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Endometrin vs. Prometrium

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

Key takeaways

Endometrin (progesterone) and Prometrium (progesterone) are both used to address hormone-related issues, but they have different applications and forms. Endometrin is a vaginal insert or suppository primarily used in fertility treatments to prepare the uterus for pregnancy. It must be inserted 2 to 3 times a day and is only available as a brand medication, which can be expensive. On the other hand, Prometrium is available as an oral capsule and an injection, and it helps regulate menstrual cycles, manage abnormal uterine bleeding, and protect the uterus from damage in postmenopausal women using estrogen replacement therapy. Prometrium capsules are taken once a day, often at bedtime, and are available in a lower-cost generic form. However, Prometrium capsules contain peanut oil, making them unsuitable for those with peanut allergies. Both medications can cause side effects like stomach bloating, but Prometrium is more likely to cause dizziness and drowsiness. Serious risks of both these medications include blood clots, strokes, and heart attacks.

Endometrin

(progesterone)

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Progesterone

(Prometrium)

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Summary for Endometrin

Prescription only

Endometrin (progesterone) is a vaginal insert, or a vaginal suppository, that's used during fertility treatment for people who have trouble becoming pregnant. It's a progesterone that helps ready the uterus for embryo transfer and pregnancy. When you start and stop the medication depends on your fertility treatment and your situation. In general, Endometrin (progesterone) is inserted into the vagina 2 or 3 times a day, unless your prescriber advises you to take it a different way. Side effects include pelvic pain, stomach pain, and nausea.

Indications for Endometrin

Pros and Cons for Endometrin

Pros

Cons

  • Inserted into the vagina 2 or 3 times a day
  • Inserting the applicator into the vagina can be uncomfortable
  • Only available as a brand-name medication; no lower-cost generic available

Common Side Effects for Endometrin

Warnings for Endometrin

  • Blood clots and potential complications, like heart attack or stroke
  • Worsening depression
  • Don't use other vaginal products

Summary for Prometrium

Prescription only

Progesterone (Prometrium) is an oral medication used to protect the uterus in postmenopausal women (those who've gone through menopause) who are also taking estrogen. It can also help regulate menstrual cycles in people who aren't getting their period. The medication is typically taken by mouth once at bedtime for 10-12 days, depending on what you're taking it for. Potential side effects include headache, weight gain or weight loss, and breast tenderness.

Indications for Prometrium

Pros and Cons for Prometrium

Pros

  • Helps protect the uterus and regulate periods
  • Taken by mouth once a day
  • Might be easier to take than the injection form

Cons

  • Not a good option for people with liver problems
  • Shouldn't be used in people with a peanut allergy
  • Potentially raises your risk of serious blood clots

Common Side Effects for Prometrium

  • Headache (31%)
  • Breast tenderness (27%)
  • Joint pain (20%)
  • Depression (19%)
  • Dizziness (15%)
  • Stomach bloating (12%)
  • Hot flashes (11%)
  • Trouble urinating (11%)
  • Stomach pain (10%)
  • Vaginal discharge (10%)

Warnings for Prometrium

  • Blood clots
  • Breast cancer
  • Dementia
  • Vision problems
  • Dizziness and drowsiness
  • Fluid buildup

Prices with our coupons for Endometrin vs. Prometrium

Price Card Drug Icon
Progesterone21 inserts / 100mg
$91.03$243.70
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Price Card Drug Icon
Progesterone30 capsules / 100mg
$16.25$45.74
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