Crinone Side Effects: FDA Label Numbers by Study
[Side effects · Crinone]

Crinone side effects

progesterone vaginal gel 4% and 8% · vaginal gel in single-use applicators, 45 mg (4%) or 90 mg (8%) · Label checked

Short answer: In the label's IVF study of Crinone 8% once daily, common side effects were breast enlargement (40%), constipation (27%), somnolence (27%), nausea (22%), headache and perineal pain (17% each). In the donor egg study, cramps were 15% and headache and breast pain 13% each. These studies had no placebo group. The label warns about blood clots and has no boxed warning.

What Crinone is approved for: Crinone 8% is approved for progesterone supplementation or replacement as part of Assisted Reproductive Technology (ART) treatment for infertile women with progesterone deficiency. Crinone 4% is approved to treat secondary amenorrhea (periods that have stopped), and Crinone 8% is for women who did not respond to the 4% gel (Indications and Usage).

Source
CRINONE (progesterone gel) 4% and 8%, prescribing information, Patient Information and Instructions for Use. AbbVie (Allergan). DailyMed, version published May 20, 2026. DailyMed setid 75e97aa1-daa4-45f9-b2e2-1a371302914e

Does Crinone have a boxed warning?

No. The current Crinone label has no boxed warning.

What are the most common Crinone side effects?

These are the label's own numbers from the Adverse Reactions section. Where the label compares with placebo (a dummy treatment), both columns are shown, so you can see how much more often a reaction happened on Crinone.

TABLE 4: Treatment-Emergent Adverse Events in ≥ 5% of Women Receiving Crinone 8% Once Daily, Study COL1620-F01 (n = 139) [Adverse Reactions]
Adverse eventCrinone 8% once daily (n=139)
Breast enlargement40%
Constipation27%
Somnolence27%
Nausea22%
Headache17%
Perineal pain female17%
Nervousness16%
Nocturia13%
Abdominal pain12%
Depression11%
Libido decreased10%
Diarrhea8%
Arthralgia8%
Dyspareunia6%
Vomiting5%

Luteal phase support during IVF, Crinone 8% once daily from within 24 hours of embryo transfer through Day 30. Open-label study with no placebo group. Values are percent of women.

TABLE 3: Treatment-Emergent Adverse Events in ≥ 5% of Women Receiving Crinone 8% Twice Daily, Study COL1620-007US (n = 61) [Adverse Reactions]
Adverse eventCrinone 8% twice daily (n=61)
Cramps15%
Headache13%
Breast pain13%
Pain8%
Bloating7%
Nausea7%
Vaginal discharge7%
Dizziness5%
Genital moniliasis (yeast infection)5%
Genital pruritus5%

Women with ovarian failure undergoing donor oocyte transfer. Open-label study; values are percent of women.

TABLE 5: Treatment-Emergent Adverse Events in ≥ 5% of Women Receiving Estrogen Treatment and Crinone Every Other Day (Selected rows) [Adverse Reactions]
Adverse eventEstrogen + Crinone 4% (n=62)Estrogen + Crinone 8% (n=65)
Cramps12 (19%)17 (26%)
Emotional lability14 (23%)14 (22%)
Fatigue13 (21%)14 (22%)
Headache12 (19%)10 (15%)
Depression12 (19%)10 (15%)
Sleep disorder11 (18%)12 (18%)
Bloating8 (13%)8 (12%)
Vaginal discharge7 (11%)2 (3%)
Abdominal pain3 (5%)6 (9%)
Nausea5 (8%)4 (6%)

Secondary amenorrhea: 127 women on estrogen plus Crinone every other day for six doses. Values are number of women (percent).

Other numbers in the Adverse Reactions section

  • Precautions

    Small, white globules may appear as a vaginal discharge, possibly from gel building up, even several days after use.

  • Pregnancy

    Donor egg study: clinical pregnancies in 26 of 54 women (48%); 7 had spontaneous abortions and 17 delivered 25 apparently normal newborns. IVF study: clinical pregnancies in 36 of 139 (26%); of 47 newborns, one had a teratoma with cleft palate and one respiratory distress syndrome.

