Adequate menstrual cycle is the key to a woman’s normal reproductive capacity. At the same time, many patients are interested in whether there can be a delay after Duphaston. Any violations in it become a risk factor for the development of infertility. Duphaston is a hormonal drug designed to combat the problems of the female reproductive system.
Impact of the drug on the monthly cycle
The doctor sets the reception Duphaston so that the substance entered the woman's body in the second phase of the menstrual cycle. Due to this, the amount of progesterone is restored. If the diagnosis was correctly made, and the patient followed all the prescription of the doctor, then the delay from Duphaston should not develop.
A woman, starting to take medicine, should be ready for premature menstruation, which will be a primary reaction to the drug. Also should not cause concern an abundance of discharge (may be both excessive and insufficient). If the menstruation has not recovered or was, but disappeared completely, you should immediately consult a doctor.
Due to the fact that some girls are engaged in self-treatment, there are more and more situations when a delay is observed during the reception of Duphaston. Intervention in hormonal balance should be precisely regulated by a professional doctor. He can correctly calculate the dose of medication, the days of its reception and duration. Besides, there are some features in the abolition of the use of drugs. Attempts to treat yourself will only exacerbate health problems. Restore the body after mindless hormones, most often, it is quite difficult, therefore, problems with reproductive function is better to entrust the gynecologist.
Duphaston Reception and Pregnancy
This hormonal drug does not suppress ovulation. Therefore, to drink it and not to use contraception is not recommended. Since the delay in menstruation after Duphaston is not a typical reaction to the drug, the first action of the girl should be the purchase of a pregnancy test.
If it is positive, ultrasound diagnosis is performed.due to which the diagnosis is confirmed. Continuing reception Duphaston during pregnancy depends on the decision of the doctor.
Pathologies for which medication is needed:
- habitual miscarriage
- the threat of spontaneous abortion,
- luteal insufficiency.
Monthly Delay at Duphaston, associated with pregnancy, not a pathological condition. And if a girl tried to get rid of hormonal infertility, then she is considered a sign of successful treatment.
Delay in case of misuse or misdiagnosis
Pathological delays caused by the use of Duphaston, arise in two situations:
- with a wrong diagnosis by a doctor,
- with uncontrolled medication by a girl.
A delay can be recognized if a negative test was noted after Duphaston and there is no menstruation. They may simply not appear, which indicates the futility of therapy. Or they may disappear in the course of treatment, which will indicate a deterioration of the patient's reproductive health.
Very rarely, the delay is associated with random external factors:
- by stress
- climatic changes
- excessive physical activity and others.
Having discovered a similar problem, a woman should go to the doctor right away. The sooner the recovery process is started or the real cause of pathology is discovered, the greater the chances for a girl to remain fertile. When taking Duphaston delay is an important factor requiring a comprehensive survey.
Duphaston is a gestogenic drug in coated tablets. The active ingredient of the drug is didrogesterone. By its characteristics, the drug is close to progesterone, but it does not produce testosterone, therefore, has few side effects in comparison with their counterparts.
The tool is prohibited for use only in the case of individual intolerance of one of the components of the drug, and do not prescribe it at the age of 18 years. It is used with caution in various malignant and benign tumors, renal and hepatic failure, with poor blood clotting. It is prescribed for progester failure and as hormone replacement therapy.
One of the main tasks of Duphaston is to restore the normal cycle of menstruation. The drug increases progesterone in the body, which normalizes the flow of the luteal phase during ovulation. During the normal course of treatment, ovulation will occur in the middle of the phase, and a mature egg will appear from the follicle, which will subsequently form progesterone.
The drug is prescribed so that the start of therapy fell on the second phase of menstruation, and the treatment will end by the beginning of the next cycle. Thanks to endometrium, progesterone will help to conceive successfully and protect against miscarriage at the beginning of the term.
Tip! The drug is taken orally in different dosages, which sets the attending physician. So, during infertility, it is prescribed from the 14th to the 25th day of the cycle, and in the treatment of premenstrual syndrome twice a day from 11 to 25th day.
With proper use Duphaston does not give side effects. If self-medicating, in the case of abrupt cancellation, this may lead to the following consequences:
- Continuous uterine bleeding. Quickly eliminated by increasing the dosage with strict medical supervision.
