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HOW TO CHECK PROGESTERONE LEVELS

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.

Progesterone is a key hormone that plays an essential role in ovulation, menstrual cycle regulation, and early pregnancy. If you are trying to conceive, investigating irregular periods, or experiencing symptoms such as spotting, low mood, or cycle changes, checking your progesterone levels can give you valuable insights into your reproductive health.


Testing your progesterone levels is simple and can be done either at home or in a clinic. A progesterone blood test is the most reliable way to confirm whether you have ovulated and to assess hormone balance throughout your cycle.


You can check your levels quickly through a progesterone blood test from One Day Tests, with results available in 24 to 48 hours.

UNDERSTANDING WHAT PROGESTERONE DOES

Progesterone is produced mainly by the ovaries after ovulation. Its role is to prepare the lining of the uterus for a potential pregnancy and maintain that lining if conception occurs. When progesterone rises, it signals that ovulation has taken place and that your body is in the second half of the menstrual cycle, known as the luteal phase.


If pregnancy occurs, progesterone continues to rise to support the early stages. If pregnancy does not occur, progesterone levels drop again, which triggers the next menstrual period.


Because progesterone rises after ovulation, testing your levels offers a reliable way to track whether ovulation has occurred and how your cycle is functioning.

RECOMMENDED BLOOD TESTS

WHEN TO CHECK PROGESTERONE LEVELS

The timing of your test is important. Progesterone is naturally low during the first half of your cycle and increases after ovulation. Testing too early may result in a false low reading, even if ovulation has occurred.


For a typical 28 day cycle, progesterone is usually checked around day 21, which is roughly seven days after ovulation. If your cycle is longer or shorter, the best time to test is seven days before your next expected period.


If you have irregular cycles, you may need to track ovulation signs such as cervical mucus changes, ovulation predictor kits, or basal body temperature to choose the ideal testing day. A healthcare professional can also advise on timing if cycles vary widely.

WAYS TO TEST PROGESTERONE LEVELS

There are two main ways to check your progesterone levels.


Clinic Based Progesterone Blood Test


This is the standard method used by doctors and fertility specialists. A blood sample is taken from your arm and analysed for serum progesterone levels. This type of test is highly accurate and commonly recommended for fertility assessments, early pregnancy monitoring, and hormone evaluation.


At Home Finger Prick Progesterone Test


Many people choose at home testing for convenience. A small finger prick sample is collected and sent to a laboratory for analysis. At home tests still measure serum progesterone, making them reliable when processed by accredited laboratories.

Both methods can provide strong insights into ovulation and hormone balance. Clinic testing may be preferred when detailed fertility investigations are needed, but home testing is an excellent option for cycle tracking and initial hormone checks.

HOW TO PREPARE FOR A PROGESTERONE BLOOD TEST

Testing for progesterone is straightforward and does not require fasting. You can eat and drink normally before your appointment or sample collection.


A few simple steps can help the process go smoothly:


  • Stay hydrated to make blood collection easier.

  • Note the first day of your most recent period, as it helps interpret your results accurately.

  • If taking hormone medication or supplements, follow your clinician’s advice regarding whether to pause them before testing.

  • Choose a testing day based on your cycle length or ovulation tracking method to ensure the most accurate reading.

The test itself takes just a few minutes. Results from private providers such as One Day Tests typically return within 24 to 48 hours.

WHAT YOUR RESULTS MEAN

Progesterone results vary depending on where you are in your menstrual cycle, whether you have ovulated, and whether pregnancy may have occurred. Results are interpreted differently depending on the timing of your test.


Low Progesterone Levels


Low results may suggest that ovulation has not occurred. This may also be associated with irregular periods, polycystic ovary syndrome, thyroid disorders, stress, or hormonal imbalance. In early pregnancy, low progesterone may indicate that the pregnancy is not developing as expected.


Normal Progesterone Levels


Normal progesterone suggests that ovulation has taken place and that your luteal phase hormones are functioning properly. This is often reassuring for people trying to conceive, as it indicates that the body is producing the hormones needed to support implantation.


High Progesterone Levels


Higher results may indicate early pregnancy or the presence of an ovarian cyst. Progesterone can also be elevated when taking certain fertility medications.


It is important to remember that progesterone varies widely between individuals and between cycles. The meaning of your result depends on your symptoms, your cycle, and when the test was taken.

WHEN TO REPEAT OR FOLLOW UP TESTING

In some cases, repeat testing may be recommended. Reasons for follow up include:


  • Confirming ovulation across multiple cycles

  • Tracking hormone changes during fertility treatment

  • Investigating unusual cycles or symptoms

  • Monitoring early pregnancy or luteal phase concerns

Your doctor may also suggest a wider panel of hormone tests, such as LH, FSH, oestrogen, or thyroid markers, to provide a more complete picture of your reproductive health.


If your progesterone levels seem lower or higher than expected, repeating the test at the correct cycle timing can help clarify the results.

SUMMARY: CHECKING PROGESTERONE LEVELS MADE SIMPLE

Testing your progesterone levels is a valuable way to understand your menstrual cycle, track ovulation, and assess your fertility health. Whether you choose a clinic based test or a convenient at home kit, your results can offer important insights into how your cycle is functioning.


Timing is crucial, and testing around seven days before your next expected period will give the most accurate reading. Both at home and clinic tests are reliable when processed by accredited laboratories.


A progesterone blood test from One Day Tests provides fast, accurate results, helping you make informed decisions about your health and fertility.

FREQUENTLY ASKED QUESTIONS

What is the best day to check progesterone levels?

The best day is usually seven days before your next expected period. For a 28 day cycle, this is typically around day 21.

Can progesterone levels confirm ovulation?

Yes. Progesterone rises after ovulation, so testing during the luteal phase helps confirm whether ovulation has occurred.

Is fasting required for a progesterone blood test?

No. You can eat and drink normally before your test.

Can I test progesterone levels at home?

Yes. At home finger prick progesterone tests offer a convenient way to check levels and receive results online through a secure dashboard.

What happens if my progesterone levels are low?

Low levels may indicate that ovulation has not occurred or that hormone balance is disrupted. A healthcare professional may recommend further testing or cycle tracking.

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