Physiological Functions of Progesterone (Primarily in Females)

Regulation of the Menstrual Cycle

  • Secretory phase (post-ovulation): Prepares endometrium for implantation.
  • Inhibits uterine contractions to allow embryo attachment.
  • Counterbalances estrogen’s proliferative effects.

Support of Pregnancy

  • Maintains uterine lining for embryo/fetus.
  • Suppresses maternal immune response to prevent fetal rejection.
  • Inhibits further ovulation during pregnancy.
  • Promotes decidualization (differentiation of endometrial cells).
  • Inhibits myometrial contractions, preventing premature labor.

In pregnancy, the placenta becomes the main progesterone source after the first trimester.

Neurological and Mood Effects

  • Acts as a neurosteroid in the brain:
    • Modulates GABA-A receptors
    • Has calming, anti-anxiety effects
    • May affect mood and memory

Thermogenic Effect

  • Slightly raises basal body temperature after ovulation.
  • Basis for tracking ovulation via temperature monitoring.

Bone Health

  • Helps regulate bone turnover by modulating osteoblast and osteoclast activity.
  • Works synergistically with estrogen to maintain bone density.

Anti-inflammatory & Immunomodulatory Roles

  • Regulates local immune responses in the uterus.
  • May reduce inflammation and protect tissues during pregnancy.

Functions in Males

  • Produced in small amounts in testes and adrenal glands.
  • Acts as a precursor to testosterone and other corticosteroids.
  • May play a role in sperm maturation and behavior modulation.

Summary Table

Function

Details

Menstrual cycle regulation

Prepares and stabilizes endometrial lining

Pregnancy support

Maintains uterus, prevents contractions

Neurosteroid activity

Anti-anxiety, neuroprotective effects

Thermoregulation

Raises body temp after ovulation

Bone maintenance

Works with estrogen to preserve density

Male role

Precursor hormone, may affect sperm