Delayed Period After Taking Menstrual Induction Pills: What to Do Next?

It has been four days since taking the menstrual induction medication, and menstruation has not yet occurred?

Hello Doctor: At the end of January, I took medication to delay my menstruation due to traveling.
My period came three days after stopping the medication, but this month my period has not arrived yet.
The last sexual intercourse was on March 1, the day before my expected period (March 2).
About seven days after my period was due, I visited a gynecologist.
The doctor performed a pregnancy test using a urine test strip and conducted a pelvic ultrasound, which showed that I was not pregnant and that my uterus appeared to be preparing for menstruation.
However, the doctor mentioned that during the 228 holiday, I had a high fever and went to the emergency room.
To investigate the cause, I underwent a CT scan with contrast and was prescribed oral antibiotics for three days.
The antibiotics disrupted my body's balance of good and bad bacteria, leading to a yeast infection.
That day, I received a vaginal medication and was also given a three-day supply to take home.
Additionally, I was prescribed three days' worth of medication to delay my menstruation.
I took the first pill on the evening of March 9 and finished the last one on the morning of March 12.
Over the past two days, I have developed acne on my chin, experienced some abdominal discomfort, mild diarrhea, and have had some discharge.
Since today is the fourth day after stopping the medication, I would like to ask the doctor if I need to see a doctor again or take a pregnancy test, or if I should wait and see.

Yu Yu, 20~29 year old female. Ask Date: 2016/03/16

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if your menstrual period has not arrived more than a week after finishing the emergency contraceptive pill, it is advisable to consult a gynecologist.
Wishing you good health.

Reply Date: 2016/03/16

More Info

It sounds like you are experiencing a complex situation following the use of menstrual induction pills and subsequent health issues. Based on the information you've provided, it is understandable to feel concerned about your delayed period and the symptoms you are experiencing. Here’s a comprehensive response to your situation.

Firstly, it’s important to recognize that hormonal medications, such as menstrual induction pills, can significantly affect your menstrual cycle. After taking such medications, it is not uncommon for periods to be delayed or irregular. The body may take some time to readjust its hormonal balance, especially after the use of medications that induce menstruation. Since you mentioned that your last menstrual period occurred shortly after stopping the pills, it is possible that your body is still in the process of regulating itself.

You noted that you had a high fever and underwent a CT scan with contrast, which can also impact your menstrual cycle. The use of antibiotics can disrupt the natural flora of your body, leading to side effects such as yeast infections, which you have experienced. These infections can cause additional symptoms, including discomfort and changes in discharge, which may further complicate your menstrual cycle.

Given that you have already consulted with a gynecologist who performed a pregnancy test and an ultrasound, and found no signs of pregnancy, it is a positive indication that you are not pregnant. The ultrasound showing that your uterus appears to be preparing for menstruation is also a reassuring sign. However, the delay in your period can still be attributed to the hormonal changes and the stress your body has undergone due to illness and medication.

Regarding your current symptoms, such as the appearance of acne, abdominal discomfort, and diarrhea, these could be side effects of the hormonal changes or the medications you have taken. Hormonal fluctuations can lead to skin changes, and gastrointestinal symptoms can arise from various factors, including stress, dietary changes, or the effects of antibiotics.

As for your question about whether to see a doctor again or wait, here are some considerations:
1. Monitor Symptoms: If your symptoms (such as abdominal pain, unusual discharge, or any other concerning signs) worsen or do not improve, it would be wise to seek medical attention sooner rather than later.

2. Wait for Menstruation: If your symptoms are mild and you are not experiencing severe discomfort, you might consider waiting a little longer to see if your period arrives. It can take some time for your cycle to normalize after hormonal treatment.

3. Follow-Up Appointment: If your period does not arrive within the next week or so, or if you have any new symptoms, it would be prudent to schedule a follow-up appointment with your gynecologist. They may want to conduct further tests or evaluations to ensure everything is functioning as it should.

4. Lifestyle Considerations: Ensure you are maintaining a balanced diet, staying hydrated, and managing stress, as these factors can also influence your menstrual cycle.

In conclusion, while it is common for menstrual cycles to be irregular after hormonal treatments, it is essential to listen to your body. If you feel that something is not right, do not hesitate to seek medical advice. Your health and well-being should always come first, and a healthcare professional can provide the best guidance tailored to your specific situation.

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