Delayed Menstruation After Hormonal Injection: What to Do Next?

Continuation of question #139955?

Hello Doctor: I am the patient who inquired about the menstrual induction injection last time.
It has been 8 days since I received the injection, and my period has not yet arrived.
Should I schedule another appointment, or should I wait a few more days? My last menstrual period was from August 7 to August 13, with an average cycle of 31 days.
I had sexual intercourse on August 15, August 27, and September 14, and I have already been to the gynecologist for a check-up and tested for pregnancy (negative).

Lin, 20~29 year old female. Ask Date: 2018/09/22

Dr. Huang Jianzhong reply Obstetrics and Gynecology

It has been 8 days since receiving the menstrual induction injection, and menstruation has not yet arrived.
Should I return for another consultation, or should I wait a few more days? Answer: Wait for another 6 days; if menstruation still hasn't arrived, then return for a consultation.
The last menstrual period was from August 7 to August 13, with an average cycle of 31 days.
Sexual intercourse occurred on August 15, August 27, and a gynecological check-up was done on September 14, which confirmed that there is no pregnancy.

Reply Date: 2018/09/22

More Info

Understanding delayed menstruation after hormonal injections can be a complex issue, especially for individuals who have recently undergone treatment aimed at regulating their menstrual cycle. In your case, it has been eight days since you received the hormonal injection intended to induce menstruation, and you have not yet experienced your period.
Firstly, it is important to recognize that hormonal injections can affect individuals differently. The timing of menstruation can vary based on several factors, including the type of hormonal injection received, individual hormonal balance, and overall health. In many cases, it can take some time for the body to respond to hormonal treatments, and delays in menstruation are not uncommon.

Given that your last menstrual period was from August 7 to August 13, and considering your average cycle length of 31 days, it is reasonable to expect your period to arrive around early September. However, since you have received a hormonal injection, this can alter your cycle. Hormonal treatments can sometimes lead to a delay in menstruation, and it may take a few days to a couple of weeks for your body to respond adequately.

In your situation, since you have already confirmed that you are not pregnant through a visit to your gynecologist, it may be advisable to wait a few more days before taking further action. If your period does not arrive within the next week, it would be prudent to return to your healthcare provider for further evaluation. They may want to assess your hormonal levels or consider other underlying factors that could be contributing to the delay.

Additionally, it is essential to monitor any other symptoms you may be experiencing. If you encounter any unusual symptoms such as severe abdominal pain, heavy bleeding, or signs of infection, you should seek medical attention immediately.
In summary, while it is understandable to feel anxious about a delayed period after a hormonal injection, it is often a normal response to the treatment. Waiting a few more days before consulting your healthcare provider is a reasonable approach. If the delay continues, further evaluation will help determine the next steps in managing your menstrual health. Always remember that open communication with your healthcare provider is key to addressing any concerns you may have regarding your reproductive health.

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