When taking duphaston, menstruation does not begin. When will your period start after treatment with Duphaston and will it start at all? Taking duphaston increases weight
About the status reproductive health women indicate a regular menstrual cycle. Each of the fairer sex has experienced a delay in menstruation at least once in her life. To resolve this issue, you should visit a doctor who will carefully analyze the situation and recommend one or another drug to induce menstruation.
Briefly about menstruation
The menstrual cycle is the time period starting from the first day last menstrual period before the first day started. Normally, its duration is 21–35 days, and menstruation lasts 3–7 days. There are two phases in the menstrual cycle:
- in the first (controlled by FSH and occurring under the auspices of estrogen), endometrial proliferation occurs ( proliferative phase).
- during the first phase, the endometrium begins to thicken (up to 4–5 mm) and grow, and follicles mature in the ovary.
Pregnancy
If there is a delay, or even absence of menstruation for more than 10 days, the first step is to exclude pregnancy. As they say, an unloaded gun fires once a year. That is, despite measures taken protection, the chance of getting pregnant still remains (see).
Postpartum period
Menstruation should not wait at least 4 (and preferably 8) weeks after childbirth, despite the fact that the woman adheres to artificial feeding. In the first 6–8 weeks after birth wound surface the uterus (at the place where the placenta is located) should heal and grow a new one functional layer endometrium ready for desquamation. And if a woman is breastfeeding, then she has a place in her blood that inhibits FSH production and LH in the pituitary gland, which, accordingly, block the secretion of estrogen and progesterone and the changes in the endometrium (transformation and secretion) necessary for its rejection - menstruation.
Puberty
During puberty, an irregular menstrual cycle is considered normal for two years after menarche, which indicates an unsteady hormonal level and constant “jumps” of hormones. There is a shortening or lengthening of the cycle, which is accompanied by either a delay in menstruation or its unexpected onset. If after the specified time the cycle has not been regulated, you should undergo an examination and exclude other causes of delayed menstruation.
Anovulation
Lack of ovulation may occur in healthy woman in 2 - 3 menstrual cycles throughout the year (see). Corpus luteum due to anovulation, it does not form, and the proliferative phase does not give way to the secretory phase, that is, the functional layer of the endometrium does not grow and there is nothing to be rejected. Such anovulatory cycles occur due to short-term disruptions in the hypothalamic-pituitary-ovarian system under the influence of various but short-term factors (climate change, stress, physical overload).
Poor nutrition
Poor and insufficient nutrition, including strict nutrition, affects the menstrual cycle. The level of estrogen, which is synthesized not only in the ovaries, but also in adipose tissue, decreases with a sharp weight loss, which leads to hormonal disorders up to the development of amenorrhea.
Overweight
Excess body weight can also cause persistent delays in menstruation, oligomenorrhea, etc. Estrogens, in large quantities synthesized by adipose tissue, are converted into androgens, which causes hyperandrogenism, cycle disruption and changes in appearance(, and others).
Artificial or spontaneous termination of pregnancy
Infectious diseases of the uterus and appendages
How does duphaston work?
The active ingredient of Duphaston is dydrogesterone. One tablet contains 10 mg. A feature of dydrogesterone is its similarity in structure, chemical and pharmacological effects with natural (natural) progesterone. Since dydrogesterone is not a derivative of testosterone, it does not cause side effects, inherent in most synthetic progestogens derived from androgens (excessive hair growth or deepening of the voice).
Also the drug does not have anabolic activity(does not increase protein synthesis and weight muscle tissue), does not affect the production and metabolism of glucocorticoids and temperature, including basal (for example, when taking COCs, measure basal temperature no point). Dydrogesterone supports beneficial influence estrogen affects the content of lipids in the blood, but differs in that it does not affect blood clotting. Also, dydrogesterone does not have negative influence on carbohydrate metabolism and liver function.
Dydrogesterone replenishes the deficiency of its own progesterone in the body, that is, it promotes the “unfolding” of the second phase of the cycle - it loosens the endometrium, preparing it either for implantation of the egg or for rejection (menstruation). Thus, duphaston reduces increased risk the occurrence of endometrial hyperplasia or cancer due to excess estrogen, which is observed with long and regular delays in menstruation.
Indications for use and dosage
The drug, in addition to inducing menstruation, is also used for other indications (in case of progesterone deficiency):
- endometriosis - duphaston is prescribed from days 5 to 25 of the cycle, 1 tablet twice a day;
- second phase failure(luteal) and treatment of infertility caused by it - from 14 to 25 days of the cycle, 1 tablet;
- premenstrual syndrome– from 11 to 25 days, one tablet twice a day;
- irregular menstruation– from 11 to 25 days, one tablet twice a day;
- amenorrhea - in combination with estrogens (from days 1 to 25, once a day), duphaston must be taken one tablet twice a day from days 11 to 25 of the cycle.
If the endometrial response to the drug according to ultrasound is not sufficient (the thickness of the endometrium in the second phase does not reach 10 mm), the dose of duphaston is increased to 20 mg.
How to induce menstruation with duphaston?
