Micronized progesterone (Utrogestan): uses in menopause, price in the Philippines

Prices checked October 2026. No 100 mg listing was found at Watsons. For monthly totals of example regimens, use the cost calculator.

Most people who search "Utrogestan" in the Philippines are asking about pregnancy: to support early pregnancy, during IVF, or after a history of miscarriage. That is a real and common use, but it is not what this page covers. Doses, timing and route (often vaginal in fertility care) are different.

• Pregnant, trying to conceive or having fertility treatment? Your OB or fertility doctor sets your dose. Do not use menopause information to adjust it. If irregular cycles or PCOS are part of the picture, PCOS Philippines has a guide.
• In your 40s and still having periods? Micronized progesterone in HRT doses is not contraception. Without hormonal contraception, you are counted as possibly fertile for 2 years after your last period if you are under 50, and for 1 year if you are 50 or over (FSRH guidance). See Birth Control Philippines for options that suit perimenopause.
• In perimenopause or menopause, taking estrogen? Read on.

Estrogen eases hot flashes, night sweats and other symptoms. But estrogen on its own makes the womb lining thicken, which raises the risk of womb cancer. Progesterone stops that. So if you have a uterus, your doctor will pair estrogen with a progestogen. If you have had a hysterectomy, you usually do not need it.

The UK product label (Utrogestan 100 mg capsules) lists two menopause regimens, used alongside estrogen. The Philippine leaflet may differ, so check the one in your box:

• 200 mg daily at bedtime for 12 days in the second half of each treatment cycle. This kind of sequential regimen usually brings a monthly bleed, and often suits women still having periods or who stopped recently.
• 100 mg at bedtime from day 1 to day 25 of each treatment cycle. Doctors often use a regimen like this for women at least a year past their last period, aiming for little or no bleeding.

Since only 200 mg capsules were found in PH retail, your doctor may adapt a continuous regimen. That is their call, not something to work out yourself. These are labelled examples, not your dose.

Points from the UK label:

• Take it at bedtime and not with food. The label notes drowsiness or brief dizziness can come 1 to 3 hours after a dose, which some women find helps with 3 am waking.
• The UK capsules contain soya lecithin, and the label lists allergy to peanut or soya as a reason not to use them. If you have a peanut or soy allergy, tell your doctor.

The UK label lists these as reasons not to use it (contraindications). Talk to your doctor before starting if any apply:

• Vaginal bleeding that has not been checked
• Known, past or suspected breast cancer, or another hormone-dependent cancer such as womb cancer
• Untreated thickening of the womb lining (endometrial hyperplasia)
• A current or past blood clot in a leg or lung, or a known clotting disorder
• Recent or active angina or heart attack, or a past bleed in the brain
• Acute liver disease, or past liver disease where liver tests have not returned to normal
• Porphyria
• Allergy to progesterone, peanut, soya or any ingredient

Bring a list of your other medicines. The label names some epilepsy medicines, the TB antibiotics rifampicin and rifabutin, some HIV medicines and St John's wort as speeding up the breakdown of progesterone.

Common ones listed on the UK label:

• Drowsiness or dizziness, especially 1 to 3 hours after a dose
• Breast pain or tenderness
• Bloating or tummy pain
• Headache
• Irregular bleeding or spotting, or a monthly bleed on sequential regimens

Low mood and mood swings are listed as uncommon. If low mood is strong, tell your doctor; a different progestogen may suit you better. Bleeding that is heavy, lasts longer than expected, or starts after months of no bleeding on a continuous regimen needs checking.

Do not drive or operate machinery if you feel drowsy after a dose.

Micronized progesterone is "body-identical", the same molecule as natural progesterone. A large French observational study (E3N) found less breast cancer risk with micronized progesterone than with other synthetic progestogens, though it was not a randomised trial (Fournier et al., 2008). It is also one of the registered "bioidentical" products, so you do not need a compounded cream to get bioidentical progesterone. See bioidentical hormones.

For more on cancer risk overall, read Nakaka-cancer ba ang HRT?

• Dydrogesterone (Duphaston): another progestogen used in HRT, ₱92.25 per tablet (Watsons).
• Medroxyprogesterone acetate (Provera): an older synthetic progestin, ₱96.50 per tablet (Watsons).
• Tibolone: one daily tablet that replaces both estrogen and progestogen, for women a year past their last period.
• Levonorgestrel IUS (hormonal IUD): used abroad as the progestogen in HRT; ask your doctor and see Birth Control Philippines for availability.

Prices checked October 2026. Compare full regimens on HRT costs, or start from the overview on HRT for menopause.