A clinical strategy involving the administration of exogenous progesterone, often bio-identical, to supplement or optimize the body’s natural levels of this vital hormone. This intervention is frequently employed to address symptoms of hormonal imbalance, such as luteal phase deficiency, menopausal symptoms, or to mitigate the proliferative effects of unopposed estrogen on the endometrium. Progesterone support is critical for maintaining uterine health, promoting restorative sleep, and supporting neurological and bone health. The goal is to restore the essential balance within the steroid hormone milieu.
Origin
The term originated in reproductive endocrinology, where the clinical need to “support” the luteal phase of the menstrual cycle and early pregnancy with supplemental progesterone became apparent. It has since broadened to encompass its therapeutic use in menopausal hormone therapy and general hormonal wellness. This practice is grounded in the established role of progesterone in systemic health.
Mechanism
The mechanism of progesterone support is achieved by elevating circulating progesterone levels, allowing the hormone to bind to its nuclear receptors (PR-A and PR-B) in target tissues. In the uterus, this binding induces secretory changes in the endometrium and counteracts estrogen-driven proliferation. In the brain, progesterone metabolites exert anxiolytic and sedative effects by interacting with GABA receptors, thus facilitating improved sleep and mood regulation.
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