Medication Consultation
Hello, Dr.
Lai: Could you please explain what Primolut-Nor (Norethisterone) is? My period has been delayed, and after an ultrasound at the gynecologist's office confirmed that I am not pregnant, the doctor prescribed this medication for four days, stating that my period should come two days after finishing the medication.
Will it really come in two days, or could there be other circumstances? I started taking it on February 23 and finished on the 26th, so I expected my period to arrive on the 28th, but it still hasn't come, and I'm very worried.
Additionally, I had sexual intercourse during the time I was taking this medication; is there a chance I could be pregnant? I'm really anxious about this.
Thank you for your help.
Mary, 10~19 year old female. Ask Date: 2005/03/01
Dr. Lai Shuyi reply Pharmacology
Hello: Primolut-Nor is a type of female hormone, specifically progesterone.
If you do not get your period 2-3 days after finishing the medication, it is recommended that you return to your doctor for consultation.
Reply Date: 2005/03/01
More Info
Primolut-Nor, which contains norethisterone acetate, is a synthetic progestin commonly used to manage menstrual disorders, including irregular periods and to delay menstruation. It works by mimicking the effects of natural progesterone in the body, which is crucial for regulating the menstrual cycle. When taken as prescribed, it can effectively induce a withdrawal bleed, typically occurring a few days after completing the medication. However, individual responses can vary, and it is not guaranteed that menstruation will occur exactly as expected.
In your case, since you started taking Primolut-Nor on February 23 and completed the course on February 26, it is common for menstruation to begin within a few days after stopping the medication. However, it is important to note that various factors can influence the timing of your period, including stress, hormonal imbalances, and other underlying health conditions. If your period does not arrive within a week after completing the medication, it would be advisable to consult your healthcare provider for further evaluation.
Regarding your concern about the possibility of pregnancy while taking Primolut-Nor, it is essential to understand that while the medication is designed to regulate the menstrual cycle, it does not provide contraceptive protection. If you had unprotected intercourse during the time you were taking the medication, there is a possibility of pregnancy, especially if ovulation occurred. If you are concerned about the possibility of being pregnant, it would be prudent to take a home pregnancy test or consult your healthcare provider for a blood test to confirm.
In summary, while Primolut-Nor can help regulate your menstrual cycle, it does not guarantee that your period will come precisely when expected. If your period is delayed beyond a week after stopping the medication, or if you have concerns about potential pregnancy, it is best to seek medical advice. Your healthcare provider can offer guidance tailored to your specific situation and help address any underlying issues that may be affecting your menstrual cycle.
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