  • Clinical Studies

    Secondary amenorrhea: in cycle 2, Crinone 4% brought on bleeding in 79% of women and Crinone 8% in 77%.

  • Clinical Pharmacology

    Relative to intramuscular progesterone, bioavailability was 27.6% for Crinone 4% and 19.8% for Crinone 8%. Absorption half-life is about 25 to 50 hours.

What serious risks does the Crinone label warn about?

The Warnings and Precautions part of the label lists these. Each line gives the label's heading and what it means in plain words.

  • Contraindications

    Who should not use it. People with known sensitivity to Crinone or its ingredients, undiagnosed vaginal bleeding, liver dysfunction or disease, known or suspected cancer of the breast or genital organs, a missed abortion, or active or past hormone-related blood clots or thrombophlebitis.

  • Warnings

    Blood clots. Prescribers watch for the earliest signs of clotting disorders, including thrombophlebitis, stroke, pulmonary embolism and retinal thrombosis. Crinone is stopped right away if any occurs or is suspected.

  • Warnings

    Recurrent miscarriage. Progesterone and progestins have been used to try to prevent miscarriage in women with recurrent pregnancy loss, but there is no adequate evidence that they work for this.

  • Precautions

    Exams and bleeding. The pre-treatment exam includes the breasts, pelvic organs and a Pap smear. Breakthrough or undiagnosed vaginal bleeding is investigated.

  • Precautions

    Fluid, mood and blood sugar. Progestogens can cause fluid retention, so epilepsy, migraine, asthma and heart or kidney problems are watched. People with past depression are observed and the drug is stopped if depression returns seriously. People with diabetes are watched because glucose tolerance can drop.

  • Information for Patients

    Other vaginal products. Crinone is not used at the same time as other vaginal treatments; if one is needed, it is used at least 6 hours before or after Crinone.

When does the label say to call your doctor?

From the Patient Information that comes with Crinone:

  • Pains in the calves or chest, a sudden shortness of breath or coughing blood (possible clots in the legs, heart or lungs): call your healthcare provider right away.
  • Severe headache or vomiting, dizziness, faintness, or changes in vision or speech, weakness or numbness of an arm or leg (possible clots in the brain or eye): call your healthcare provider right away.
  • Gel discharge from the vagina is normal, but if you are concerned, talk to your healthcare provider.

How do I keep track of side effects in Dose Track?

Dose Track has a side-effect log. Each entry records the symptom, a severity (none, mild, moderate, severe or life-threatening), the date and an optional note, and can be tied to a specific dose or logged on its own. The history screen shows what you logged over time, which makes it easier to tell your prescriber when a reaction started and whether it is easing. The app records what you enter; it does not judge whether a symptom is serious. For anything on the label's call-your-doctor list, call your doctor.

This page is what the FDA label says, in plain words. It is not medical advice. Follow your prescriber, and ask them or your pharmacist about anything here.

Side effects for similar medicines

Frequently asked questions

What are the most common side effects of Crinone?+
In the IVF study of Crinone 8% once daily: breast enlargement 40%, constipation 27%, somnolence 27%, nausea 22%, headache 17% and perineal pain 17% (Adverse Reactions, Table 4). The studies had no placebo group.
Does Crinone have a boxed warning?+
No. The current Crinone label has no boxed warning. Its Warnings section covers blood clots and says progestins have not been shown to prevent recurrent miscarriage (Warnings).
Why is there white discharge with Crinone?+
The label says small white globules may appear as a vaginal discharge, possibly from gel building up, even several days after use. The Patient Information calls this normal (Precautions, Patient Information).
Can Crinone cause blood clots?+
The Patient Information says progestational products may increase the chance of blood clots, which can cause stroke, pulmonary embolus or heart attack. Crinone is stopped right away if a clot occurs or is suspected (Warnings).
Does Crinone cause mood changes?+
In the secondary amenorrhea studies, emotional lability was 23% with Crinone 4% and 22% with 8%, and depression 19% and 15% (Table 5). People with past depression are watched closely (Precautions).