Anovulatory cycle In other cases, menstruation may be fairly regular (eumenorrhea), or more frequent (intervals < 21 days), or there may be a loss of menstrual pattern (menorrhagia, dysfunctional uterine bleeding). Normal menstrual bleeding in the ovulatory cycle is a result of a decline in progesterone due to the demise of the corpus luteum. It is thus a progesterone withdrawal bleeding. As there is no progesterone in the anovulatory cycle, bleeding is caused by the inability of estrogen — that needs to be present to stimulate the endometrium in the first place — to support a growing endometrium. Anovulatory bleeding is hence
Pharmacokinetics of progesterone half-life of progesterone in the circulation is very short at a range of about 3 to 90 minutes. Previous studies using RIA have reported an overestimated half-life of oral progesterone of about 16 to 18 hours. A subsequent, reliable study using high-performance liquid chromatography–tandem mass spectrometry (HPLC–MS/MS) reported a half-life of oral progesterone of about 4.6 to 5.2 hours when it was taken with food. Due to the short half-life and duration of action of oral progesterone, it is often taken in divided doses of two or three times per day. Because of studies that used RIA, it was incorrectly