Do Anti-Inflammatory Medications Affect Your Menstrual Cycle? - Obstetrics and Gynecology

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Do anti-inflammatory medications affect menstruation?


Hello doctor, I had sexual intercourse with my boyfriend on the 15th, and we used a condom that did not break.
On the 19th, I experienced a urinary tract infection and took anti-inflammatory medication.
My period was supposed to arrive on the 24th, but it hasn't come yet.
Could the anti-inflammatory medication affect my menstrual cycle?

He, 10~19 year old female. Ask Date: 2016/10/24

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, anti-inflammatory medications generally do not affect the menstrual cycle.
You can observe the situation.
If your period is more than one week late, it is advisable to consult a gynecologist.
Wishing you good health.

Reply Date: 2016/10/24

More Info


Anti-inflammatory medications can indeed have an impact on your menstrual cycle, but the extent and nature of this effect can vary depending on the specific medication used, the dosage, and individual physiological responses.
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen, are commonly used to relieve pain and inflammation. These medications work by inhibiting the production of prostaglandins, which are hormone-like substances that play a key role in the inflammatory response and also influence the menstrual cycle. Prostaglandins are involved in the regulation of uterine contractions and the shedding of the uterine lining during menstruation. By reducing prostaglandin levels, NSAIDs can potentially alter the timing and flow of menstruation.
In your case, since you mentioned taking anti-inflammatory medication for a urinary tract infection (UTI), it is possible that the medication could have influenced your menstrual cycle. However, it is also important to consider other factors that could affect your period, such as stress, changes in weight, exercise habits, or hormonal fluctuations.
If your menstrual cycle is typically regular and you have missed your period, it is advisable to take a pregnancy test to rule out pregnancy, especially since you mentioned having unprotected intercourse. While you used a condom, no contraceptive method is 100% effective, and it is always wise to confirm.
In addition to the potential effects of anti-inflammatory medications, other medications you may be taking for the UTI, such as antibiotics, can also influence your menstrual cycle indirectly. Antibiotics can disrupt the balance of gut bacteria, which may affect hormone metabolism and, consequently, menstrual regularity.
If you continue to experience irregularities in your menstrual cycle or have concerns about the medications you are taking, it is best to consult with your healthcare provider. They can provide personalized advice based on your medical history and current medications.
In summary, while anti-inflammatory medications can potentially affect your menstrual cycle, it is essential to consider other factors that may also play a role. If you are concerned about a missed period, taking a pregnancy test and discussing your situation with a healthcare professional would be prudent steps to take.

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