Progesterone and is responsible for approximately 70% of cytochrome P450-mediated progesterone metabolism. Other routes include 6α-, 16α-, and 16β-hydroxylation. However, treatment of women with ketoconazole, a strong CYP3A4 inhibitor, had minimal effects on progesterone levels, producing only a slight and non-significant increase, and this suggests that cytochrome P450 enzymes play only a small role in progesterone metabolism. In women, progesterone levels are relatively low during the preovulatory phase of the menstrual cycle, rise after ovulation, and are elevated during the luteal phase, as shown in diagram below. Progesterone levels tend to be less than 2 ng/mL prior to ovulation, and greater
Menstrual disorder Menstrual disorder A menstrual disorder is an abnormal condition in a woman's menstrual cycle. Disorders of ovulation include oligoovulation and anovulation: "Polymenorrhea" is the medical term for cycles with intervals of 21 days or fewer. "Irregular menstruation" is where there is variation in menstrual cycle length of more than approximately eight days for a woman. The term "metrorrhagia" is often used for irregular menstruation that occurs between the expected menstrual periods. "Oligomenorrhea" is the medical term for infrequent, often light menstrual periods (intervals exceeding 35 days). "Amenorrhea" is the absence of a menstrual period in a woman of reproductive age.