- Frequent and severe migraines.
- Intense uterine bleeding.
- Rash and itching in certain areas of the body.
- Failures of the menstrual cycle.
- Lack or problems with ovulation.
- General body fatigue.
- Pain in the abdomen and mammary glands.
- Body swelling.
In the case of serious violations of the reception, the following abnormalities were observed in the body:
- Venous thromboembolism (venous and pulmonary artery thrombosis).
- Heart diseases (heart attack and stroke).
- Mammary cancer.
- Benign and malignant tumors in the genitals.
Indications for admission
The most common problem after taking the drug is to delay monthly, which causes great concern. The woman immediately thinks: “I drink Duphaston so that there are no such problems, but it turns out the opposite.” It is important to identify why the failure occurred, as further treatment will depend on this.
First of all, you must wait 3-4 days or a week after taking the drug and make sure that the monthly will not go. Sometimes the absence of menstruation is caused by standard problems: physical fatigue, climate change and stress. If during this period, come monthly, it is considered the norm and do not worry, just Duphaston for one reason or another did not fit.
It is obligatory to consult a physician during a delay while taking Duphaston.
But if the monthly did not appear, the reason may be more serious:
- Pregnancy. While taking Duphaston, hormonal balance can be restored, which contributes to conception. The test is desirable to do several times. In the early stages of pregnancy, the level of hCG is low, so it cannot yet be determined.
- Hormonal disorders. If the pregnancy is not confirmed, then perhaps hormonal balance gave an even greater failure. Menstruation does not come due to a sharp decline in estrogen levels.
- Belated ovulation. This problem occurs in a healthy body. Uterine mucosa can not be updated in time due to increased levels of progesterone.
- Poor hormone function. For the production of hormones are responsible adrenal glands, the thyroid gland and the ovaries, which can respond to the drug incorrectly and give failures.
- Sudden withdrawal of the drug. Unknowingly, women who do self-medication may not be treating correctly. With a sharp cessation of the reception of Duphaston, there may be various consequences, including the delay of menstruation.
Possible other problems
In some cases, after receiving Duphaston, women face other problems. For many, the period comes early. This happens for several reasons:
- The reproductive system can respond to the drug individually. And if the drug is taken on time and correctly, and the bleeding begins too soon, then this is just an unforeseen side effect from taking Duphaston. It is advisable to consult with your doctor for further action.
- Sometimes the "standard" dose of the drug is not enough, and the concentration of progesterone in the blood will still be too high and can cause early critical days. It will help the dosage of the drug on the recommendation of the attending physician.
- With inaccuracies in the timing of the appointment of the problem may be identical. The duration of the second phase of the cycle for each individual. If inaccurately prescribing Duphaston regimen, it can cause premature menstruation.
Another problem will be too abundant and long periods. Most often this is a normal phenomenon that disappears over time. Progesterone thickens the endometrium. During pregnancy, this property is useful, but if a woman takes medicine for another reason, the tissue rejected in the uterus becomes too much. She does not have time to update normally.
This causes profusion of menstruation. To the uterus from them completely freed, it needs a longer period. However, you should contact your doctor, because such side effects may indicate a side effect from taking Duphaston. Such an effect is fraught with a call for bleeding, or the remedy will not provide the expected effect, after which the therapy must be completely adjusted.
The exact opposite is scanty discharge. If the next cycle of the problem is not solved, you need to contact your doctor. Poverty can cause a miss in taking the drug, because hormones again undergo changes in the body. If instead of menstruation there are boring brownish discharge, it is worth checking for pregnancy, since this bleeding can already go directly from the fertilized placenta.
The most problematic pathology will be painful periods after taking the drug. The cause is general ailments, which Duphaston must relieve. In addition, some women have a congenital intolerance to the drug, so in this case the remedy is usually replaced with its analogues, after which the pain during menstruation disappears.
What to do?
So, first of all, in the absence of menstruation in time, you must wait a few days, and then go to a doctor. But expert advice is needed immediately (even if the woman has properly drunk the entire course). Consultation is needed in such cases:
- Monthly no more than a week, and the pregnancy test shows a negative result.
