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17-hydroxyprogesterone Test

17-hydroxyprogesterone Test

January 21, 2026
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Do I need a Progesterone test?

Struggling with irregular cycles, mood swings, or difficulty conceiving? Could low progesterone be affecting your hormonal balance, and might testing help you understand why?

Progesterone is a key hormone that regulates your menstrual cycle, supports pregnancy, and influences your mood and sleep. When levels are off, you may experience PMS, anxiety, or fertility challenges.

**Testing your progesterone** gives you a quick snapshot of your hormonal health, revealing whether imbalances are driving your symptoms. It's the essential first step to personalizing your treatment plan and lifestyle choices so you can restore balance and feel like yourself again.

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Get tested with Superpower

**If you’ve been postponing blood testing for years or feel frustrated by doctor appointments and limited lab panels, you are not alone.** Standard healthcare is often reactive, focusing on testing only after symptoms appear or leaving patients in the dark.

Superpower flips that approach. We give you full insight into your body with over **100 biomarkers**, personalized action plans, long-term tracking, and answers to your questions, so you can stay ahead of any health issues.

With physician-reviewed results, CLIA-certified labs, and the option for at-home blood draws, Superpower is designed for people who want clarity, convenience, and real accountability - all in one place.

Key benefits of Progesterone testing

  • Confirms whether ovulation occurred during your menstrual cycle.
  • Spots hormonal imbalances that may explain irregular periods or missed cycles.
  • Clarifies causes of unexplained infertility or difficulty conceiving.
  • Guides treatment decisions for luteal phase defects affecting early pregnancy support.
  • Tracks early pregnancy health and flags risk of miscarriage or ectopic pregnancy.
  • Explains symptoms like abnormal bleeding, mood changes, or premenstrual issues.
  • Best interpreted with cycle timing, symptoms, and tests like LH or estradiol.

What is Progesterone?

Progesterone is a steroid hormone produced primarily by the ovaries after ovulation, with smaller amounts made by the adrenal glands. In pregnancy, the placenta becomes the major source. It belongs to a class of hormones called progestogens, which prepare the body for conception and sustain early pregnancy.

The hormone that prepares for pregnancy

Progesterone transforms the uterine lining (endometrium) into a nutrient-rich environment where a fertilized egg can implant and grow. It also stabilizes the uterus by reducing contractions that might expel an embryo.

A key player in the menstrual cycle

After ovulation, progesterone levels rise sharply during the second half of the menstrual cycle (luteal phase). If pregnancy doesn't occur, progesterone drops, triggering menstruation. If pregnancy begins, progesterone stays elevated to support the developing embryo.

Beyond reproduction

Progesterone also influences mood, sleep, and bone health. It interacts with receptors in the brain and other tissues, contributing to overall hormonal balance in both women and men, though at much lower levels in males.

Why is Progesterone important?

Progesterone is a steroid hormone that prepares the body for pregnancy and regulates the menstrual cycle, but it also influences mood, sleep, bone health, and metabolic balance in both women and men. In women, levels fluctuate dramatically across the cycle - rising after ovulation to support the uterine lining - while in men and children, progesterone remains consistently low. Optimal values depend entirely on timing: mid-luteal phase levels in cycling women typically range from 5 to 20 ng/mL, while follicular phase, postmenopausal, and male values stay below 1 ng/mL.

When progesterone runs low

Insufficient progesterone in the luteal phase signals weak or absent ovulation, leading to irregular periods, heavy bleeding, and difficulty conceiving or maintaining early pregnancy. Women may experience premenstrual mood swings, anxiety, insomnia, and breast tenderness as estrogen goes unopposed. Over time, low progesterone contributes to endometrial hyperplasia and increased miscarriage risk.

When progesterone climbs high

Elevated progesterone outside of pregnancy or the luteal phase may indicate ovarian cysts, adrenal tumors, or congenital adrenal hyperplasia. During pregnancy, progesterone rises steadily to sustain the placenta, but abnormally high levels can cause fatigue, bloating, and constipation.

The bigger hormonal picture

Progesterone works in concert with estrogen, thyroid hormones, and cortisol to regulate reproductive health, bone density, and metabolic function. Chronic imbalances increase long-term risks for osteoporosis, cardiovascular disease, and hormone-sensitive cancers, making progesterone a key marker of endocrine and reproductive vitality.

What do my Progesterone results mean?

