It's no secret that hormones play a major role in both the female and male reproductive systems. But one in particular -- progesterone -- is known as the "hormone of pregnancy" because of its part in regulating menstruation and ovulation [sources: Bowen; MSN]. If a woman has abnormally low levels of progesterone, it may be difficult -- even impossible -- for her to become pregnant. Adequate levels, on the other hand, can help a fertilized egg survive.
Fortunately, there are ways to increase progesterone. But first you will want to have a doctor test your current levels to ensure there really is a shortage of the hormone. If low progesterone is determined to be a probable culprit of your infertility, your doctor may prescribe progesterone.
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Synthetic progesterone, known as progestogen, is available in many formulations, including pills, gels and suppositories. But because progestogen is associated with numerous side effects, some women opt to take a bioidentical version of natural progesterone, which is normally offered in an over-the-counter (OTC) skin cream.
There is a debate as to how effective natural progesterone cream is at promoting fertility. Experts doubt that creams absorb into the skin well enough to get into the system [source: Jelovsek]. Some, on the other hand, worry that natural progesterone creams allow too much of the hormone into the body [source: Hermann, et. al]. In addition, OTC formulations aren't pharmaceutical grade or FDA regulated [source: DiLeo].
Despite some misgivings among the medical community, there are fertility clinics that recommend natural progesterone cream for certain patients. And, ideally, the cream -- although OTC -- should be used only with guidance of a physician.
On the next page, learn more about how natural progesterone can lead to conception.
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