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Progesterone and Luteal Phase Support in IVF

Op. Dr. Ali İhsan Gönenç
Written & medically reviewed by: Op. Dr. Ali İhsan Gönenç
Published: 2026-07-29 · Updated: 2026-07-29
Consultation with the doctor about IVF medications

Progesterone is a hormone that prepares the uterine lining (endometrium) for an embryo to implant and supports early pregnancy. In IVF cycles the body's own release may not be enough, so extra progesterone is given.

This is called luteal phase support. The overview below explains why and how it is used.

Why is progesterone given?

The egg-retrieval step and the medications used can temporarily affect the body's own progesterone production. Support is given so the endometrium stays receptive for an embryo.

The aim is to keep the environment suitable for implantation and to support the early phase.

How is it used?

Progesterone can be given in different forms, and your doctor decides which suits you:

  • Vaginal gel, pessary or capsule
  • Intramuscular (injection) form
  • Oral forms in some situations

When does it start and how long?

Support usually begins around egg retrieval or embryo transfer. If the pregnancy test is positive, it continues for a period your doctor defines.

The duration depends on the person and cycle type; never stop on your own, always ask your doctor.

Side effects and things to watch

Mild bloating, tenderness, dizziness or irritation at the application site can occur. These effects are usually temporary.

Using the medication regularly and as advised is one of the most important parts of the process.

Common mistakes

A few points are worth keeping in mind with luteal support:

  • Not changing the dose or method on your own
  • Not stopping before the test day
  • Being consistent with timing

Related Reading

Sources and references

This article is supported by the following independent, authoritative sources:

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FAQ

Frequently Asked Questions

Clear answers to the most common questions.

Luteal phase support is common in IVF cycles. Your doctor decides the approach that suits you.

Both can be effective. The choice depends on your situation, comfort and your doctor's assessment.

There can be temporary water retention and a bloated feeling; this usually does not mean a lasting weight change.

Your doctor decides when to stop. Do not stop on your own.

Progesterone can produce mild effects that resemble pregnancy symptoms, so symptoms alone should not be over-interpreted.