Can I Adjust My Menstrual Cycle with Norethindrone Before Traveling? - Obstetrics and Gynecology

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Inquiry about menstrual regulation medication?


Hello, my menstrual periods in the last three months were on May 21, June 24, and July 25.
I will be traveling abroad for a week starting September 2, and due to my irregular menstrual cycle, I am concerned that my period might start just before my trip.
I recently visited a gynecologist and received medication to delay my period, specifically Shiton 5mg and Norethindrone, for a total of 15 days.
I originally planned to start taking the medication on August 21 and continue for 15 days.
If I start taking the medication earlier, on August 14, and take it for a week, stopping around August 21, is this an acceptable approach? Thank you.

Xuan, 20~29 year old female. Ask Date: 2019/08/13

Dr. Huang Jianzhong reply Obstetrics and Gynecology


The menstrual periods in the last three months were on May 21, June 24, and July 25.
I will be traveling abroad for a week on September 2, and due to irregular menstrual cycles, I am concerned that my period might start just before my trip.
Recently, I visited a gynecologist and received medication to delay my period, specifically Shiton 5mg and Norethindrone, for a total of 15 days.
I originally planned to start taking the medication on August 21 and continue for 15 days.
If I start taking the medication earlier, on August 14, I would stop around August 21 after one week of use.
Is this acceptable? Answer: No.

Reply Date: 2019/08/13

More Info


Adjusting your menstrual cycle with medications like Norethindrone can be a practical solution for managing your period, especially when you have travel plans. Norethindrone is a synthetic form of progesterone, a hormone that plays a crucial role in regulating the menstrual cycle. It is often prescribed to delay menstruation or manage irregular cycles.

In your case, you have a history of irregular menstrual cycles, with your last three periods occurring on 5/21, 6/24, and 7/25. Given that you plan to travel on 9/2, it is understandable that you want to avoid having your period during your trip. You have been prescribed Norethindrone (also known as Shiton 5mg) to take for 15 days, starting on 8/21. However, you are considering starting the medication earlier, on 8/14, and continuing for a week, which would lead to stopping the medication around 8/21.

While it is generally possible to adjust the start date of Norethindrone, it is essential to consult with your healthcare provider before making any changes to your medication regimen. Starting the medication earlier than prescribed may alter the expected effects and could lead to unintended side effects or complications. The timing and dosage of hormonal medications can significantly impact their effectiveness and your body's response.

When taking Norethindrone, it is crucial to follow the prescribed dosage and schedule to ensure that it effectively delays your period. Typically, Norethindrone is taken continuously until the desired effect is achieved, and then it is stopped to allow for a withdrawal bleed, which mimics a menstrual period. If you start taking it earlier, you may need to adjust the duration of your intake or the timing of when you stop taking it to achieve the desired outcome.

Moreover, hormonal medications can have side effects, including mood changes, breast tenderness, nausea, and changes in weight. Some individuals may also experience breakthrough bleeding or spotting, especially if the medication is not taken as directed. Therefore, it is vital to have a discussion with your doctor about your travel plans and the best way to manage your menstrual cycle safely.

In summary, while adjusting the start date of Norethindrone may be possible, it is essential to do so under the guidance of your healthcare provider. They can provide personalized advice based on your medical history and current health status, ensuring that you can travel comfortably without the concern of an unexpected period. Always prioritize open communication with your healthcare provider regarding any changes to your medication regimen to ensure your health and well-being.

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