Why Haven't My Period Arrived After Taking Menstrual Induction Pills?

I have taken the menstrual induction medication three times, but my period still hasn't arrived?

Hello doctor, I would like to inquire about my situation.
I started seeing an obstetrician-gynecologist in early May, and they mentioned that my uterus is intact but I have some bleeding and hormonal imbalance.
My last menstrual period was on January 28.
The doctor initially prescribed me medication to induce menstruation, stating that my period would likely come around the following Tuesday or Wednesday.
During my follow-up appointment the next Saturday, the doctor performed an ultrasound and a pelvic exam, confirming that there was no cervical obstruction.
They prescribed a stronger medication to induce menstruation, but my period still did not arrive.
During the following Saturday's appointment, after the same checks, the doctor prescribed the same medication again, but I still have not menstruated.
The doctor is quite certain that I am not pregnant.
I would like to ask what could be the reason for this situation?

Niming, 20~29 year old female. Ask Date: 2019/05/22

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I started seeing an obstetrician-gynecologist in early May, who said my uterus was intact but I had some bleeding and hormonal imbalance.
My last menstrual period was on January 28.
He initially prescribed medication to induce menstruation, stating that my period would likely arrive around the following Tuesday or Wednesday.
When I returned for a follow-up appointment the following Saturday, the doctor performed an ultrasound and a pelvic exam, confirming that there was no cervical obstruction.
He prescribed a stronger medication to induce menstruation, but my period still did not come.
During the next follow-up appointment the following Saturday, after the same examinations, he prescribed the same medication again, but I still did not menstruate.
The doctor was very certain that I was not pregnant.
I would like to ask what could be the reason for this situation? Answer: Blood tests are needed for more detailed examination.

Reply Date: 2019/05/22

More Info

It sounds like you're experiencing a frustrating situation with your menstrual cycle, especially after taking menstrual induction pills. There are several factors that could contribute to why your period hasn't arrived despite taking these medications.

Firstly, it's important to understand how menstrual induction pills work. These medications are typically hormonal treatments designed to help regulate your menstrual cycle by mimicking the natural hormonal fluctuations that occur in a typical cycle. They can help stimulate the lining of the uterus to shed, which is what happens during menstruation. However, the effectiveness of these pills can vary based on individual circumstances, including hormonal balance, underlying health conditions, and the timing of administration.

Here are some potential reasons why your period might not have arrived:
1. Hormonal Imbalance: Since you mentioned having a history of hormonal imbalance, this could be a significant factor. Hormonal imbalances can disrupt the normal menstrual cycle, making it difficult for the body to respond to induction medications. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other endocrine issues can affect hormone levels and menstrual regularity.

2. Timing of Medication: The timing of when you take the induction pills in relation to your cycle can also impact their effectiveness. If the pills are taken too early or too late in your cycle, they may not work as intended. It's crucial to follow your doctor's instructions regarding when to take these medications.

3. Underlying Health Issues: Other health issues, such as stress, significant weight changes, or chronic illnesses, can also affect your menstrual cycle. Stress, in particular, can have a profound impact on hormonal regulation and may delay menstruation even when induction medications are used.

4. Medication Response: Individual responses to medications can vary widely. Some women may respond quickly to menstrual induction pills, while others may take longer or may not respond at all. This variability can be due to differences in metabolism, hormone levels, and overall health.

5. Pregnancy: Although your doctor has indicated that you are not pregnant, it's worth noting that some women can experience irregular bleeding or missed periods even in early pregnancy. If there is any doubt, it might be worth taking a home pregnancy test for peace of mind.

6. Follow-Up with Your Doctor: Since you have already seen your doctor multiple times, it’s essential to continue communicating your concerns. If your period does not arrive soon, your doctor may want to explore further diagnostic tests, such as blood tests to check hormone levels, or imaging studies to rule out any anatomical issues.

In conclusion, while menstrual induction pills are designed to help regulate your cycle, various factors can influence their effectiveness. It's essential to maintain open communication with your healthcare provider, as they can provide personalized advice and may need to adjust your treatment plan based on your specific situation. If your period does not arrive soon, further evaluation may be necessary to determine the underlying cause and appropriate treatment options.

Similar Q&A

Missed Period After Taking Menstrual Induction Pills: What to Do?

Last month, my period was significantly delayed. After taking medication to induce menstruation, it started on the 19th. However, this month it still hasn't arrived (today is the 27th).

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, if it doesn't come in another week, I recommend seeing a gynecologist. Wishing you good health.

Do Menstrual Induction Pills Really Work? Understanding Delayed Periods

Are menstrual induction medications really effective? It's been 5 days since I took the medication, and my period still hasn't arrived. I'm experiencing breast engorgement and abdominal pain (similar to the discomfort felt before menstruation).

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, generally, after taking menstrual induction medication, you should expect your period to arrive within one week. If it exceeds one week, it is advisable to consult a gynecologist. Wishing you good health.

Why Your Period Might Be Delayed After Taking Menstrual Induction Pills

The doctor tested me for pregnancy, and there were no signs of pregnancy. I took the medication to induce menstruation, and today is the fifth day with no signs of my period. My breasts and abdomen feel uncomfortable. Should I take the medication to induce menstruation again?

Dr. Huang Jianzhong reply Obstetrics and Gynecology
It has been five days since I took the menstrual induction medication, and there are still no signs of my period. My breasts and abdomen feel uncomfortable. Should I take the menstrual induction medication again? Answer: Wait another five days.

Why Your Period Might Be Late After Taking Menstrual Induction Pills

*The average menstrual cycle is about 34 days. After having protected intercourse at the end of February, my period started on March 3. Due to a delay in my menstrual cycle, I visited a gynecologist on April 20. The doctor mentioned that since my period came after intercourse, th...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, if the bleeding is confirmed to be menstruation, then there is no pregnancy. Typically, menstruation will occur within 10 days after taking menstrual induction medication. There are many factors that can affect the menstrual cycle or cause intermenstrual bleeding, such as ...