- Monthly go for a long time, more than a week, while the patient feels pain, and bleeding come out in large clots.
- The patient feels general malaise.
- During menopause, spotting is observed, because during this period they should not be at all.
- Menstruation began suddenly, approximately in the middle of the course.
- Pregnancy detected. Duphaston is allowed at this time, but not to every woman and not in the same dosage. If you suddenly stop taking it, the fetus may be irreparably damaged. Only the attending physician will be able to decide exactly what to do in this case without harming the child.
A woman needs to pass several tests for hormones in order to exclude various pathologies that affect the absence of menstruation. After a course of treatment with the absence of monthly diagnostics, it may reveal:
- Abnormalities in the hypothalamus (the brain region responsible for the neuroendocrine system and homeostasis). Excessive secretion of one of the hormones contained in Duphaston also affects the hormones in the hypothalamus, which does not ensure sufficient activity of the uterus.
- Galactorrhea. The production of prolactin begins in the hypothalamus. This hormone is necessary when breastfeeding, so when prolactin appears in a non-pregnant woman, the body still believes that the appropriate processors take place inside and there is no point in the menstruation.
- Pituitary disorders. You can identify them with an ultrasound of the thyroid gland and a blood test for hormones.
- Uterine amenorrhea. Occurs due to damage to the inner layer of the uterus. They are not restored and prevent damage.
Diagnostics will include testing for hormones, prolactin and progesterone. The next step will be an ultrasound (ultrasound) of the ovaries and adrenal glands. A blood test is desirable to do on the 21-23 day of the monthly menstrual cycle. Basal temperature measurement will also be required. This is done immediately after waking up. The standard temperature is 36.6, but 37.1 is acceptable.
Reasons for prescribing
Most often, Duphaston is prescribed to a woman with amenorrhea, delayed menstruation, due to progesterone deficiency and incorrect ovarian function. During the effective treatment, as expected, in the middle of the phase in the female body ovulation occurs, the output of a mature egg. Then comes the formation of the yellow body, which produces progesterone. The hormone control prepares the endometrium for conception. In addition, this hormone prevents spontaneous miscarriage during early pregnancy.
When progesterone deficiency occur the following pathologies:
- secondary amenorrhea,
- infertility due to luteal insufficiency
- irregular and painful menstruation,
- dysfunctional uterine bleeding - DMK,
- threatened miscarriage
- increased premenstrual symptoms
- ovarian dysfunction.
Didrogesterone, which is the active component of Duphaston, contributes to the thickening of the walls of the endometrium, which as a result causes bleeding, in the case when conception did not take place. Sometimes the side effect of taking hormone pills is too rapid growth of the endometrium. In this case, in the middle of the cycle there are small bleeding.
The delay after "Duphaston", short-term menstrual irregularities - the side effects of the drug. The discharge may start earlier, be scarce or, on the contrary, abundant, their intensity may change. If all these changes are not long-term and not systematic, then everything will most likely be adjusted independently.
The effect of didrogesterone on the woman's body
This substance is able to compensate for the shortage of progesterone and, accordingly, to stabilize menstruation. Such treatment in most cases has fast and good results. In patients, the regular menstrual cycle is quickly and effectively restored.
It is important to understand that the dosage of the drug is chosen individually for each person. The therapeutic regimen will depend on the general patient's clinic and diagnostic data. The gynecologist initially establishes a daily dose of medication, which is further divided into several parts to receive it throughout the day.
Cancel this drug a couple of days before the onset of the alleged menstruation. During this period, the level of progesterone decreases, which, in turn, leads to menstruation. It is impossible to identify the exact date of the onset of the critical days when the menstruation is delayed after the cancellation of “Duphaston”, because everyone has their own individual organism. Still, doctors assumed that menstruation should occur in 3-7 days, small deviations are also acceptable.
The reasons for the arrival of menstruation ahead of time in the treatment of "Duphaston"
If bleeding began earlier than expected, then the reason may be:
- The reaction of the body to didrogesterone.
- The patient has the wrong treatment regimen chosen, or she herself violates the dosage.
The first menstruation after discontinuation of the medication may have a brownish color and the appearance of a smear, which is an absolute norm. Over time, when the cycle is adjusted, it will finally recover, everything will be as usual.
