Skip to content
Trusted to do 100,000+ tests and consultations per month.
Trusted to do 100,000+ tests and consultations per month.
graphic of low progesterone levels

CAN A BLOOD TEST DETECT LOW PROGESTERONE?

THE AUTHOR: DR. ADAM STATEN

THE AUTHOR: DR. ADAM STATEN

Dr Adam Staten is a NHS GP and part of the Clinical Governance team here at One Day Tests. Dr. Staten trained at Cambridge University and King's College London. He has served as a Medical Officer in the British Army. Dr. Staten is a firm believer in educating people about common health problems to empower them to understand and manage their own health.

A blood test is the most reliable way to detect low progesterone. This important hormone plays a key role in the menstrual cycle, emotional wellbeing, and early pregnancy support. When progesterone is lower than expected, a wide range of symptoms can develop, and it may be difficult to know whether hormones are contributing to the problem without testing.


Checking your progesterone level is simple. If you would like accurate and fast results, you can use a progesterone blood test from One Day Tests with flexible sample collection options and laboratory reviewed reporting.

UNDERSTANDING HOW BLOOD TESTS IDENTIFY LOW PROGESTERONE

Progesterone naturally rises and falls throughout the menstrual cycle. After ovulation, the ovary produces progesterone, which prepares the uterus for a potential pregnancy and helps regulate the second half of the cycle. Because progesterone changes depending on the timing of your cycle, a blood test is the only dependable way to measure whether the hormone is within the expected range.


Low progesterone can affect both the menstrual cycle and general wellbeing. A blood test measures the exact concentration of the hormone in your bloodstream. By comparing the result to where you are in your cycle, the test can show whether ovulation has occurred, whether progesterone is rising as expected, or whether hormone levels are lower than normal.


Blood tests are also helpful during pregnancy when progesterone should rise. If levels remain low, further monitoring may be recommended.

RECOMMENDED BLOOD TESTS

WHAT A PROGESTERONE BLOOD TEST MEASURES

A progesterone blood test measures the amount of progesterone circulating in your blood at the time of the sample. This offers insight into several key areas of reproductive health.


Ovulation


Progesterone rises after ovulation. If levels remain low during the time when progesterone should be high, this may indicate that ovulation has not occurred or that the luteal phase is shorter or weaker than expected.


Hormone Balance


Low progesterone in the second half of the cycle may point to hormonal imbalance. This can disrupt the menstrual cycle, cause spotting, or affect emotional wellbeing.


Fertility


Progesterone helps prepare the uterus for implantation. If progesterone levels are low, implantation may be less likely to occur, which can affect fertility.


Pregnancy


In early pregnancy, progesterone rises further. A blood test can help assess whether levels are increasing at the expected pace.


A single result gives useful information, but interpreting progesterone accurately depends on the timing of the test.

SYMPTOMS AND SIGNS THAT MAY SUGGEST LOW PROGESTERONE

Low progesterone can produce a wide range of symptoms. Some are subtle and develop gradually, while others become more noticeable over time. If you recognise several of the symptoms below, checking your hormone levels may help provide clarity.


Irregular Menstrual Cycles


Low progesterone can disrupt the normal rhythm of the menstrual cycle. You may notice cycles that vary in length, appear shorter than usual, or occur unpredictably.


Spotting Or Breakthrough Bleeding


Progesterone stabilises the uterine lining. When levels are low, the lining may break down earlier than expected, leading to spotting before a period or intermittent bleeding.


Headaches Or Migraines


Hormonal fluctuations can trigger headaches. These may occur more often during the second half of the cycle when progesterone would normally be higher.


Mood Changes Or Anxiety


Low progesterone can affect emotional regulation. Some people experience irritability, anxiety, or mood sensitivity before a period or throughout the luteal phase.


Trouble Sleeping


Progesterone has a calming effect that supports restful sleep. Low levels may lead to difficulties falling asleep, waking frequently, or feeling unrested.


Hot Flashes


Hot flashes can occur when progesterone falls, especially during perimenopause when hormone levels fluctuate significantly.


Bloating Or Digestive Changes


Low progesterone may influence water retention and digestion, contributing to bloating or abdominal discomfort.


Weight Changes


Some notice weight fluctuations, particularly around the second half of the cycle.


