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    HomeMedication GuideProgesterone safety
    Bioidentical progestogen — FDA-approvedFDA-Approved

    Progesterone: Patient Information & Safety Notes

    Also known as Prometrium

    Other names: bioidentical-progesterone, prometrium, micronized-progesterone

    Progesterone is an FDA-approved naturally occurring hormone used in hormone replacement therapy to protect the uterine lining (endometrium) in women with an intact uterus who are receiving estrogen therapy, and for secondary amenorrhea.

    FDA-approved as Prometrium (micronized progesterone oral capsule) for use with estrogen in postmenopausal women with an intact uterus, and for secondary amenorrhea. Compounded bioidentical progesterone is also available.
    Reviewed by the OmniRx Health clinical teamLast reviewed Jul 4, 2026

    In plain language

    What Progesterone is used for

    • Menopausal HRT with estrogen — endometrial protection
    • Secondary amenorrhea
    • Sleep support (off-label; progesterone has sedative properties)

    Taking this medicine

    How it is administered

    • Oral capsule

    Read before you decide

    Risks and precautions

    Risks and warnings

    • Bloating, drowsiness
    • Mood changes, mild depressive feelings
    • Breast tenderness

    Who should not take it

    • Blood clotting disorders or thrombophlebitis
    • Undiagnosed vaginal bleeding
    • Liver dysfunction
    • Breast or genital cancer

    Common questions

    Patient questions

    Do I need progesterone if I take estrogen?

    Women with an intact uterus who take systemic estrogen need a progestogen (like progesterone) to protect the uterine lining (endometrium) from hyperplasia and cancer. Women without a uterus typically do not. A licensed provider determines the appropriate regimen.

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    This information is educational — not medical advice.

    This page is provided for general educational purposes and summarizes publicly available data from sources such as the U.S. Food & Drug Administration. It is not a substitute for the judgment of a licensed clinician and should not be used to start, stop, or change any medication. It may be incomplete or out of date, and individual circumstances vary. Always talk with your prescriber or pharmacist about your specific medications and health conditions. If you think you may have a medical emergency, call 911.

    Have medication questions?

    A licensed OmniRx provider can review your health history and medication list. Availability and treatment options are determined individually.