what is the practical application of progesterone?
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Progesterone is meant for the continuation of pregnancy.
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Progesterone is the natural progestagen produced by the corpus luteum
during the luteal phase. It is absorbed when administered orally, but is
greater than 90% metabolized during the first hepatic pass. This
greatly limits the efficacy of once-daily administration and also
results in unphysiologically high levels of progesterone metabolites,
particularly those reduced at the 5-a position.Synthetic progestins,
such as medroxyprogesterone acetate and norethindrone acetate (NETA),
have been specifically designed to resist enzymatic degradation and
remain active after oral administration. . Recently, a new progesterone
gel formulation has been designed for vaginal use. The clinical
acceptability of this product has been ehanced by the bioadhesive
characteristics of its polycarbophil-based gel, which conveys controlled
and sustained-released properties.
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