A delay after Duphaston is considered a pathology if there is no pregnancy. This medicine produces progesterone that is lacking in the body. When a woman stops taking it, the absence of progesterone gives a signal to the endometrium that there is a rejection of everything unnecessary from the uterine walls. The result is that all that is unnecessary in the female body leaves it with the menstrual flow.
Why there is no menstruation after taking "Duphaston"
When a woman takes this hormonal drug, she should keep in mind that he does not act as an oral contraceptive. When in the process of treatment between a man and a woman there was unprotected sex, this increases the likelihood of conception. Delayed menstruation after Duphaston may be the commonplace cause of a woman’s pregnancy.
If menstruation does not begin within two weeks after the end of the course of treatment, it is necessary to check for pregnancy. Самым простым и распространенным способом является специальный тест, также для точного подтверждения можно пройти гинекологическое ультразвуковое исследование.
Is it possible to delay after "Duphaston" during pregnancy and is it worth taking it further? This can be solved only by doctors. Often they are prescribed to continue taking this drug to reduce the risk of miscarriage. It is worth canceling it accurately, gradually, strictly observing instructions of the doctor.
If the delay after “Duphaston” test is negative, then the reason for this phenomenon should be clarified again. It is likely that the failure was due to factors such as:
- violation of the regimen of the drug,
- when therapy is terminated earlier than scheduled.
Illiterate use of the drug may cause hormonal disorders and disorders in the functioning of the reproductive system. All this creates a basis for the instability of the female cycle.
If, after consulting with a gynecologist on the delay in menstruation after taking Duphaston, the reasons for incorrect dosage disappear, the following should be considered:
- The presence of errors in the diagnosis.
- Late ovulation in women.
- The presence of hidden pathology.
- The body lacks estrogen.
- Adrenal gland disease.
- The presence of a tumor in the body.
- The use of drugs intended for diseases that are non-gynecological in nature.
Ways to restore the menstrual cycle
What to do if the delay after taking "Duphaston" did not end with the fact that they came monthly? First, it is worth making a pregnancy test and visiting a gynecologist. The most accurate definition of conception will be a blood test for hCG and a visual examination of a competent doctor.
If the delay after taking "Duphaston" is not the cause of pregnancy, then most likely the doctor will write out blood and urine tests for a clinical study. It is important to determine which hormonal status the patient has at the moment. Under laboratory conditions, it is necessary to calculate each hormone that is produced by the pituitary gland, ovaries, thyroid gland and adrenal glands.
Ultrasound is another effective research method, where a special attention is paid to the adrenal glands and ovaries by a sonologist. To determine the level of progesterone, you must donate blood on the 21-23 day of the menstruation cycle.
If the doctor suspects that a woman has a tumor, she will receive a CT scan. In some cases, an ovarian puncture and tests for thyroid hormones can be given.
Possible pathology in the absence of menstruation
A delay after Duphaston may indicate a signal for the development of pathological processes:
- Estrogen deficiency.
- Obstruction of fallopian tubes.
- Cicatricial changes in the uterus.
- Belated ovulation.
- Malfunctions of the adrenal glands.
- Changes in the pituitary gland, genital organs, which are of an oncological nature.
In the treatment of an identified disease, the doctor must develop an individual scheme, in some cases, the preservation of the delay after Duphaston leads to the doctor excluding this drug. This applies mainly to those who have taken this drug for a long time.
Could there be a delay after Duphaston? As it turned out, this is mainly due to illiterate self-treatment, and the chances of a quick recovery of health are slim. To solve the problem requires the involvement of a competent specialist. It is important to know that any hormonal drugs can be taken only with the permission of the attending physician.
Who is contraindicated to take "Duphaston"?
This drug has its own contraindications, such as:
- Girls under 18 years old.
- Malignant neoplasms.
- Bad coagulability.
- Liver disease.
- Breast feeding.
- Allergy to components in the preparation.
- Alcohol consumption.
