Progesterone Levels During Perimenopause

progesterone levels during perimenopause

Written by: Dr. Amy Beckley, PhD, Founder and Inventor of the Proov test — the first and only FDA-cleared test to confirm successful ovulation at home.

Hormonal changes during perimenopause can feel like a whirlwind, and if you’re starting to notice shifts in your body and mood, you’re not alone. Among the key hormones affected during this time is progesterone — an essential hormone that influences more than just fertility. While many think of progesterone only in terms of pregnancy, its role is far-reaching and affects everything from your menstrual cycle to your emotional well-being, and even your bone health.

If you’ve been following Proov Empower, you’ve probably heard us talk about the importance of progesterone during your reproductive years. But as you move into perimenopause and beyond, progesterone continues to play a crucial role in your overall health. So, let’s take a closer look at how progesterone levels change during perimenopause, what that means for your body, and how you can manage these changes with confidence.

What is progesterone, and why is it important?

Progesterone is one of the primary female reproductive hormones that, along with estrogen, helps regulate your cycle. During the first half of your cycle — the follicular phase — progesterone levels remain low, while estrogen takes center stage. After ovulation, the empty follicle that released the egg transforms into the corpus luteum, which then produces progesterone during the luteal phase (the second half of your cycle).

This hormone not only supports a potential pregnancy but also maintains overall cycle health. Even if you’re not trying to conceive, the right amount of progesterone at the right time is crucial for a balanced cycle. It signals to your body when it’s time for your period to start and helps ensure that the entire hormonal rhythm stays on track.

But during perimenopause, as hormone levels fluctuate, insufficient progesterone can lead to a range of symptoms. You may experience irregular periods, PMS-like symptoms, or spotting between cycles. And while a healthy progesterone level is essential for a regular cycle, it also supports cognitive function, bone health, and protection against certain health conditions like breast cancer. Clearly, progesterone remains a key player even beyond your reproductive years.

What is perimenopause?

Perimenopause is a transitional period that occurs before menopause, as the body’s hormone production begins to shift and ovarian function gradually declines. It’s a natural part of aging and typically starts in the early to mid-40s, though some may begin experiencing perimenopausal changes as early as their late 30s. This phase can last anywhere from 2 to 10 years and is marked by hormonal fluctuations that may cause various physical and emotional changes.

During perimenopause, the amount of eggs in your ovaries (also known as your ovarian reserve) starts to decrease, making it more challenging for your ovaries to produce hormones at optimal levels. This can lead to unpredictable ovulation and shifts in progesterone and estrogen levels, resulting in common symptoms like irregular periods, hot flashes, and mood swings.

How does progesterone change during perimenopause?

Since progesterone production is triggered by ovulation, irregular ovulation can lead to lower progesterone levels. Even when you do ovulate, your ovaries may not always produce enough progesterone, leading to symptoms like shorter cycles, heavier or lighter periods, and overall cycle unpredictability. This hormonal imbalance can also contribute to mood changes, sleep disturbances, and more.

If you’re in your 40s and are noticing changes in your cycle or other symptoms like spotting or increased PMS, it could be a sign that your progesterone levels are shifting as a result of perimenopause.

Why are balanced progesterone levels important in perimenopause?

Balanced progesterone levels are important because they help maintain overall hormonal harmony. When progesterone levels drop too low, it can lead to estrogen dominance — a condition where there’s too much estrogen relative to progesterone. This imbalance can cause symptoms such as weight gain, irritability, anxiety, and breast tenderness. For women in perimenopause, understanding and tracking progesterone levels can provide clarity and help guide health decisions.

How can Proov Empower help?

Proov Empower offers comprehensive hormone testing that provides a detailed look into your hormone levels, including progesterone. Our Proov Empower Test Kit measures Follicle-Stimulating Hormone (FSH) — a key hormone that increases as the body moves closer to menopause. By tracking FSH along with other key hormone markers using our Proov Empower Kit, you can gain a better understanding of where you are in your hormone journey and take control of your symptoms.

If you’re curious about your progesterone levels during perimenopause, at-home testing like Proov Empower can provide valuable insights without the need for blood draws. The convenience of at-home testing allows you to track your hormone health over time and work with your healthcare provider to develop a personalized plan that fits your needs.

Managing perimenopause symptoms related to low progesterone

If you suspect low progesterone might be contributing to your perimenopausal symptoms, there are several strategies that may help:

  • Dietary adjustments: Incorporate foods rich in vitamin B6, zinc, and magnesium, which support progesterone production.
  • Lifestyle changes: Exercise, stress management, and adequate sleep can positively impact hormone balance.
  • Supplements: Herbal supplements like chasteberry (vitex) may help support progesterone production naturally.
  • Consider Proov Empower testing: Tracking your hormone levels through the Proov Empower Test Kit can help you pinpoint where imbalances may be occurring and provide data-driven insights to discuss with your healthcare provider.

A few final thoughts

Navigating through perimenopause can feel like a challenge, but it’s important to remember that you have options and support available. Understanding your progesterone levels and tracking hormone changes can empower you to take proactive steps toward managing your symptoms and improving your quality of life. Proov Empower is here to help you gain the clarity and confidence you need to navigate this transition with ease.

Whether you’re dealing with irregular cycles, mood changes, or other perimenopausal symptoms, staying informed and seeking support are key. With Proov Empower, you have access to the tools and resources to take charge of your hormonal health and feel more like yourself again, every step of the way.