Ever wonder why some doctors prescribe a tiny pill called dydrogesterone? It's a synthetic hormone that mimics natural progesterone. By acting like the body’s own progesterone, it helps keep hormonal balance in check.
Dydrogesterone is most often used for menstrual problems, such as irregular periods or heavy bleeding. It also supports early pregnancy by strengthening the lining of the uterus – a role known as luteal‑phase support. Women trying to conceive may be told to take it for a few weeks after ovulation.
For menstrual issues, doctors usually start with 10 mg once daily, sometimes split into two doses. In fertility clinics, the dose can rise to 20 mg per day for a short period, often from day 14 of the cycle until about week 10 of pregnancy. The tablets are taken with food or water; swallowing them whole works best.
If you miss a dose, take it as soon as you remember unless it’s almost time for the next one. Don’t double up – just continue your regular schedule.
The most common side effects are mild: headache, nausea, or slight bloating. Some people notice mood changes or breast tenderness. These usually fade after a few days. If you get severe stomach pain, vomiting blood, or a rash, stop the medication and call a doctor right away.
Because dydrogesterone influences hormones, it’s not for everyone. Avoid it if you’re pregnant with a known allergy to progesterone, have uncontrolled high blood pressure, or are taking drugs that affect liver enzymes (like certain antifungals). Always tell your pharmacist about other meds – especially birth‑control pills, anticoagulants, or anticonvulsants.
Pregnant women should stick to the dose their doctor prescribes; higher amounts haven’t shown extra benefit and may raise risk of side effects. Breastfeeding moms generally don’t need dydrogesterone because it can pass into milk in small amounts.
Before starting, ask your doctor for a quick blood test to check liver function. This helps catch any hidden issues that could make the drug harder on your body.
In short, dydrogesterone works well when used correctly – it smooths out cycles, backs early pregnancy, and can ease some menopause symptoms. Keep an eye on how you feel, follow the dosage guide, and keep your doctor in the loop. That way you get the benefits without unnecessary trouble.