At long delay menstruation, you should see a doctor who will first rule out pregnancy. If there is no pregnancy, then after carefully collecting anamnesis and complaints, the doctor determines possible reason delays in menstruation.
- In case of influence external factors(stress, climate change, etc.) menstruation begins on its own after its effects are eliminated.
- But in case of continued delay up to 10 and more days, it is recommended to take a blood test for hormones, and then begin drug treatment.
- Duphaston to induce menstruation is prescribed in a dosage of 10 mg (1 tablet) twice a day for 5 days.
- Menstruation begins after stopping the drug, or after several before the end course.
- A delayed effect is also possible, when menstruation “comes” 3 to 7 days after stopping duphaston.
If the patient complains of an irregular menstrual cycle and constant delays menstruation, then she is prescribed a 3-6 month course of treatment with duphaston from the 11th to the 25th day of the cycle. As a rule, after such a course of treatment, the cycle is restored.
Contraindications
- The drug should not be taken if you have Rotor and Dabin-Johnson syndrome
- Duphaston is prescribed with extreme caution if there was skin itching during pregnancy.
- It is also not recommended to take the drug if breastfeeding(penetrates into milk).
- And, of course, duphaston is not prescribed in case of individual intolerance to dydrogesterone.
Side effect
Taking duphaston may be accompanied by a number of side effects.
- First of all, during treatment with this drug, breakthrough symptoms may occur. uterine bleeding, which are eliminated by increasing the dose of the drug.
- Changes in the hematopoietic system and development are also possible hemolytic anemia(rarely).
- A number of women report the appearance of headaches or migraines, increased sensitivity mammary glands.
- It is not excluded that allergic reactions(both rash and in rare cases ).
- Possible liver dysfunction (weakness or malaise, etc.).
- And extremely rarely, duphaston provokes the development of edema of the extremities.
Duphaston analogs
There are a number of drugs whose mechanism of action is similar to duphaston. Distinctive feature All of the listed duphaston analogs are their ability to cause lethargy and drowsiness and reduce concentration.
 Active substance of this medicine is a natural micronized progesterone, which is obtained from plant materials. Utrozhestan is available in gelatin capsules, which are taken both orally (inside) and are administered intravaginally. One capsule contains 100 active substance. The dose for treatment is selected individually in each specific case and depends on the form of the disease and severity clinical symptoms. Utrozhestan, like Duphaston, can be taken during pregnancy. |
 The active ingredient of the drug is progesterone, obtained synthetically. Iprozhin is also available in capsules, which can be taken orally or administered intravaginally. One capsule contains 100 mg of progesterone. |
 Crinone is available in gel form. One applicator contains 1.125 g. artificially synthesized progesterone. The applicators are inserted into the vagina. |
 This drug also contains synthetic progesterone, 100 or 200 mg per capsule. Oral and intravaginal administration of prajisan is allowed. |
Question and answer
I had a long delay, the pregnancy test was negative. The doctor prescribed me to take duphaston. After finishing the treatment, a dark spotting discharge began, which lasted only 2 days. This is fine?
Yes, after the first course of taking the drug, periods do not last long and are quite scanty, which is explained by incomplete proliferation of the endometrium, that is, the uterine mucosa was not yet completely ready for rejection, since the functional layer of the endometrium had not reached the required thickness. After taking Duphaston for three months, the menstrual cycle will even out and menstruation will become more intense and longer.
After stopping duphaston, my period did not start on the 5th or 7th day. The pregnancy test is questionable. What to do?
Of course, first of all, it is worth excluding/confirming pregnancy, donating blood for hCG and performing an ultrasound of the uterus. In 90% of cases, pregnancy is confirmed.
The doctor prescribed me duphaston for a long delay, but after stopping the drug, menstruation did not begin. What is this connected with?
If pregnancy is 100% excluded, then perhaps you have too much low level estrogens, which did not cause proliferation of the endometrium in the first phase, and, accordingly, could not spur the second – secretory phase of the cycle. Thus, the endometrium turned out to be “immature” and not at all prepared for desquamation - menstruation. It is necessary to examine the level of estrogen in the first phase and the content of progesterone in the second and adjust the treatment of the disorder menstrual cycle estrogen and progesterone preparations.
Does taking duphaston increase weight?
The drug enhances metabolic processes, that is, it accelerates absorption nutrients, which can “stimulate” appetite and provoke weight gain. When treating with duphaston, physical inactivity should be avoided and appetite controlled, then the weight will remain at the same level. Possible slight increase in body weight peripheral edema, but they disappear with the onset of menstruation on their own.
Is it possible to drink alcohol while being treated with duphaston?
Reception alcoholic drinks not advisable (but not prohibited) during treatment with duphaston. The drug is metabolized in the liver, and alcohol accelerates this process, so therapeutic effect duphaston may decrease due to alcohol consumption.
Is it possible to speed up periods with duphaston?
Yes, taking the drug from the 11th day of the cycle allows you to bring the onset of menstruation closer, but doctors categorically do not recommend doing this. All hormonal drugs affect the body’s hormonal levels, and an “innocent” desire to shift the cycle in one direction or another can lead to ovarian dysfunction and even infertility.