Low progesterone levels

Low values usually reflect reduced ovarian production after ovulation or inadequate corpus luteum function. In menstruating women, this often signals anovulation (cycles without ovulation) or a weak luteal phase, which can affect menstrual regularity and fertility. During pregnancy, low progesterone may indicate risk of miscarriage or placental insufficiency. In men and postmenopausal women, progesterone is naturally very low and has limited clinical significance.

Optimal progesterone levels

Being in range suggests healthy ovulation and adequate corpus luteum function in the second half of the menstrual cycle. Optimal values vary dramatically by cycle phase: progesterone should be low in the follicular phase and rise significantly after ovulation during the luteal phase. In pregnancy, sustained elevation supports uterine lining stability and fetal development. Timing of the test relative to ovulation or pregnancy stage is essential for meaningful interpretation.

High progesterone levels

High values usually reflect normal luteal phase physiology, early pregnancy, or ovarian cysts that produce excess hormone. Rarely, adrenal tumors or certain medications can elevate progesterone. Persistently high levels outside of pregnancy may indicate luteal cysts or hormonal imbalances affecting cycle regularity.

Factors that influence progesterone results

Progesterone fluctuates widely across the menstrual cycle, so timing is critical. Pregnancy, hormone therapy, and certain medications alter levels significantly. Lab methods vary, and single measurements provide limited information without clinical context or serial testing.

Method: Laboratory-developed test (LDT) validated under CLIA; not cleared or approved by the FDA. Results are interpreted by clinicians in context and are not a stand-alone diagnosis.

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Frequently Asked Questions

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How it works
What should I expect during a blood draw?
  • A trained phlebotomist will guide you through the process.
  • A tourniquet is placed on your arm, the site is cleaned, and a small needle is used to collect blood into one or more tubes.
  • Results are usually ready in about a week.
  • Most people feel only a quick pinch.
  • The needle is removed, gentle pressure is applied, and a bandage is placed.
How do I prepare for a blood draw?
  • Drink plenty of water beforehand — hydration makes veins easier to find.
  • Wear loose sleeves so your arm is easy to access.
  • Follow any fasting instructions you’ve been given.
  • Let us know if you’re on medications, have fainted before, or have needle anxiety.
What should I do after my blood draw?
  • Press gently on the site for a few minutes.
  • Keep the bandage on for 4-6 hours.
  • Skip heavy lifting or strenuous exercise for the rest of the day.
  • Drink extra water to rehydrate.
  • Monitor the site for redness, swelling, or pain.
How do I book a blood draw with Superpower?

Your membership includes:

  • An annual full body test and report across 100+ biomarkers
  • A personalized action plan to optimize your biomarkers and reach your health goals
  • A dashboard to centralize your health data and track changes across a lifetime
  • Access to a health concierge for questions on your plan and help scheduling
  • Plus a marketplace of curated health products and services cheaper than amazon

Many concierge clinics charge $10k – $100k for their services, we’ve built technology to make the world’s best healthcare as accessible as possible via an all-in-one membership.

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Superpower is currently available in the following US states:

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Our testing
Does Superpower replace my primary care provider?

Superpower specializes in prevention-based testing and treatments and is not intended for emergency or immediate health issues.

While you will have a Superpower care team, your annual membership is designed to complement a primary care doctor if you have one, not replace them.

We are happy to help you share any test results with an outside provider to ensure you receive well-rounded medical care.

How fast are blood test results and how do I read them?

Your annual lab test panel takes about a week to process. We will text you as soon as they become available in your dashboard. Other types of tests may have different testing windows. The Superpower concierge is your own health assistant who helps answer your questions on your results, ensure smooth scheduling, coordination of any office-based tests, specialist referrals as needed, and navigating you to interface with your care team.

Does Superpower accept health insurance?

Superpower membership and products are all eligible for HSA/FSA funding.

We see Superpower like a gym membership for those committed to prevention and performance. Superpower is a bridge between wellness and healthcare. Health insurance traditionally focuses on reactive care whereas, at Superpower, we believe it’s never too early to start looking out for your long-term health.

What if I want more than 1 blood test per year?

Absolutely — you're not limited to just one. Your membership includes one comprehensive 100+ biomarker blood test each year, but if you'd like to track your progress more closely, you can add extra tests at any time. Each additional full-panel test costs $179. You can order as many as you'd like throughout the year.

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Frequently Asked Questions about 17-hydroxyprogesterone Test

What is progesterone hormone and what does it do in the menstrual cycle and pregnancy?

