Progesterone Cream In Early Pregnancy: Exploring Safety And Benefits

is progesterone cream safe during early pregnancy

Progesterone is a hormone that is necessary to sustain a developing embryo. Natural progesterone cream is a supplement that can help women with low progesterone achieve and sustain pregnancy. However, it is important to note that not all progesterone creams are safe for use during pregnancy, and some may contain herbs that are not recommended during pregnancy. It is always best to consult with a healthcare professional before starting or stopping any supplement, especially during pregnancy.

Characteristics Values
Safe for early pregnancy Yes, but only if you have low progesterone levels
Safe for pre-conception Yes
Safe while pregnant No
Safe while breastfeeding No
Safe to stop using during early pregnancy No, may cause a miscarriage
Safe to stop using after 20 weeks Yes
Safe to stop using after 14 weeks Yes
Safe to stop using after 12 weeks Yes
Safe to stop using after 9 weeks Yes

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Progesterone cream is safe during early pregnancy

Progesterone is a hormone that is crucial in the early stages of pregnancy. It is produced naturally in the body but can be supplemented with creams, suppositories, or injections. Low progesterone levels can lead to miscarriage, so it is important to maintain adequate levels, especially if there is a history of miscarriage or low progesterone.

Natural progesterone cream can be an effective way to help women with low progesterone achieve and sustain pregnancy. It is recommended to continue using the cream if one becomes pregnant while using it, as suddenly stopping can cause a drop in progesterone levels, increasing the risk of miscarriage. It is also advised to switch to a pure progesterone cream that does not contain herbs, as most herbs are not suggested to be continued into pregnancy.

The dosage of progesterone cream may need to be adjusted throughout pregnancy. It is typically recommended to use the cream twice daily, with the dose increasing gradually until the 20th week of pregnancy. By this time, the placenta should be producing adequate amounts of progesterone, and the cream can be discontinued. However, it is important to consult a healthcare practitioner for guidance on dosage and discontinuation, as it may vary depending on individual needs.

While progesterone cream is generally safe during early pregnancy, it is always advisable to consult a doctor or midwife for personalized advice and to ensure proper prenatal care.

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Progesterone cream can prevent miscarriage

Progesterone is a hormone that is associated with the menstrual cycle. A woman's level of progesterone rises after ovulation and falls just before she gets her period. In pregnancy, the progesterone level should remain elevated.

Progesterone works to maintain the uterine lining and, thus, indirectly nourish the developing baby. So, one theory is that a low progesterone level during pregnancy could indicate that a woman has an insufficient uterine lining. For this reason, some doctors prescribe progesterone supplements to women who have had past miscarriages in the hopes that the supplements might reduce the risk of miscarriage in the future.

Progesterone supplements have been shown to prevent miscarriage in women who are using in vitro fertilization (IVF) or other reproductive technologies to get pregnant. Further, a review of 13 research studies published in 2018 concluded that "for women with unexplained recurrent miscarriages, supplementation with progestogen therapy probably reduces the rate of miscarriage in subsequent pregnancies."

However, there is plenty of debate surrounding the question of whether low progesterone affects pregnancy. Some experts believe that progesterone deficiency is a real issue, and an equal number of experts say that low progesterone doesn't have any impact at all on pregnancy.

Those who believe that low progesterone can affect pregnancy say that low levels can lead to an inadequately prepared uterus, and that the lack of a thick endometrial lining in the uterus can make it difficult for an embryo to implant or for a pregnancy to sustain itself.

If your doctor still feels that low progesterone may be contributing to your miscarriages, she may decide to try supplemental progesterone. Progesterone can be given in the following forms:

  • Progesterone injections
  • Vaginal progesterone suppositories
  • Progesterone oral tablets

In the case of recurrent miscarriages, you would take it before conception and continue to take it through the early stages of pregnancy to help sustain the pregnancy and avoid miscarriage.

It is important to note that using over-the-counter progesterone creams is not recommended without a doctor's approval. If you are working with a doctor, they may prescribe pharmaceutical-grade progesterone so that you know the exact dose that you are taking and so you can expect that the progesterone will be absorbed.

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Progesterone cream can be used to treat menopausal symptoms

Progesterone is a hormone that plays a significant role in reproduction. It is produced mainly in the ovaries, and its levels fluctuate with the menstrual cycle. During menopause, there is a decrease in progesterone levels.

Menopause marks the end of a person's menstrual cycles and is typically characterised by symptoms such as hot flashes, night sweats, vaginal dryness, joint and muscle aches and pains, and changes in libido.

Progesterone cream is a type of hormone replacement therapy (HRT) that can be used to alleviate menopausal symptoms. It is applied topically and is available in various strengths, ranging from 20 milligrams per millilitre (mg/mL) to 250 mg/mL. It is recommended to apply the cream once a day for six days and skip the seventh day to prevent hot flashes and other menopausal symptoms. The cream can be applied to the neck, inner thigh, forearm, lower abdomen, or vaginal area.