Alcohol lowers the quality of the effects of the drug, reducing its effectiveness. As a result, the body does not receive the required amount of hormone. Duphaston is designed to influence the woman's menstrual cycle, as well as to prolong the yellow body phase. If you use it against the instructions, then, most likely, such an action will lead to menstruation without ovulation. Here the method of oral contraceptives works, which is an unfavorable effect, a dangerous violation of the stability of the cycle. It is not necessary to self-medicate and change the doses that are set by the doctor, because this is often harmful to health.
The reasons for the lack of menstruation after the cancellation of "Duphaston"
Painful menstruation, infertility, miscarriage - this is just a small list of diseases that are treated with this drug. It should be drunk from the day of ovulation and before menstruation. However, sometimes women are faced with the problem of delay after the cancellation of "Duphaston".
Ideally, after 2-3 days from the last intake of the pill should come monthly. Waiting up to 10 days is acceptable. If the time has come, and there is no menstruation, then this is a reason to seek advice from a gynecologist. One of the common causes of delay after “Duphaston” is the patient’s pregnancy. If this is not confirmed, then further examination and identification of the specific cause of the pathology is necessary.
Hormonal failure in the body
The reason for the delay after Duphaston may be the improper work of the adrenal glands when they produce too much adrenocorticotropic hormone. The excess of this substance leads to the fact that the hypothalamus produces an insufficient amount of luteinizing and follicle-stimulating hormones. All this leads to disruption of the normal functionality of the uterus - the absence of menstruation.
As you know, the hypothalamus is also responsible for prolactin - a hormone that is responsible for the appearance of milk in the breast of a woman during the period of feeding the child. Sometimes with hormonal failure, prolactin blocks the synthesis of the hormone responsible for follicle development, so menstruation does not begin. The body believes that at the moment the woman is feeding the baby with milk and by nature the reproductive function is inhibited.
Could a woman's delay after canceling Duphaston cause her ovaries to fail? It is quite possible, and ovulation will be, but with a delay. In this case, in the female body, and so high the level of its own progesterone, and until such time as it decreases, critical days will not come.
For women's health, there is another important hormone - estrogen. In the first half of the cycle in the blood can observe its maximum amount. If there is an insufficient amount of this hormone in the female body, the growth of the endometrium will slow down. In this regard, menstruation is not only because there is nothing to stand out from the uterus. If the thyroid gland is not sufficiently active, thyroid hormones are poorly produced, then the critical days can stop altogether.
Unfortunately, many women, after listening to the reviews and reading the instructions, prescribe medication for themselves. In this regard, many are asking the forum about the delay after Duphaston. It is important to know that it is impossible to experiment with this drug! Lack of menstruation can become chronic, with irreversible consequences.
The drug is prescribed based on studies of the hormonal profile of the patient. If the delay after "Duphaston" is not due to pregnancy or hormonal failure, then the cause may be the presence of adhesions, scars on the cervix and the uterus itself. They may occur due to surgeries, abortions, childbirth or infectious diseases. In this case, the scars begin to gradually replace the muscle tissue, and therefore the possibility of outflow of bloody discharge from the uterus is absent.
The absence of periods of 6 days or more is also due to a strong physical overvoltage. For example, a woman lifts weights or engages in strength sports. Also, the state of hormones can be affected by a large number of negative situations, prolonged depression. This condition usually causes either premature menstruation, or a delay of up to 15 days.
In any case, at present almost everything is treatable, and the earlier a patient seeks medical help, the more effective it will be.
Duphaston or didprogesterone is a synthetic progestogen analogue that is active when taken orally.
After ingestion (tablets washed down with a sufficient amount of water, regardless of the meal). The maximum concentration is reached after 0.5 or 2.5 hours. The main metabolite of duphaston is 20-alpha-dihydrodrodgesterone (DHD), which, in turn, is excreted in the urine (an average of 63% of the dose of the drug). Full removal of the drug occurs after 72 hours.
