Menstrual Delay Medications: Your Questions Answered

Menstruation during the use of contraceptive pills?

Hello, I would like to ask the following: I originally expected my period to come between the 11th and 16th, and I hope to delay it until the 17th.
Therefore, I bought a medication to postpone my period (Mefenamic Acid) and started taking one pill a day from the 7th.
I have been experiencing abdominal discomfort during these days, and today (the 15th) I noticed a small amount of bleeding.
I would like to know if this means the delay has failed.
Can I continue taking the medication or take two pills at once? I have an important exam on the 17th, so I really hope to delay it until after that.
Thank you for your response.

Nìmíng, 20~29 year old female. Ask Date: 2021/07/15

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, continue taking the medication.
If your period does come, stop taking the medication as it indicates that the menstrual delay was unsuccessful.
Wishing you good health.

Reply Date: 2021/07/15

More Info

When it comes to menstrual delay medications, such as the one you mentioned (美婷娜, or Medroxyprogesterone), it's important to understand how these medications work and their potential effects on your body. Medroxyprogesterone is a synthetic form of the hormone progesterone, which is often used to regulate menstrual cycles or delay menstruation.

In your case, you started taking the medication on the 7th with the intention of delaying your period, which was expected to occur between the 11th and 16th. You mentioned experiencing abdominal discomfort and then a small amount of bleeding on the 15th. This could indicate that the medication is not effectively delaying your period, or it may be a sign of breakthrough bleeding, which can occur when taking hormonal medications.

It's crucial to note that while some women may successfully delay their periods using such medications, others may not respond as expected. The effectiveness can vary based on individual hormonal levels, the timing of the medication, and how your body reacts to hormonal changes. The fact that you are experiencing abdominal pain and bleeding suggests that your body may be responding to the hormonal changes induced by the medication.

Regarding your question about whether you can continue taking the medication or increase the dosage to two pills, I would advise against it. Doubling the dose without medical supervision can lead to increased side effects and may not necessarily provide the desired effect of delaying your period. It’s essential to follow the prescribed dosage and consult with a healthcare professional before making any changes to your medication regimen.

If your period starts, it may be a sign that the medication did not work as intended. However, it’s also possible that the bleeding you are experiencing is not a full menstrual period but rather a side effect of the medication. If you have concerns about the amount of bleeding or if the abdominal pain worsens, it would be wise to seek medical attention.

In summary, while medications like Medroxyprogesterone can be effective for delaying menstruation, individual responses can vary significantly. If you are experiencing unexpected side effects or if your menstrual cycle does not respond as anticipated, it is best to consult with a healthcare provider for personalized advice and management. They can help you understand your options and ensure that you are using the medication safely and effectively.

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