While progesterone cream has been marketed as a treatment for menopausal symptoms, there is limited research on its effectiveness. Some studies suggest that it may help reduce hot flashes, improve mood and sleep, alleviate skin dryness, prevent bone loss, and increase libido. However, other studies have found no significant difference between the use of progesterone cream and a placebo in relieving menopausal symptoms.

It is important to consult with a healthcare provider before using progesterone cream, as it may have side effects and interact with other medications. Additionally, the safety of progesterone cream for pregnant or breastfeeding individuals has not been established, and it should not be used on children.

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Progesterone cream can be used to maintain IVF pregnancies

Progesterone is a hormone produced by the ovary. It is first detected in the middle of the menstrual cycle when an egg is released (ovulation). One of the most important functions of progesterone is to prepare the lining of the uterus (endometrium) to allow a fertilised egg (embryo) to implant.

During an in vitro fertilisation (IVF) cycle, medications are usually used to prevent patients from releasing an egg early (premature ovulation). These medicines affect your progesterone levels. Therefore, your fertility specialist may prescribe a progesterone supplement to make up for this decrease in your ovary’s ability to make progesterone. That way, an embryo can implant and grow inside your uterus.

Progesterone is commonly used to maintain IVF pregnancies in their early stages. In a naturally conceived pregnancy, there is an abrupt rise in progesterone production, designed to facilitate the implantation of the embryo. While adding extra progesterone through transdermal cream may not rescue every IVF pregnancy, it has been demonstrated to help in most cases, and it certainly doesn't hurt.

Progesterone supplements have been shown to prevent miscarriage in women who are using in vitro fertilisation (IVF) or other reproductive technologies to get pregnant. Progesterone therapy can also help treat infertility, as low levels can prevent the uterine lining from becoming thick enough for implantation.

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Progesterone cream can be used to prevent preterm delivery

Progesterone is a hormone that is crucial for pregnancy maintenance. It is produced by the corpus luteum, a temporary endocrine structure that forms in one of a woman's ovaries during ovulation. Progesterone is responsible for maintaining the uterine lining, which is necessary for a fertilised egg to implant and grow.

Low levels of progesterone can cause preterm birth, which is defined as a delivery occurring prior to 37 weeks of gestation. Preterm birth is currently the most important problem in maternal-child health in the United States and possibly throughout the world. It complicates one in eight US deliveries and accounts for over 85% of all perinatal morbidity and mortality.

Progesterone supplementation has been shown to be effective in reducing the risk of preterm birth in women with a history of spontaneous preterm birth. In one study, women with a history of preterm birth were randomly assigned to receive either weekly intramuscular injections of 17α-hydroxyprogesterone caproate (17P) or a placebo. The women who received 17P had a significantly lower risk of preterm birth at all gestational ages studied: <37 weeks, <35 weeks, and <32 weeks.

Another study found that vaginal progesterone was effective in reducing the risk of preterm birth in women with a short cervix, which is a known risk factor for preterm birth. In this study, women with a cervical length of ≤15 mm were randomly assigned to receive either vaginal progesterone or a placebo. The women who received vaginal progesterone had a significantly lower risk of preterm birth at <34 weeks and <37 weeks.

While progesterone supplementation has been shown to be effective in preventing preterm birth in some high-risk women, it is not a panacea. At best, progesterone supplementation prevents only one-third of recurrent preterm births. Additionally, the long-term benefits of progesterone supplementation are not yet clear.

It is important to note that not all progesterone treatments are created equal. Synthetic progestins, such as medroxyprogesterone acetate and norethindrone acetate, are typically given by injection and may have significant androgenic activity. Natural progesterone, on the other hand, can be given vaginally, orally, or by injection. Vaginal progesterone has the advantage of high uterine bioavailability, as it bypasses the first pass through the liver. It also has fewer systemic side effects, although vaginal irritation can be bothersome.

The optimal progesterone formulation, route of administration, and dose for the prevention of preterm birth have not yet been determined. However, there is evidence that the type of progestin, formulation, dose, and route of administration may have a significant impact on efficacy.

In summary, progesterone supplementation can be an effective tool for preventing preterm birth in women with a history of spontaneous preterm birth or a short cervix. However, it is not a cure-all, and more research is needed to fully understand its benefits and risks.

Frequently asked questions

Yes, progesterone cream is generally considered safe during early pregnancy, especially if you were using it prior to conception to support adequate progesterone levels. However, it is important to consult your doctor or midwife for guidance on the correct dosage and application.

Progesterone is crucial in the early stages of pregnancy as it helps to sustain a developing embryo. Supplementing with progesterone cream can help prevent miscarriage, increase birth weight, prevent preterm delivery, and support in vitro fertilization (IVF), among other benefits.

If you have experienced recurrent miscarriages, especially around the time your period would have been due, you may have low progesterone levels. Consulting a healthcare practitioner to test your progesterone levels is recommended to determine if supplementation is necessary.

It is recommended to apply progesterone cream as directed, typically twice daily, until you can switch to a pure progesterone cream. It is important to gradually wean off the cream after the 20th week of pregnancy, as the placenta should be producing adequate progesterone by then. Always consult your healthcare provider for personalized guidance.

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