Vaginal Progesterone

Vaginal progesterone is progesterone placed in the vagina, close to the uterus. It often comes as a small waxy insert called a vaginal progesterone suppository. The hormone is the same one the corpus luteum makes after ovulation.

The vaginal route has a long record in restorative care. A 1980 clinic review found 13 women whose only problem was luteal phase deficiency. Nine of them conceived while using it1. In a 1987 series, early loss reached 10 percent in treated women and 42 percent in controls2.

Support may reach past early pregnancy. A 2003 trial assigned 142 high-risk women at random to the hormone or a placebo. Preterm birth before 37 weeks came in 13.8 percent on the hormone and 28.5 percent on placebo3.

Cited in this entry

  1. Rosenberg SM, Luciano AA, Riddick DH. The luteal phase defect: the relative frequency of, and encouraging response to, treatment with vaginal progesterone. Fertility and Sterility. 1980. Fertility and Sterility. https://pubmed.ncbi.nlm.nih.gov/7398902/
  2. Check JH, Chase JS, Nowroozi K, Wu CH, Adelson HG. Progesterone therapy to decrease first-trimester spontaneous abortions in previous aborters. International Journal of Fertility. 1987. International Journal of Fertility. https://pubmed.ncbi.nlm.nih.gov/2885282/
  3. da Fonseca EB, Bittar RE, Carvalho MH, Zugaib M. Prophylactic administration of progesterone by vaginal suppository to reduce the incidence of spontaneous preterm birth in women at increased risk: a randomized placebo-controlled double-blind study. American Journal of Obstetrics and Gynecology. 2003. American Journal of Obstetrics and Gynecology. https://pubmed.ncbi.nlm.nih.gov/12592250/

This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.