Progyluton: What to Expect After 21 Days of Treatment

Progyluton is a medication used for regulating menstrual cycles?

Hello Doctor, I am currently 28 years old and have not had my period for a year.
Previously, I took progesterone (April 2015) and a combination of progesterone and estrogen (August 2015) to induce menstruation, but it was ineffective.
I have just completed a full course of Progyluton (21 days), and the doctor said my period would definitely come after finishing it, but there has been no sign so far.
Since I am currently receiving medical care abroad, I would like to ask: 1.
Should I continue taking a new pack after 7 days or 5 days? 2.
Is it common for menstruation not to occur after completing the 21-day course? 3.
I would like to have a CA-125 test done when I return to Taiwan during the New Year.
How quickly can I expect the normal test results to be available? Thank you for your answers, Doctor.

Ivana, 20~29 year old female. Ask Date: 2016/01/03

Dr. Lin Wenbin reply Obstetrics and Gynecology

1.2.
If it is an emergency, such as severe abdominal pain with significant bleeding, please seek examination from a local physician abroad.
If it is not urgent, please return to Taiwan to have an in-person examination by a Taiwanese physician.
3.
Approximately within one week.

Reply Date: 2016/01/03

More Info

Understanding Progyluton and its effects can be quite complex, especially when dealing with menstrual irregularities. Progyluton is a medication that combines estrogen and progestogen, often used to regulate menstrual cycles and treat conditions related to hormonal imbalances. Given your situation, let’s address your questions and provide some additional context regarding the use of Progyluton and menstrual health.

1. Continuation of Progyluton After 21 Days: After completing a 21-day course of Progyluton, it is generally recommended to take a break for about 7 days before starting a new pack. This break allows for a withdrawal bleed, which is similar to a menstrual period. However, if you do not experience this bleed, it is essential to consult with your healthcare provider before making any decisions about continuing the medication. In some cases, doctors may advise continuing the medication if there are underlying issues that need to be addressed.

2. Absence of Menstruation After 21 Days: It is not uncommon for some women to not experience a withdrawal bleed after completing a course of Progyluton, especially if there are underlying hormonal imbalances or other medical conditions affecting the menstrual cycle. Factors such as stress, significant weight changes, or underlying health issues like polycystic ovary syndrome (PCOS) can also contribute to this situation. If menstruation does not occur after the expected time, it is advisable to seek further evaluation from a healthcare professional to rule out any serious conditions.

3. CA-125 Testing and Results: The CA-125 test is a blood test used primarily to monitor certain types of cancer, particularly ovarian cancer. If you plan to have this test done, the results typically take a few days to a week to process, depending on the laboratory and the healthcare facility. It is essential to discuss the implications of the CA-125 results with your doctor, as elevated levels can be associated with various conditions, not just cancer.

Additional Considerations:
- Hormonal Imbalances: Given that you have not had a menstrual period for a year, it is crucial to investigate potential hormonal imbalances. Conditions such as hypothalamic amenorrhea, hyperprolactinemia, or thyroid disorders can significantly impact menstrual cycles. A thorough evaluation, including hormone level testing, may be necessary.

- Lifestyle Factors: Stress management, maintaining a healthy weight, and regular exercise can positively influence menstrual health. If you are experiencing significant stress or lifestyle changes, these factors could be contributing to your menstrual irregularities.

- Follow-Up Care: Since you are currently abroad, it may be challenging to access healthcare. However, it is essential to prioritize follow-up care once you return home. Discussing your symptoms and treatment options with a healthcare provider will help ensure that you receive appropriate care tailored to your needs.

In summary, while Progyluton can be effective in regulating menstrual cycles, individual responses can vary significantly. If menstruation does not occur after completing the medication, or if you have concerns about your health, it is vital to seek medical advice. Understanding the underlying causes of your menstrual irregularities will be key to finding an effective treatment plan.

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