Progesterone is a steroid hormone made mainly by the ovaries after ovulation and, in pregnancy, by the placenta. It converts the uterine lining (endometrium) into a nutrient-rich surface for implantation and helps reduce uterine contractions to support early pregnancy. During the luteal phase, progesterone rises; if pregnancy doesn’t occur, it falls and triggers menstruation. It also affects mood, sleep, and bone health.

How does progesterone testing confirm whether I ovulated this cycle?

Progesterone rises sharply after ovulation because the corpus luteum produces it. A progesterone blood test taken at the right time - typically mid‑luteal (around day 21 in a 28‑day cycle) - can confirm whether ovulation occurred and how strong it was. If the result is low when it should be high, it often suggests absent or weak ovulation or a shortened luteal phase, which can affect cycle regularity and fertility.

When is the best time to test progesterone levels for accurate results (cycle day 21 and beyond)?

Timing is critical because progesterone varies dramatically by cycle phase. It should be low in the follicular phase and rise after ovulation, peaking mid‑luteal. Many people test “day 21,” but the goal is mid‑luteal timing (about 7 days after ovulation), which depends on your cycle length and ovulation day. Pregnancy status, menopause, symptoms, and hormonal medications also significantly change interpretation.

What do low progesterone levels mean if I have irregular periods, heavy bleeding, or missed cycles?

Low progesterone in a cycling person often points to absent or irregular ovulation or reduced corpus luteum function. This can lead to irregular cycles, heavy or abnormal bleeding, and missed periods because progesterone normally stabilizes the uterine lining after ovulation. Low levels may also be linked to luteal phase defects and perimenopause. Over time, insufficient progesterone may allow “unopposed estrogen,” which can increase endometrial and breast tissue proliferation.

Can low progesterone cause infertility or difficulty conceiving, and how is luteal phase defect involved?

Yes. Progesterone helps prepare and maintain the endometrium for implantation and early pregnancy support. If progesterone is low after ovulation, it may indicate weak ovulation or a luteal phase defect (a shortened or inadequate luteal phase), which can impair implantation and increase early pregnancy loss risk. Progesterone testing can clarify causes of unexplained infertility and guide treatment decisions aimed at improving luteal support.

What do progesterone levels indicate in early pregnancy, and how can they relate to miscarriage or ectopic pregnancy risk?

In early pregnancy, progesterone should remain elevated because it supports the uterine environment and early embryonic development. Low progesterone during pregnancy can suggest increased risk for miscarriage, placental insufficiency, or other concerns that need medical evaluation. Progesterone testing is also used to track early pregnancy health and help flag risk scenarios, including possible ectopic pregnancy, when interpreted alongside symptoms and other clinical findings.

Why might progesterone be high if I’m not pregnant, and what symptoms can it cause?

High progesterone outside pregnancy can be associated with ovarian cysts that produce hormones, certain adrenal tumors, or medication effects. Symptoms can include fatigue, bloating, breast tenderness/swelling, and sedation or “calming” effects because progesterone interacts with brain receptors. Extremely high progesterone is normal in later pregnancy, but persistently elevated levels when not pregnant generally warrants further evaluation in context of cycle timing and overall hormone balance.

How does progesterone affect mood, anxiety, sleep problems, and premenstrual symptoms?

Progesterone influences the brain and nervous system; its metabolites can have calming effects. When progesterone is low - often due to weak or absent ovulation - people may experience anxiety, insomnia, and premenstrual mood swings. Tracking progesterone can help connect symptoms like mood changes, poor sleep, and PMS with cycle phase and ovulatory function. Because progesterone interacts with estrogen, cortisol, and thyroid hormones, broader hormonal balance also matters.

How should I interpret progesterone results alongside LH tests, estradiol, and my symptoms?

Progesterone is best interpreted with correct cycle timing plus your symptoms and related hormones. LH tests help pinpoint ovulation timing, while estradiol reflects follicular and ovulatory patterns that pair with progesterone’s luteal rise. A “normal” progesterone depends on phase: low is expected before ovulation, and a substantial rise is expected after. Pregnancy, menopause, and hormonal medications can shift results, so context is essential.

Do men have progesterone, and what does low progesterone mean for men and postmenopausal women?

Yes - men produce small, steady amounts of progesterone, which can support brain function and help counterbalance estrogen. Low progesterone is less commonly measured in men, but it may contribute to estrogen dominance that affects mood and metabolic balance. Postmenopausal women and men typically have very low progesterone, so “low” results may be normal for that life stage; interpretation should focus on symptoms and overall hormonal context.

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