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Serum or plasma concentration of free (unbound) progesterone

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of progesterone in your blood that is not attached to proteins, providing a more accurate reflection of biologically active progesterone levels.

Quick summary

["Free progesterone helps regulate your menstrual cycle and pregnancy."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
39911-3
Short code
Deprecated Hrt RI FP+WM+EF V1 W RNC IV
Synonyms
Deprecated Hrt RI FP+WM+EF V1 W RNC IV
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
radnuc
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Is Free Progesterone Used For?

Free progesterone testing is often used to assess reproductive health, diagnose hormonal imbalances, or evaluate fertility. It can help identify issues like luteal phase deficiency, ovarian dysfunction, or hormonal disorders that may affect menstrual cycles or pregnancy.

When Might You Need This Test?

Your healthcare provider may recommend a free progesterone test if you have irregular periods, trouble conceiving, symptoms of hormonal imbalances (such as heavy bleeding or missed periods), or if you’re undergoing fertility treatments.

How Is the Test Performed?

A blood sample is drawn from a vein, usually in your arm. The sample is then processed to separate serum or plasma, where the free progesterone level is measured using a specialized immunoassay technique.

What Does a Low or High Level Mean?

Low free progesterone levels may suggest problems with ovulation or luteal phase insufficiency, which can affect fertility. High levels might indicate conditions like polycystic ovary syndrome (PCOS) or certain hormonal tumors, though further evaluation is needed.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical significance: Free progesterone is critical for maintaining early pregnancy and supporting the luteal phase of the menstrual cycle. Abnormal levels can point to underlying reproductive health concerns that may require medical intervention or further testing.

Short name

Free Progesterone

Frequently asked questions

Why is my free progesterone test result different from what I expected?
Results can vary based on the phase of your menstrual cycle, medications you’re taking (like birth control), or other health conditions. Always discuss your results with your healthcare provider for personalized interpretation.
Does free progesterone testing hurt?
Drawing blood typically causes mild discomfort for a few seconds, but most people tolerate it well. A small bandage or ice pack may help afterward.
Can I eat or drink before this test?
You may eat and drink normally before the test unless instructed otherwise by your provider. Avoid alcohol for 24 hours before the test if possible, as it may affect hormone levels.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy