the Impact of Menstrual Delay Medications on Pregnancy Chances - Obstetrics and Gynecology

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Medications for menstrual regulation and pregnancy?


Hello doctor, my girlfriend has a regular menstrual cycle of about 26 to 30 days.
Last month, her cycle was 27 days, with her period starting on August 27.
Ovulation occurred on September 9, and we had unprotected intercourse on September 17.
Her expected period was on September 24, but due to some circumstances, she started taking medication to delay her period from September 20 to September 29.
As of today, October 1, her period has not yet arrived.
I would like to know what the chances of pregnancy are.
If she is not pregnant, is it normal for her period to be delayed? Thank you, doctor.

Lin Xiansheng, 20~29 year old female. Ask Date: 2022/10/02

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it will take about a week after taking the medication for your period to arrive.
Just wait a little longer.
Wishing you good health!

Reply Date: 2022/10/02

More Info


When it comes to understanding the impact of menstrual delay medications on pregnancy chances, it's essential to consider several factors, including the timing of ovulation, the nature of the medications used, and the overall health of the individual.

First, let's clarify the menstrual cycle. A typical menstrual cycle lasts between 21 to 35 days, with an average of about 28 days. Ovulation usually occurs around 14 days before the start of the next menstrual period. In your case, if your girlfriend's cycle is about 27 days long, ovulation likely occurred around September 9. Engaging in unprotected intercourse on September 17, which is about a week after ovulation, would typically be outside the fertile window, as the egg is viable for about 12 to 24 hours after ovulation. Therefore, the chances of conception from that encounter may be lower.

Now, regarding the use of menstrual delay medications, these are often hormonal treatments that can alter the normal menstrual cycle. Common medications include progestins, which can delay menstruation by preventing the shedding of the uterine lining. However, the use of such medications can also lead to irregularities in the menstrual cycle, including delayed periods.
In your situation, since your girlfriend started taking menstrual delay medications on September 20 and continued until September 29, this could have influenced her menstrual cycle. The hormonal changes induced by these medications may delay the onset of her period, which could explain why she has not yet menstruated by October 1.
It's also important to note that stress, changes in weight, illness, and other factors can contribute to menstrual irregularities. If your girlfriend is experiencing a delay in her period, it may not necessarily indicate pregnancy, especially considering the timing of ovulation and the use of delay medications.

To determine the likelihood of pregnancy, it would be advisable for her to take a home pregnancy test. These tests are most accurate when taken after a missed period, typically around the time her period is expected. If the test is negative and her period still does not arrive, it may be worth consulting a healthcare provider to rule out other potential causes for the delay.

In summary, while the use of menstrual delay medications can affect the timing of her period, the likelihood of pregnancy from the intercourse on September 17 appears to be low given the timing of ovulation. If her period does not arrive soon, a pregnancy test and consultation with a healthcare professional would be prudent steps to take.

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