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Vaginal Progesterone Level (24-Hour Urine Collection)

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

This test measures the amount of progesterone found in your vaginal fluid over a 24-hour period. Progesterone is a hormone important for reproductive health, particularly during the menstrual cycle and pregnancy.

Quick summary

["Progesterone helps regulate your menstrual cycle and supports pregnancy; this test checks levels in vaginal fluid over a day."]

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

Key facts at a glance

LOINC
14356-0
Short code
KOH Prep Vag
Synonyms
KOH Prep Vag
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
koh-preparation
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

Why This Test Might Be Ordered

Your healthcare provider may recommend this test to evaluate hormonal balance, assess fertility, diagnose conditions affecting the menstrual cycle, or monitor pregnancy-related hormonal changes. It can also help identify issues like polycystic ovary syndrome (PCOS) or irregular ovulation.

How the Test Works

You’ll collect vaginal fluid samples over 24 hours, which are then analyzed to measure progesterone concentration. The test measures the hormone’s presence in your vaginal environment rather than in blood or urine alone.

What to Expect During Collection

Collection involves simple daily swabbing of vaginal fluid into a container. You’ll receive instructions on timing and frequency. Avoid douching or using vaginal products during collection to ensure accurate results.

Preparation Tips

Follow your provider’s instructions carefully. Avoid sexual activity, douching, or using vaginal creams or sprays during the collection period. Alcohol and certain medications may affect results, so discuss these with your doctor beforehand.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Progesterone levels in vaginal fluid can indicate ovulation timing, luteal phase function, or hormonal imbalances. Low levels may suggest issues like anovulation or early menopause, while abnormal spikes could relate to conditions like PCOS or thyroid disorders. This test supports diagnosis and treatment planning for fertility, menstrual irregularities, or reproductive endocrinology.

Short name

Vaginal Progesterone

Frequently asked questions

What does a vaginal progesterone test measure?
This test measures the amount of progesterone present in your vaginal fluid over a full day. Unlike blood tests, it reflects local hormonal activity in your reproductive tract.
How is the vaginal fluid collected?
You’ll use a sterile swab to collect vaginal fluid into a container at specified times for 24 hours. Your provider will guide you through the process to ensure accuracy.
Can I take medications or use products during the test?
No, avoid douching, vaginal creams, or sexual activity during collection. Some medications (like certain antidepressants) may affect results, so always check with your doctor.
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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