Menstrual Delay Medications: Your Questions Answered - Obstetrics and Gynecology

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Regarding menstrual delay medication?


Hello, I would like to ask about my first experience taking menstrual delay medication.
My last menstrual period started on October 18 (but I did not have my period in September due to high academic stress, so my cycle is irregular).
This month, I have important competitions on November 22 and from November 28 to December 1, and I am very concerned about having my period during that time (I experience severe menstrual pain, which has a significant impact).
Since November 14, I have been feeling breast tenderness, which feels like the onset of my period.
On November 15, I quickly went to the gynecologist to get menstrual delay medication.
The doctor could not guarantee that my period would start between November 23 and November 27, so they suggested I take a 17-day supply and stop the medication after December 1 once my events are over to allow my period to come.
However, after taking one dose of the medication on the evening of November 15, I experienced slight abdominal discomfort on November 16 and noticed a small amount of brown discharge (similar to the symptoms I have one or two days before my period).
I am worried that my period might still come! Is this normal? Is it possible to successfully delay my period for such a long time? Thank you!

@, 10~19 year old female. Ask Date: 2022/11/16

Dr. Lin Lixuan reply Obstetrics and Gynecology


If you want to delay your period for 2 weeks, the chances of failure are very high.
It is recommended to consider stopping the medication to allow your period to come early, which would also help avoid important competition dates.
Additionally, regarding irregular periods and severe menstrual pain, it is advisable to visit a gynecology clinic for further evaluation and treatment.

Reply Date: 2022/11/16

More Info


When it comes to the use of menstrual delay medications, it's important to understand both the pharmacological aspects and the physiological responses of your body. In your case, you have taken a medication to delay your menstrual cycle due to upcoming events that may be affected by menstruation. This is a common practice, especially among athletes or individuals with significant commitments during their menstrual periods.


Understanding Menstrual Delay Medications
Menstrual delay medications, often containing hormones such as progestins, are designed to manipulate the menstrual cycle. They work primarily by preventing ovulation and stabilizing the endometrial lining, which can delay the onset of menstruation. Common medications used for this purpose include norethisterone and other synthetic progestins.
In your situation, you started taking the medication on November 15th, with the intention of delaying your period until after your important events from November 23rd to November 27th. It’s not uncommon for women to experience some side effects when starting hormonal medications, including mild abdominal discomfort or spotting, which you described as a slight dull pain and brown discharge. This can be a normal response as your body adjusts to the hormonal changes induced by the medication.


Is It Normal to Experience These Symptoms?
The symptoms you are experiencing—mild abdominal discomfort and brown discharge—can indeed be normal when starting a hormonal medication. The brown discharge is often old blood, which can occur as the body responds to the hormonal changes. However, if the discomfort becomes severe or if you experience heavy bleeding, it would be advisable to consult your healthcare provider.


Efficacy of the Medication
Regarding the effectiveness of the medication in delaying your period, it is generally effective when taken as prescribed. However, individual responses can vary based on several factors, including your hormonal balance, stress levels, and overall health. Given that you have a history of irregular cycles, it’s possible that your body may react differently than expected.

Can You Successfully Delay Your Period?
While there is no guarantee that the medication will completely prevent your period from starting, many women find success in delaying menstruation for the duration they desire. The key is to take the medication as directed and to allow your body some time to adjust. Since you are taking the medication for 17 days, it is likely that your period will be delayed until after your events, but be prepared for the possibility of breakthrough bleeding or spotting.


Recommendations
1. Monitor Your Symptoms: Keep track of any changes in your symptoms. If you notice significant discomfort or changes in bleeding patterns, reach out to your healthcare provider.


2. Follow Up with Your Doctor: If you have concerns about the effectiveness of the medication or if your symptoms worsen, don’t hesitate to contact your doctor for further guidance.

3. Consider Stress Management: Since you mentioned that stress has affected your menstrual cycle in the past, consider incorporating stress-reducing techniques such as mindfulness, yoga, or deep-breathing exercises, especially as your important events approach.

4. Stay Hydrated and Nourished: Maintaining a balanced diet and staying hydrated can help your body cope with hormonal changes more effectively.

In conclusion, while menstrual delay medications can be effective, individual responses can vary. Your current symptoms may be a normal part of the adjustment process, but staying in touch with your healthcare provider will ensure that you receive the best care tailored to your needs. Good luck with your upcoming events!

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