Tracking micronized progesterone — continuous
The same body-identical progesterone, taken every night instead of in monthly blocks — the continuous pattern aims for no monthly bleed, though spotting in the early months is common and worth logging. Taken at bedtime because it can be sedating, which some people count as a feature.
- Schedule
- Every night, at bedtime. This is BMS/NHS guideline practice rather than the product label — worth knowing, not worrying about.
- UK names
- Utrogestan
- US names
- Prometrium
- Route
- oral
- In Perity
- A plain daily schedule at bedtime. Generic local reminders, nothing on your lock screen.
What to log
- Nightly and invariant — so the interesting events are the exceptions. Log missed nights honestly; they're the anchors any bleeding or symptom blip gets read against.
- Log any bleeding or spotting with dates. On a continuous regimen that record is exactly what your clinician will ask for.
- If you switched from cyclical to continuous, the switch date splits your record into before and after — make sure it's in there.
Questions
What does 'off-label' mean here — should I be worried?
It means the every-night pattern comes from guideline practice (BMS, NHS) rather than the manufacturer's label. It's a normal, widely used regimen; the phrase is about paperwork, not safety. Questions about whether it's right for you belong with your prescriber.
I'm spotting on continuous progesterone. What should I track?
Dates, duration, and anything that co-occurred — that's the record your clinician needs to decide whether it's the expected early-months settling or something to look at. Perity logs bleeding alongside your doses so the timeline builds itself.
Symptom guides for micronized progesterone
- Brain fog
- Anxiety
- Irritability / rage
- Low mood
- Mood swings
- Forgetfulness
- Hot flash
- Night sweats
- Chills / cold flashes
- Palpitations
- Dizziness
- Trouble falling asleep
- All symptoms →
Schedule sources
- BMS 'Progestogens and endometrial protection' (May 2026); NHS guidance (off-label vs Utrogestan SmPC)
- Cadences per Perity's sourced schedule reference (emc SmPCs, BMS, NHS, FSRH, FDA — verified 2026-07-01). Cadence facts only, never doses.
Perity informs, never prescribes — decisions belong with you and your clinician.
Educational content, written and maintained by Perity (founder: EiEi), grounded in the sources cited on this page. It is not medical advice, and Perity never interprets your data or recommends treatment. Last reviewed 2026-07-09.
Perity is in private beta on iPhone. Join the waitlist for early access — no real name required.