Breast Tenderness


Hormone shifts caused by low progesterone may lead to breast sensitivity or tenderness.


Low Libido


Low progesterone can lead to reduced sexual desire, often linked to other physical and emotional symptoms.


Difficulty Conceiving


Because progesterone is essential for preparing the lining of the uterus for pregnancy, low levels can make implantation less likely. For those trying to conceive, low progesterone may be one of the reasons conception is taking longer than expected.

WHY PROGESTERONE LEVELS DROP

Progesterone levels can drop for many reasons. These may be temporary or part of a longer term pattern.


Irregular Ovulation


If ovulation does not occur in a given cycle, progesterone will remain low. Conditions such as polycystic ovary syndrome, thyroid disorders, or disrupted hormone signals can cause irregular ovulation.


Perimenopause And Menopause


As ovulation becomes less frequent with age, progesterone levels decline naturally. This is one of the main reasons many symptoms appear during perimenopause.


Thyroid Issues


Thyroid hormones play a role in regulating reproductive hormones. An underactive or overactive thyroid may disrupt progesterone production.


High Stress


Stress can affect ovulation by altering the hormones that stimulate the ovaries. This may lead to lower progesterone production.


Pregnancy Related Changes


In early pregnancy, progesterone is expected to rise. If levels remain low, follow up testing may be needed. This does not always indicate a problem, but monitoring provides reassurance.


Lifestyle Factors


Intense exercise, lack of sleep, or nutritional imbalance can influence hormone regulation, including progesterone production.


Understanding the underlying cause helps determine whether progesterone levels may naturally improve or whether further support is needed.

HOW A BLOOD TEST CONFIRMS LOW PROGESTERONE

A progesterone blood test is interpreted based on where you are in your cycle. This is essential because progesterone is naturally low during the first half of the cycle and only rises after ovulation.


Follicular Phase


During the first half of the cycle, progesterone is expected to be low. A low reading at this stage is normal and does not indicate a problem.


Luteal Phase


Progesterone peaks around seven days after ovulation. If a blood test taken during this time shows low levels, it suggests low progesterone or that ovulation did not occur.


Pregnancy


Higher progesterone levels are expected in early pregnancy. If levels remain low, clinicians may monitor how the hormone changes over time.


Because timing is so important, many people choose to test progesterone once they have an idea of their ovulation window or alongside cycle tracking tools.

WHEN TO TEST FOR LOW PROGESTERONE

You may want to check your progesterone levels if you experience:


  • Irregular periods

  • Spotting between periods

  • Difficulty conceiving

  • Symptoms of hormone imbalance

  • Sudden changes in mood or energy

  • Recurrent headaches near your period

  • Persistent sleep disturbances

The most helpful time to test is around seven days after ovulation or seven days before your expected period. This is when progesterone should be at its highest.


If the first test shows results that do not match your symptoms or cycle timing, a repeat test may provide a clearer picture.

SUMMARY: USING A BLOOD TEST TO IDENTIFY LOW PROGESTERONE

A blood test is the only reliable way to detect low progesterone. Symptoms alone can be confusing because many hormonal conditions overlap. By measuring progesterone directly, you gain clear insight into whether the hormone is within the expected range for your stage of the cycle.


Low progesterone can affect mood, sleep, fertility, and menstrual regularity. Understanding your levels helps you make informed decisions about your health and highlights whether further investigation or support may be helpful.


A progesterone blood test from One Day Tests offers a simple and accurate way to understand your hormone balance, with fast results and clinically grounded reporting.

FREQUENTLY ASKED QUESTIONS

Can A Blood Test Confirm Low Progesterone?

Yes. A blood test is the only dependable way to confirm low progesterone.

What Level Of Progesterone Is Considered Low?

Levels are considered low if they fall below the expected range for the luteal phase.

When Should I Test My Progesterone Levels?

Testing is most useful around seven days after ovulation or seven days before your period.

Can I Test Progesterone At Home?

Blood testing provides the most accurate measurement. This can be done at home using a finger prick kit.

Does Low Progesterone Always Need Treatment?

Not always. It depends on symptoms, cycle patterns, and whether pregnancy is planned.

Next article WHAT ARE THE SYMPTOMS OF LOW PROGESTERONE?