Menstrual cycle higher level of substance abuse is due to decreased self-control as a result of the higher metabolic demands during the luteal phase. Infrequent or irregular ovulation is called "oligoovulation". The absence of ovulation is called "anovulation". Normal menstrual flow can occur without ovulation preceding it: an anovulatory cycle. In some cycles, follicular development may start but not be completed; nevertheless, estrogens will be formed and stimulate the uterine lining. Anovulatory flow resulting from a very thick endometrium caused by prolonged, continued high estrogen levels is called "estrogen breakthrough bleeding". Anovulatory bleeding triggered by a sudden drop in estrogen levels is
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