Should You Wait or Return for More Menstrual Induction Pills? - Obstetrics and Gynecology

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The menstrual induction medication has been taken for 7 days?


My menstrual cycle has been irregular these past few months.
I took the medication to induce menstruation on the seventh day, but my period still hasn't started.
Should I wait a few more days or go back to the clinic to get more medication? This time, I haven't had my period for 50 days, and I'm sure I'm not pregnant.
Previously, I had cycles of 60 and 66 days, and one lasted for 19 days, with light flow for the first 14 days and then very heavy flow for the last five days.
The doctor mentioned that I should return within five days after my period starts to take medication to regulate my cycle.
Given that my period hasn't started yet, should I wait? If so, how long should I wait? Or should I go back to the clinic right away?

Xiao Bai, 40~49 year old female. Ask Date: 2020/05/29

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, if you haven't had your period for over a week after taking the medication, it is advisable to return for a follow-up appointment.
Wishing you good health.

Reply Date: 2020/05/29

More Info


When it comes to managing irregular menstrual cycles, particularly after taking menstrual induction pills, it's essential to approach the situation with care and an understanding of your body's responses. Given your situation, where you have taken the induction medication for seven days without the onset of menstruation, there are several factors to consider before deciding whether to wait or return for more medication.

Firstly, it’s important to recognize that menstrual cycles can be influenced by a variety of factors, including stress, hormonal imbalances, changes in weight, and underlying health conditions. Since you mentioned that your cycles have been irregular, with intervals of 50, 60, and 66 days, it suggests that your body may be experiencing some hormonal fluctuations that could be affecting your menstrual regularity.

In your case, since you have confirmed that you are not pregnant, it is reasonable to wait a few more days after completing the induction medication. Typically, menstrual induction pills can take some time to work, and it is not uncommon for it to take a week or more for menstruation to begin after the last pill is taken. If you do not experience any bleeding within a week after completing the medication, it would be advisable to return to your healthcare provider for further evaluation.

Your doctor may want to assess your overall health, including checking hormone levels, to determine the underlying cause of your irregular cycles. They may also consider other treatment options or adjustments to your current medication regimen based on your specific situation.

In terms of how long you should wait, a general guideline would be to wait about one week after completing the induction medication. If you still do not have your period after this time, it would be prudent to schedule an appointment with your healthcare provider. They can provide you with a thorough evaluation and discuss potential next steps, which may include additional medication, lifestyle changes, or further diagnostic testing.

Moreover, it’s essential to keep track of your menstrual patterns, including the duration and flow of your periods, as this information can be valuable for your healthcare provider in determining the best course of action. If you experience any unusual symptoms, such as severe pain, excessive bleeding, or other concerning signs, do not hesitate to seek medical attention sooner.

In summary, while it is reasonable to wait a few more days after taking the menstrual induction pills, monitoring your body’s response and maintaining open communication with your healthcare provider is crucial. If menstruation does not occur within a week, returning for further evaluation is the best course of action to ensure your reproductive health is managed effectively.

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