going to be working on the endocrine system. It will be hard to monitor yourself and see how the progesterone is affecting you. Starting the progesterone cream the cycle after you have completed the Fertility Cleanse makes it easier to see how you are doing with the progesterone.
Q: Does it matter whether natural progesterone cream is made out of soy or wild yam?
Q: What is the difference between progesterone and progestins?
Q: Are there any side effects from using progesterone cream?
If you take progesterone out of phase then it may cause the timing of your period to change or spotting to occur.
The best way to avoid these side effects is to make sure to use the progesterone cream as directed, at the correct time of your cycle and not to exceed the recommend amount (10-30mg per application) or to work with a health care practitioner so your progesterone levels can be monitored.
Q: Can too much progesterone cause a light period?
Q: I have been using progesterone and am now spotting between periods. This never happened before? What is happening? Is it the progesterone?
The second common is that your timing may be off. If your cycle has been 24 days for years and changes to a 28 day cycle after you’ve began using progesterone cream this could be a sign of changes happening or a confused body. The best way to make sure you are using the cream at the right time is to calculate your progesterone start date by counting two weeks backwards from when your period is due.
The third common reason for spotting is that when the body is making hormonal shifts it sometimes gets out of wack for a cycle or two as it is shifting to its new cycle.
Q: I am preparing for an IVF and will be taking medications. Can I use progesterone cream?
Q: I am breastfeeding, can I use progesterone cream? What is the recommended usage?
Q: Can using progesterone cream prevent menopause from happening?
To learn more about using progesterone for fertility visit the Fertility Progesterone Guide .
Have a question? Ask it below or in our Natural Fertility Community forums . In the forums you will get responses from both herbalists and women sharing their first hand experience.
1. Lee, John, M.D. Hormone Balance Made Simple. 2006