Progesterone: definition and meaning

Progesterone is a steroid hormone made mainly by the corpus luteum after ovulation, and later by the placenta in pregnancy. It thickens and stabilizes the uterine lining so a fertilized egg can implant, and keeps it in place during early pregnancy. When progesterone falls at the end of the luteal phase, a period begins.
Progesterone across the cycle
What progesterone does
- Builds a soft, nourishing endometrial lining
- Raises your resting temperature by about 0.3 to 0.5 °C (0.5 to 1 °F) after ovulation, the basis of basal body temperature tracking
- Thickens cervical mucus, making it less sperm-friendly
- Can make you sleepier, hungrier and more bloated
- Breaks down into allopregnanolone, which acts on calming GABA receptors in the brain
Progesterone and mood
Progesterone and its by-products can feel calming for some people and unsettling for others. In PMS and PMDD, the brain seems unusually sensitive to rising and falling progesterone, not to abnormal levels. Synthetic versions in contraception are called progestins.
A blood test about 7 days before your expected period ("day 21" in a 28-day cycle) is used to confirm ovulation. Read more about hormones in the menstrual cycle.
Frequently asked questions
What are symptoms of low progesterone?
Possible signs include a short luteal phase, spotting before your period, and irregular cycles. Only a blood test confirms it.
Does progesterone cause PMS?
Not on its own. Levels are usually normal in PMS; the brain's sensitivity to the rise and fall seems to be the issue.
Why does progesterone make me tired?
Its by-product allopregnanolone has a calming, sedating effect, and the slight rise in body temperature can disturb sleep.
Sources
- Cleveland Clinic: Progesterone
- MedlinePlus: Progesterone Test
- Office on Women's Health: Your menstrual cycle
This page is for information only and isn’t medical advice. If something worries you, please talk to a doctor.
Menstrual cycle hormones: a simple chart of what rises and falls
Luteal phase: definition and meaning
Corpus luteum: definition and meaning
Progestin: definition and meaning