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Free (unbound) progesterone in serum/plasma

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

This test measures the amount of progesterone that is not attached to proteins in your blood, which can help assess hormone balance, especially in reproductive health.

Quick summary

["Free progesterone levels help diagnose hormonal imbalances and support fertility planning."]

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

Key facts at a glance

LOINC
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Short code
Progest Free SerPl-mCnc
Synonyms
Progest Free SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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 Is This Test Done?

Your healthcare provider may order this test to evaluate hormone function, diagnose conditions like polycystic ovary syndrome (PCOS), or monitor treatment for hormonal disorders. It’s also used in fertility planning to check progesterone levels at different stages of the menstrual cycle or pregnancy.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for 8–12 hours before the blood draw if instructed. Wear comfortable clothing and plan to rest after the test. Avoid smoking or caffeine before the draw if your provider advises it.

What Happens During the Test?

A healthcare professional will collect a small sample of blood from a vein in your arm. The process is quick and usually painless. The blood will be sent to a lab for analysis using a sensitive immunoassay method to measure free progesterone levels accurately.

What Do Results Mean?

Results are interpreted based on your cycle phase, medical history, and symptoms. High or low free progesterone levels may indicate issues like ovulation problems, hormonal imbalances, or pregnancy complications. Your provider will discuss findings with you in the context of your overall health.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Free progesterone is critical for regulating the menstrual cycle, supporting pregnancy, and maintaining reproductive health. Low levels may signal ovulation disorders, while elevated levels could indicate conditions like hyperandrogenism or certain tumors. It’s particularly useful in fertility evaluations and managing hormonal therapies.

Short name

Free Progesterone

Frequently asked questions

What causes free progesterone levels to be tested?
Your provider may test free progesterone if you have symptoms like irregular periods, infertility, or suspected hormonal imbalances. It’s also used during early pregnancy to monitor progesterone levels, which are essential for maintaining a healthy pregnancy.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Your healthcare provider will contact you once they have the results and explain what they mean for your health.
Can lifestyle changes affect free progesterone levels?
Yes, factors like stress, poor sleep, excessive exercise, or certain medications (e.g., birth control) can influence hormone levels. Avoiding these triggers before your test may help ensure more accurate results, but your provider will consider these factors when interpreting your results.
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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