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Progesterone, 24-Hour Urinary Metabolite Profile (Total)

Published: August 9, 2026Updated: August 17, 2026

This test measures the total amount of progesterone metabolites excreted in your urine over a 24-hour period. Progesterone is a hormone involved in reproductive health and menstrual cycles.

Quick summary

["Understanding your progesterone metabolite levels can help assess reproductive function and hormone balance."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
12821-5
Short code
Progest 30M p chal SerPl-mCnc
Synonyms
Progest 30M p chal SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
80
Ref high
200
Critical range
20 N/A – 400 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84436
SNOMED
302346007
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 if you have symptoms like irregular menstrual periods, fertility issues, or signs of hormonal imbalances. It can also be used to monitor conditions like polycystic ovary syndrome (PCOS) or evaluate hormone therapy responses.

What to Expect Before the Test

You’ll typically provide a 24-hour urine collection starting after your first morning urine void. Follow your provider’s instructions carefully to ensure accurate results, including timing and storage of samples.

What the Test Measures

The test quantifies the total excretion of progesterone metabolites in your urine. This reflects your body’s ongoing progesterone production, which can be influenced by menstrual cycles, pregnancy, or medical treatments.

How the Results Are Interpreted

Results are compared to general reference ranges for healthy individuals, though specific ranges may vary by lab. Elevated levels might suggest conditions like ovarian tumors or certain hormonal therapies, while low levels could indicate issues like premature ovarian insufficiency or hormonal deficiencies.

Reference range

Adult: 80-200 ng/dLN/A

Specimen: serum

Take your thyroid medication after the blood draw if applicable. No fasting required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Progesterone metabolite levels are critical for diagnosing and managing reproductive disorders. High levels may indicate abnormal hormone production or tumors, while low levels can signal hormonal imbalances affecting fertility, menstrual cycles, or pregnancy. This test helps guide treatment decisions for conditions like PCOS, endometriosis, or hormone replacement therapy.

Frequently asked questions

What does a 24-hour urine test for progesterone metabolites involve?
You’ll collect all urine for a full 24-hour period, starting right after your first morning urine void. Store samples at room temperature until you return them to the lab. Follow your provider’s specific instructions to ensure accuracy.
How often is this test typically repeated?
Your provider will determine how often to repeat this test based on your symptoms, medical history, and treatment plan. It may be done once or multiple times depending on your condition and response to treatment.
Can lifestyle or diet affect this test results?
Yes, certain medications, supplements, or dietary changes (like high-fat foods) can influence progesterone levels. Avoid smoking, caffeine, and certain medications as directed by your provider to minimize interference.
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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 17, 2026. · Read our editorial policy