Apply the drug for:
- Treatment of symptoms caused by natural or surgical menopause (table 1. 2 p. Per day, starting from the 11-25th day of the cycle)
- Secondary amenorrhea (1 tab. 2 p. Per day, starting from the 11-25th day of the cycle)
- Dysmenorrhea (1 tab. 2 p. Per day, starting from the 5-25th day of the cycle)
- Endometriosis (1 tab. 2 or 3 p. Per day, starting from the 5-25th day of the cycle)
- Premenstrual syndrome (tbl. 1 p. Per day starting from the 11-25th day of the cycle)
- Dysfunctional uterine bleeding (1 tab. 2 p. Per day for 5-7 days)
- Violation of the menstrual cycle (1 tab. 2 p. Per day, starting from the 11-25th day of the cycle)
- Infertility due to luteal insufficiency (1 tab. Per day starting from the 14-25th day of the cycle continuously for 6 consecutive menstrual cycles)
- Threatening (4 tab. Drunk immediately, then take 1 tab. Every 8 hours until the disappearance of the full unpleasant symptoms)
- Usual miscarriage (1 tab. A day before the 20th week of pregnancy)
Side effects of the drug can be:
- Headache or migraine
- Itching, skin rash, urticaria
- Abnormal liver function accompanied by malaise, weakness, jaundice, or abdominal pain
- Tension and soreness, an increase in breast size
- Peripheral swelling, angioedema
- Hemolytic anemia
- Depressed mood
Undesirable reactions of the drug are:
- Venous thromboembolism
- Stroke, myocardial infarction
- Cancer endometria, endometrial hyperplasia
- Mammary cancer
- Sex hormone related tumors, including benign and malignant
The drug can not be used for:
- Children and teenagers under 18
- Hypersensitivity to the component didrogesterone or other components of the drug
- Undiagnosed uterine bleeding
- Diagnosed or suspected progestogen-dependent tumors
In the treatment of infertility, the main point is the restoration of the regular menstrual cycle. To identify hormonal problems it is necessary to measure the basal temperature. Further, the doctor analyzes the data obtained from the graph and draws conclusions. With a shortened second phase, a slow increase in temperature, late ovulation, Duphaston is prescribed, which, being an artificial progesterone, prepares the uterus for the introduction of an egg that was previously fertilized.
Delay of menstruation after duphaston
Cases of detecting a delay after taking Duphaston were observed, but with all this, the pregnancy test is negative, which causes both the concern of the woman and the attending physician. To identify the causes of the delay conduct a full hormonal examination. Completely eliminate the problems associated with the adrenal glands, ovaries and pituitary gland. A symptom of an as yet unidentified disease is the definition of progesterone deficiency in the menstrual cycle (in the second phase).
In the absence of pregnancy, the delay after taking duphaston occurs with various hormonal disorders.
Doctors recommend donating blood for progesterone analysis for the period from 21 to 23 days of the cycle, an ultrasound of the ovaries and adrenal glands, which will help to identify any organic lesion.
Menstruation call yourself will not work. If the monthly does not come on the 10th day after discontinuation of the drug, it is necessary to make an ultrasound. This phenomenon has been noticed in many girls, which may indicate deep problems that need to be addressed before the onset of pregnancy. It is not necessary to stop taking duphaston, it is imperative to control ovulation by measuring the basal temperature.
However, the delay in menstruation may have a number of other reasons which you will learn from the following video:
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The reasons for the delay after the cancellation of Duphaston
Treatment of infertility, painful menstruation and miscarriage - only a few problems in which doctors expect a positive effect from Duphaston. It is prescribed to drink it from the moment of ovulation until the onset of menstruation. However, it does not always start on the intended day.
2-3 days after the end of the hormonal drug, usually come monthly. In rare cases, this happens after 10 days. If the time has passed, and the menstruation has not begun, you should consult a doctor for advice. After all, the reason for the delay can be not only pregnancy, but also various pathologies of the reproductive system, as well as endocrine glands.
The first thing that can be suspected of a delay after the cessation of reception of Duphaston is the onset of pregnancy. If it is not confirmed, careful examination is required to determine the reason for the delay.
When it's all about hormones
A delay in the adrenal glands may cause a delay, in which they produce too much adrenocorticotropic hormone. Its excess causes, in turn, insufficient production of important hormones in the hypothalamus - luteinizing and follicle-stimulating. Because of this, the normal functioning of the uterus is disrupted and menstruation does not occur.
