When to Return to the Doctor if Your Period Doesn't Start After Medication?

If you have taken the medication to induce menstruation and your period still hasn't arrived, you should wait for about a week after completing the medication. If your period does not start by then, it is advisable to return for a follow-up consultation with your healthcare provider?

I visited the obstetrics and gynecology department last Wednesday because my menstrual period has been delayed for almost two months.
The doctor prescribed progesterone to induce my period for five days, but my menstruation still hasn't arrived.
When should I return for a follow-up appointment if my period doesn't come?

Yu, 20~29 year old female. Ask Date: 2022/03/21

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if you haven't had your period for over a week after taking medication, it is recommended to see a gynecologist.
Wishing you good health.

Reply Date: 2022/03/21

More Info

If you have been prescribed progesterone (often referred to as "黄体素" or "luteal hormone") to induce your menstrual period and you have completed the course of medication without experiencing any menstrual bleeding, it is important to follow up with your healthcare provider. Generally, if your period does not start within a week after finishing the medication, you should schedule a follow-up appointment with your doctor.

In your case, since you have already waited almost two months for your period before starting the medication, and now you have completed the five-day course of progesterone without any results, it is advisable to return to your doctor sooner rather than later. A good rule of thumb is to wait about one week after completing the medication. If your period has not started by then, you should contact your doctor to discuss your symptoms and any further steps that may be necessary.

There are several reasons why your period may not start after taking progesterone. It could be due to hormonal imbalances, stress, significant weight changes, or underlying medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. Your doctor may want to perform additional tests, such as blood tests to check hormone levels or an ultrasound, to determine the underlying cause of your amenorrhea (absence of menstruation).

It is also important to consider your overall health and any other symptoms you may be experiencing. If you have any unusual symptoms, such as severe abdominal pain, unusual discharge, or signs of pregnancy, you should seek medical attention immediately.
In summary, if your period does not start within a week after completing the progesterone treatment, you should return to your doctor for further evaluation. It is crucial to communicate openly with your healthcare provider about your concerns and any changes in your health. They can provide you with the best guidance tailored to your specific situation and help you find a solution to restore your menstrual cycle.

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