the Use of Provera for Menstrual Delay: What to Expect - Pharmacology

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Hello, my period usually starts at the beginning of the month.
Since I am going abroad, I consulted a doctor about delaying my period.
The doctor mentioned that delaying it for too many days (I will be abroad for a total of 9 days) is not very safe, so they prescribed me Provera (medroxyprogesterone) 5 mg, taking two tablets twice a day for seven days.
I started taking it on February 16, and my period should have arrived within these two days, but it hasn't come yet.
I am scheduled to travel on March 6.
If I go to the hospital now to get medication to delay my period, will it still be effective?

Donna, 20~29 year old female. Ask Date: 2016/03/02

Dr. Chen Yuemei reply Pharmacology


Hello: If you take the medication prescribed by your doctor on time, your period should arrive as expected.
If it does not arrive on time, it could be due to emotional factors or other reasons.
If there are no other factors, and your menstruation has not yet started, it may be delayed.
It is recommended that you return to the original hospital for a detailed consultation.

Reply Date: 2016/03/02

More Info


Provera, or medroxyprogesterone acetate, is a synthetic form of the hormone progesterone. It is commonly used for various indications, including the management of menstrual irregularities, such as amenorrhea (absence of menstruation) and to delay menstruation for specific circumstances, such as travel or special events. When considering the use of Provera for menstrual delay, it is essential to understand how it works, what to expect, and any potential implications for your health.


Mechanism of Action
Provera works by mimicking the effects of natural progesterone in the body. It helps regulate the menstrual cycle by stabilizing the endometrial lining of the uterus. When taken as prescribed, Provera can delay the onset of menstruation by preventing the shedding of the uterine lining. This is particularly useful for individuals who have a predictable menstrual cycle and wish to postpone their period for a specific reason.


Expected Outcomes
In your case, you started taking Provera on February 16, with the expectation that your period would arrive shortly after completing the course of medication. Typically, after stopping Provera, menstruation should occur within a few days to a week. However, individual responses to the medication can vary significantly. Factors such as hormonal balance, stress levels, and overall health can influence how your body reacts to the medication.

If you have not yet experienced your period and are concerned about your upcoming travel plans, it is advisable to consult your healthcare provider. They can assess your situation and determine whether additional intervention is necessary.

Timing and Effectiveness
Regarding your question about obtaining another prescription for menstrual delay, it is important to note that the effectiveness of additional doses of Provera or similar medications can be influenced by your body's current hormonal state. If you are already on Provera and have not yet menstruated, introducing another hormonal agent may not yield the desired effect and could potentially lead to further hormonal imbalance.


Considerations for Travel
If your travel date is approaching and you are still experiencing a delay in your menstrual cycle, it is crucial to discuss your options with your healthcare provider. They may suggest alternative methods to manage your menstrual cycle or provide reassurance regarding the likelihood of menstruation occurring before your trip.


Conclusion
In summary, Provera can be an effective option for delaying menstruation, but individual responses can vary. If you have not yet experienced your period after completing the course of Provera, it is essential to consult your healthcare provider for personalized advice. They can help you navigate your options and ensure that you are prepared for your upcoming travel plans. Remember, it is always best to communicate openly with your healthcare provider about any concerns or questions you may have regarding your menstrual health and medication use.

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