What is Progesterone?

Progesterone is a naturally occurring hormone in the body that is synthesized in the ovaries, testes, placenta, and adrenal cortex. Progesterone is primarily used as a fertility medication or as part of HRT for women. Common uses in this field include treatment of amenorrhea, abnormal uterine bleeding, or as a contraceptive. It is also used to help prevent early pregnancy failure in women with corpus luteum insufficiency, including women undergoing assisted reproductive technology [9]. Progesterone is used for supplementation or replacement as part of an Assisted Reproductive Technology (ART) treatment for women getting fertility treatment due to progesterone deficiency and for the treatment of secondary amenorrhea.

Progesterone injections are also used for the reduction of endometrial hyperplasia, and the attendant risk of endometrial carcinoma in postmenopausal women receiving hormone replacement therapy. It is also used as a treatment of abnormal uterine bleeding due to hormonal imbalance in the absence of organic pathologies such as fibroids or uterine cancer.

Progesterone Injections As Fertility Medication

Progesterone is a hormone that plays an important role in pregnancy and when there’s not enough progesterone in the body, women can experience symptoms such infertility issues or recumbent miscarriages. Sometimes during IVF treatment, the medication can interfere with the production of Progesterone in the body, which is where a supplement may be prescribed to re-balance hormone levels. At SandsRx, we offer progesterone injections as part of a personalized plan of fertility medication and care.

 

Progesterone injections are considered a safe treatment for HRT for women and fertility and are classified in FDA pregnancy category B. Several studies of women exposed to progesterone during pregnancy for luteal support have not demonstrated a significant increase in fetal malformations.

  • Progesterone injections should only be used during early pregnancy under the observation of an ART specialist
  • Progesterone should not be used if there is ectopic pregnancy, during cases of missed abortion, or during diagnostic tests for pregnancy.
  • In high doses, injectable progesterone is an anti-fertility drug and may chemically induce female infertility.

Progesterone Injections for Use in Breastfeeding

In general, the American Academy of Pediatrics considers progesterone to be compatible with breast-feeding the presence of progestins in the milk are not expected to have adverse effects on lactation production. However, the effects of progestins present in breast milk on the nursing infant have not been determined. The administration of any medication to nursing mothers should consider the benefit of the drug to the mother and the potential for risk to the breast-fed infant.

More About Progesterone Injections

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  • When you should not use Progesterone Injection
  • Risks of Progesterone Injection
  • Precautions
  • Side Effects of Progesterone Injections
  • Storage

When you should not use Progesterone Injection

  1. If you are allergic to progesterone, progesterone-like drugs, benzyl alcohol.
  2. If you have unusual vaginal bleeding which has not been evaluated by your doctor.
  3. If you have liver disease.
  4. If you have known or suspected cancer of the breast or genital organs.
  5. If you have a miscarriage and your physician suspects some tissue is still in the uterus.
  6. If you have or have had blood clots in the legs, lungs, eyes, or elsewhere.

Risks of Progesterone Injection

Abnormal blood clotting. Blood clots have been reported with the use of estrogens and pregestational drugs (alone or in combination). Call your doctor immediately if you suspect you have this condition.

Precautions

Be alert for unusual signs and symptoms. If any of these warning signals (or any other unusual symptoms) happen while you are using Progesterone Injection, call your doctor immediately:

  • Abnormal bleeding from the vagina.
  • Pains in the calves or chest, a sudden shortness of breath or coughing blood indicating possible clots in the legs, heart, or lungs.
  • Severe headache or vomiting, dizziness, faintness, or changes in vision or speech, weakness or numbness of an arm or leg indicating possible clots in the brain or eye.
  • Breast lumps, which could be associated with fibrocystic disorders, fibroadenoma, or breast cancer. (Ask your doctor or health-care provider to show you how to examine your breasts monthly.)
  • Yellowing of the skin and/or white of the eyes indicating possible liver problem.

Side Effects of Progesterone Injections

Consult your doctor if you experience any of the side effects mentioned below, or other side effects.

 

  • Breakthrough bleeding, spotting, changes in menstrual flow, amenorrhea
  • Change in weight (increase or decrease)
  • Pain, irritation, swelling, and/or redness at the injection area.
  • General swelling
  • Vaginal discharge
  • Yellow discoloration of skin or white of eyes
  • Breast tenderness, discharge from the nipple
  • Skin reactions including rash, hives, itching, and swelling.
  • Acne
  • Hair loss or growth of new hair
  • Mental depression
  • Fever
  • Insomnia or sleepiness
  • Nausea
  • Anaphylactoid (life-threatening allergic) reaction with symptoms that may include a sense of uneasiness or apprehension; flushing; fast, throbbing heartbeat; itching; hives; difficult breathing; swelling of the throat; fainting; nausea; vomiting; or convulsions.

 

*If you experience sleepiness, do not drive, or operate machinery.

Storage

Store this medication at 68°F to 77°F (20°C to 25°C) and away from heat, moisture, and light. Keep all medicine out of the reach of children. Throw away any unused medicine after the beyond use date. Do not flush unused medications or pour down a sink or drain.

Progesterone Injections at SandsRx Compounding Pharmacy

 

SandsRx Pharmacy offers progesterone injections as a fertility medication and as part of HRT for women. Progesterone is a hormone that is essential for pregnancy, and progesterone injections can help to increase the chances of conception by supporting the development of the uterine lining. In addition, progesterone injections can also be used as part of HRT for women who are experiencing menopausal symptoms such as hot flashes and night sweats. SandsRx offers progesterone injections as a convenient and effective fertility treatment option for women. Contact any of our three locations in Wylie, Frisco, and McKinney, TX to get more information. We are proud to be a trusted compounding pharmacy serving Dallas, Fort Worth, and the entire state of Texas.

Reference

 

Pritts EA, Atwood AK. Luteal phase support in infertility treatment: a meta-analysis of the randomized trials. Hum Reprod 2002;17:2287-99