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Aygestin vs. Progesterone

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Norethindrone acetate (Aygestin) and progesterone (Prometrium) are both used to treat hormone imbalances, but they have some key differences. Norethindrone acetate is used for conditions like absent menstrual periods, abnormal vaginal bleeding, and endometriosis, and is taken orally once a day. Progesterone, on the other hand, is used to regulate menstrual cycles, stop abnormal bleeding, and protect the uterus from damage in postmenopausal women taking estrogen replacement therapy. It is available as an oral capsule or an injection and is taken once a day but only for a certain number of days each month. Norethindrone acetate can cause side effects like breakthrough bleeding and headaches, while progesterone commonly causes dizziness and drowsiness. Additionally, progesterone capsules contain peanut oil, so they are not safe if you have a peanut allergy. Both medications are available in generic forms.

Norethindrone acetate

(Aygestin)

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Progesterone

 

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Summary for Aygestin

Prescription only

Norethindrone acetate (Aygestin) is a progestin, a man-made version of the hormone progesterone. It's used to balance out hormone levels to treat absent menstrual bleeding (periods) and abnormal vaginal bleeding in adults. Norethindrone acetate (Aygestin) can also help with endometriosis. The dosage can differ depending on what condition you have, but norethindrone acetate (Aygestin) is usually taken by mouth once a day. Side effects include breakthrough bleeding and headaches. Brand name Aygestin has been discontinued and norethindrone acetate is only available as a generic.

Indications for Aygestin

Pros and Cons for Aygestin

Pros

  • Taken by mouth
  • Helps to regulate your period from hormonal imbalances
  • Available as a lower-cost, generic medication

Cons

  • Not recommended if you have liver problems
  • Can cause breakthrough bleeding and other bothersome side effects
  • Not for those who have reached menopause

Common Side Effects for Aygestin

  • Breakthrough bleeding or spotting
  • Change in menstrual flow
  • Lack of periods
  • Headache or migraine
  • Breast enlargement
  • Breast tenderness
  • Nausea
  • Vomiting
  • Stomach cramps or bloating
  • Patches of darkened skin (melasma or chloasma)
  • Acne
  • Hair loss
  • Yellowing of the skin or whites of eyes (jaundice)
  • Trouble sleeping (insomnia)
  • Changes in vision

Warnings for Aygestin

  • Risk of blood clots, heart attack, and stroke
  • Abnormal changes in vision
  • Fluid build-up (edema)
  • Depression
  • Changes in blood sugar and cholesterol levels
  • Harm to unborn baby

Summary for Progesterone

Prescription only

Progesterone is an injection used to treat people who aren't getting their period or have abnormal bleeding due to hormone imbalance. It belongs to a group of medications called progestins and works by replacing progesterone hormone that's naturally made in the body. The medication is typically injected into the muscle daily for 6-8 days in a row. Potential side effects include pain at the injection site, weight gain or weight loss, and breast tenderness.

Indications for Progesterone

Pros and Cons for Progesterone

Pros

  • Helps to regulate your menstrual period
  • Only has to be taken once a day
  • Might be a good option for people who can't swallow pills

Cons

  • Not safe if you have liver problems
  • Not a good option if you're allergic to sesame oil
  • Potentially raises your risk of serious blood clots

Common Side Effects for Progesterone

  • Pain, swelling, and/or redness at the injection site
  • Breakthrough bleeding or spotting
  • Changes in menstrual flow
  • Changes in weight
  • Swelling
  • Vaginal discharge
  • Breast tenderness

Warnings for Progesterone

  • Blood clots
  • Vision problems
  • Fluid buildup
  • Pneumonia

Prices with our coupons for Aygestin vs. Progesterone

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Norethindrone Acetate30 tablets / 5mg
$20.12$68.87
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Progesterone30 capsules / 100mg
$16.25-
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