The hypothalamus regulates the production of hormones, among them prolactin. It is thanks to him that milk appears in the nursing mother. When, as a result of a failure, prolactin begins to block the synthesis of a hormone that stimulates follicle development, menstruation does not occur. The “deceived” organism believes that the woman feeds the child, therefore the reproductive function is inhibited.
Could the reason that there are no menstruations after the cancellation of Duphaston can cause ovarian failure? Of course yes. With him, ovulation comes with a delay. Because of this, in the body of a woman's own progesterone level is too high. While it does not fall, menstruation does not occur.
Another important hormone for women's health is estrogen. Its maximum blood content is observed in the first half of the cycle. With its low level, the growth of the endometrium is inhibited. Therefore, menstruation may be delayed due to the fact that there is simply nothing left to leave the uterus.
Insufficient activity of the thyroid gland and the weak production of thyroid hormones by this organ can lead to the fact that menstruation stops altogether. The thyroid gland and, as a result, thyrotropin and adrenocorticoid hormone, which are produced in the pituitary gland, also affect the menstrual cycle.
Sometimes a woman, after reading the instructions and reviews, independently assigns herself a treatment. In the case of Duphaston, this cannot be done categorically. Self-admission can lead to the fact that the problem will only worsen, and the delay in menstruation after Duphaston will be delayed for an indefinite period. The fact is that the drug must be taken in a dosage calculated by the doctor after researching the woman’s own hormonal profile.
The woman has a normal level of hormones, and after Duphaston there are still no periods? The problem may be in the spikes and scars on the uterus or cervix. They are formed after surgery, childbirth and abortion, and also occur as a result of past infectious diseases. In this pathology, scars replace normal muscle tissue, so there is no possibility of blood outflow from the uterus.
What to do in the absence of menstruation
If, after canceling Duphaston, the delay lasts more than 10 days, then a doctor’s consultation is necessary. But first you should do a pregnancy test. It is possible that this long-awaited event was the cause of the delay.
Sometimes the test result is negative, but the woman feels the symptoms of pregnancy. This happens at very early stages (up to two weeks), when a sufficient amount of human chorionic gonadotropin has not yet been developed in the body. But there may be other reasons for the delay:
- pathological processes in the kidneys,
- low concentration of urine, if on the eve the woman drank a lot of liquid,
- pathology of pregnancy
- incorrect analysis.
To avoid any misunderstandings, it is better to use a test purchased at a pharmacy, the shelf life of which has not expired. And use it strictly in accordance with the instructions. First morning urine is required for analysis. Before the test can not eat anything and drink. Finally, dispel doubts can only consult a doctor and examination.
Diagnose Causes for Delay
It can often be that the test is negative or shows an incorrect result in the first time after the onset of pregnancy. Therefore, doctors prescribe a test for chorionic gonadotropin (hCG), which can be detected in the blood as early as 8-9 days after conception. Если предполагаемая беременность подтверждается результатами этого исследования и УЗИ, то можно наслаждаться самым прекрасным и ответственным периодом в жизни женщины.
Принимать Дюфастон при наступлении беременности или нет, должен решать врач. Perhaps he will advise you to drink it for some time to reduce the risk of miscarriage. Cancel this drug should be gradually and very carefully.
In cases where after 10 days, or even a month, menstruation does not occur, but the pregnancy has not been confirmed, the doctor prescribes a more extensive examination. You will undergo an ultrasound examination of the uterus, ovaries and adrenal glands. You will also need to donate blood to determine the level of progesterone, a thyroid stimulating hormone. The study of the level of prolactin most reliably in the period from 21 to 23 days of the monthly cycle.
The doctor may ask the woman to keep a basal temperature chart. It helps to find out how much hormone levels fluctuate on certain days of the cycle. In addition, accurately determine the time of onset of ovulation, as well as confirm or deny the occurrence of pregnancy during unusual periods or delay.
In order for the measurement to be reliable, it is necessary to keep a medical thermometer close to the bed so that you can reach it without getting up. Measure the temperature you need every day at the same time. After inserting the thermometer with a narrow end into the anus, you need to calmly lie down for about 5 minutes. Readings should be recorded in the previously prepared schedule.
Duphaston is a safe and effective drug that can help solve many problems of women's health. However, it is extremely important to use it after a thorough examination and expert advice.