Menstrual Induction: What to Do After a Delayed Period?

Administering a menstrual induction injection?

Following up on my previous post, my last menstrual period was from September 12 to 17.
After that, I had external ejaculation until October, with internal ejaculation on October 10.
I waited for 42 days and went to the gynecologist on October 22, where the pregnancy test was negative.
However, I did not have an ultrasound, only received a menstrual induction injection.
Four days after the injection, I got my period on October 26 and 27, which was only the amount I usually have on the third day of my cycle.
On October 28, there was only a brown discharge the size of a one-dollar coin, and by the 29th, it was completely gone.
Around the middle of the month, approximately on the 13th or 14th, I have been experiencing frequent cramping in my abdomen and stomach up to now.
Doctor, what should I do now? Should I buy another pregnancy test or go back to the gynecologist for another check-up? (This is the first time I visited this gynecologist; the one I previously went to was closed that day.)

Gua Gua~, 10~19 year old female. Ask Date: 2017/10/29

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Last month, my menstrual period was from September 12 to 17.
After my period ended, I practiced withdrawal until October, when there was an internal ejaculation on October 10.
I waited for 42 days and went to the obstetrics and gynecology department on October 22 for a pregnancy test, which was negative.
However, I did not have an ultrasound; I only received a medication to induce menstruation.
Four days after the injection, I got my period on October 26 and 27, but the flow was only as much as my usual third day of menstruation.
On October 28, there was only a brown discharge the size of a one-dollar coin, and by the 29th, it had completely stopped.
Around the middle of the month, on the 13th and 14th, I experienced frequent cramping in my abdomen and stomach, which continues to this day.
Doctor, what should I do now? Should I buy another pregnancy test or go back to the obstetrics and gynecology department for another check-up?
Answer: You had a negative pregnancy test on October 22, and after receiving the medication to induce menstruation, you got your period, so there is likely no issue.
As for the abdominal and stomach cramps around the 13th and 14th, you should consult a gastroenterologist.

Reply Date: 2017/10/29

More Info

When dealing with a delayed menstrual period, especially after a series of events like yours, it’s important to understand the potential causes and the appropriate steps to take. Based on your description, you experienced a delayed period of 42 days, followed by a visit to the gynecologist where a pregnancy test returned negative. You received a menstrual induction injection, which led to a brief period that seemed lighter than usual. Now, you are experiencing abdominal pain and are unsure of the next steps.

Firstly, it’s important to recognize that menstrual irregularities can be caused by a variety of factors, including hormonal imbalances, stress, changes in weight, or underlying medical conditions. Since you mentioned that your last menstrual cycle was from September 12 to 17 and that you had unprotected intercourse on October 10, it’s understandable to have concerns about pregnancy, especially given the delay in your period.

Here are some steps you can take:
1. Monitor Symptoms: Keep track of any additional symptoms you may experience, such as changes in your menstrual cycle, abdominal pain, or any unusual discharge. This information can be helpful for your healthcare provider.

2. Pregnancy Test: Since you had a negative pregnancy test on October 22 and then induced your period, it is unlikely that you are pregnant. However, if your symptoms persist or if you have any doubts, it may be a good idea to take another home pregnancy test. These tests are generally reliable, especially if taken after a missed period.
3. Follow-Up with a Gynecologist: Given that you experienced abdominal pain and irregular bleeding, it would be wise to schedule a follow-up appointment with a gynecologist. They can perform a more thorough examination, which may include an ultrasound to check for any abnormalities in the uterus or ovaries, such as cysts or fibroids, which could explain your symptoms.

4. Consider Hormonal Factors: The injection you received to induce your period may have caused some hormonal fluctuations, which can lead to lighter periods or changes in menstrual flow. Discuss these changes with your doctor, as they can provide insights into whether this is a normal response or if further evaluation is needed.

5. Lifestyle Factors: Consider any lifestyle changes that may have occurred recently, such as stress, diet, or exercise, as these can significantly impact your menstrual cycle.
6. Pain Management: For the abdominal pain you are experiencing, over-the-counter pain relief (like ibuprofen or acetaminophen) may help, but consult with your healthcare provider for recommendations tailored to your specific situation.

In summary, while it seems that your menstrual cycle has resumed, the symptoms you are experiencing warrant further investigation. A follow-up with a healthcare provider is essential to ensure that there are no underlying issues that need to be addressed. It’s always better to err on the side of caution when it comes to reproductive health.

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