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Progesterone

P4, Bioidentical Progesterone, Prometrium

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Meta Information

ID:progesterone
Name:Progesterone
Schema Version:1.5

Title

Progesterone

Alternate Names

  • P4
  • Bioidentical Progesterone
  • Prometrium

Intervention Type

therapeutic_agent

Expected Cost Mean

Low Cost:
20
High Cost:
50
Cost Type:
monthly
Description:
Monthly cost for generic oral micronized progesterone prescription.

Summary

Progesterone is a steroid hormone essential for female reproductive health. In the context of healthspan, it is primarily used in post-menopausal hormone replacement therapy (HRT) to oppose estrogen's proliferative effect on the uterine lining, significantly reducing cancer risk. Its metabolite, allopregnanolone, also acts on GABA-A receptors in the brain, promoting calming effects and improving sleep quality, which are foundational for healthy aging.

Purpose

A steroid hormone used to balance estrogen and improve sleep.

Card Summary

A key female steroid hormone, primarily used in post-menopausal HRT to protect the uterus from estrogen-driven growth. It also promotes sleep and may have neuroprotective effects.

Drug Class

progestins

Drugs In Class

Empty Array

Impact

Score:
5.5
Justification:
Crucial for safe estrogen therapy in women; provides direct sleep and neuroprotective benefits.

Evidence

Grade:
B
Score:
7.5
Justification:
Strong evidence for endometrial protection; moderate evidence for sleep and neuroprotection benefits.

Safety

Score:
5
Justification:
Requires prescription and monitoring; side effects are common but generally manageable.

Flags

  • Essential when taking estrogen therapy in women with a uterus to prevent endometrial cancer.
  • Bioidentical progesterone has a different risk profile than synthetic progestins.
  • Commonly causes drowsiness and is best taken at bedtime.
  • Contraindicated in history of certain cancers, liver disease, or thromboembolic events.
  • Dosage and administration route significantly alter its metabolic effects.

Verdict

Essential for safe HRT in women; offers sleep and mood benefits.

Created

2026-04-23T23:50:09.915928Z

Model

Gemini 3.1 Pro (High)

Delivery

Route:
oral
Scope:
  • systemic

Indication

Focus:
healthspan
Description:
Progesterone is a steroid hormone essential for female reproductive health. In the context of healthspan, it is primarily used in post-menopausal hormone replacement therapy (HRT) to oppose estrogen's...

Typical Protocol

  • 100-200 mg of oral micronized progesterone taken nightly, often cyclically for 12-14 days per month.