Menstrual irregularities occur due to hormonal imbalance. With a long delay, there is not enough progesterone. In such cases, doctors most often prescribe Duphaston. The drug replicates the properties of the female sex hormone. Use according to doctor's instructions. Self-treatment not allowed. After taking Duphaston, hormonal levels are restored; its abrupt withdrawal causes the onset of menstruation. However, there are situations when there is no menstruation after taking and stopping Duphaston. So, does the drug help restore the balance of hormones in the body and why does menstruation not begin at the end of the course?
The product is intended to restore hormonal balance in a woman’s body. It is used for delayed menstruation, endometriosis, threatened miscarriage, miscarriage, and other cases associated with insufficient quantity progesterone in the female body. During treatment you must follow individual scheme. Single dose The dose is 1-2 tablets. Take 1 to 3 times a day. The dose should not exceed 30 mg per day.
Duphaston is often well tolerated by women, but side effects may occur in the form of:
- headache;
- weight gain;
- discomfort in the chest, mammary glands;
- skin rashes.
Duphaston is available in pharmacies without a prescription, but before taking the medicine it is recommended to consult a specialist. The cost of packaging is on average 560 rubles.
When should menstruation start after stopping Duphaston?
The drug is started to be taken in the second half of the menstrual cycle. In the first part for development important processes Estrogen responds in a woman’s body. After ovulation is completed, progesterone levels increase sharply. This hormone is responsible for the development of a fertilized egg and its attachment to the walls of the uterus. The successful course of pregnancy during the first 3 months depends on the level of progesterone. It also completes the menstrual cycle and causes menstruation. The lack of progesterone in the body is compensated artificially. Take Duphaston for 10 days.
How long after taking Duphaston should my period start? At natural conditions Menstruation begins after progesterone levels decrease. The same thing happens after taking Duphaston. Your period should begin 3-5 days after the end of treatment. You should follow the dosage rules and duration of use. But there are times in life when menstruation comes:
- while taking the drug;
- on the day of cancellation;
- the next day;
- after 10 days;
- The cycle is not improving, there are no periods after Duphaston.
Why does the drug not work?
After unsuccessful attempts to restore the menstrual cycle, women come to the conclusion that the drug does not work. Yes and no! Such cases arise due to the negligent attitude of doctors towards the female body. You can't measure everyone with the same brush. Ideally, before starting treatment, the level of progesterone in the female body should be determined. Then you can confidently prescribe the dosage and duration of treatment in accordance with the specific situation.
Unfortunately, this is not always what happens in life. Doctors rely on their many years of experience or the achievements of their colleagues. A hormonal drug is prescribed all the time, only a woman will report a cycle disorder, long absence menstruation. Similar cases arise when a woman independently attempts to regulate her cycle with medication. Duphaston always works, but it must be used correctly.
Why don't you get your period after taking Duphaston?
There are cases when a woman took a drug as prescribed by a doctor, followed the instructions strictly, but still. My stomach hurts, my breasts have increased in size, I feel nauseous, and feel dizzy. All the signs of premenstrual syndrome in a woman. But they also notify about the onset of pregnancy. This is exactly what happens most often. After ovulation, the woman does not yet know that she is pregnant; she begins to take Duphaston in the second half of the cycle. Increased level Progesterone in the female body strengthens pregnancy and allows the egg to attach to the walls of the uterus.
A pregnancy test should be performed immediately from the first days of the delay. Subject to availability positive result You cannot stop taking the drug. Such an action will provoke sharp decline hormone, as a result – miscarriage. Doctors recommend gradually reducing the dosage. Again you will have to strictly follow the instructions.
No periods after taking and stopping Duphaston
The absence of menstruation is due to an imbalance of hormones in the female body. If there is no pregnancy, the woman should undergo examination.
The drug does not work properly if the problem lies in organ disease reproductive system, nervous, endocrine. For this reason, it is recommended to first evaluate the woman’s hormonal background, then take Duphaston. Women are strictly not allowed to take the drug without visiting a doctor.
In what cases will the drug help a woman?
Irregularities in a woman's menstrual cycle occur due to the influence of internal and external factors. Duphaston is prescribed in the absence of visible gynecological diseases. Will help medicine in such cases:
A contraindication to taking Duphaston is liver failure, bleeding disorder, presence malignant tumor. While taking the drug, you should avoid alcohol. If there is an individual intolerance to the components of Duphaston, you should consult a doctor. In most cases, the drug is discontinued.
Analogues of the drug
The absence of menstruation makes women seriously think about their health. Hormone therapy in most cases it becomes the basis of treatment. Analogues are sought for individual intolerance female body Duphaston. Or they are guided by price.
- Regulon;
- Utrozhestan;
- Rigevidon;
- Yarina;
- Janine.
Interesting video:
To restore the menstrual cycle, it is often prescribed contraceptives. They are taken according to the instructions for 21 days, then take a break for a week. The menstrual cycle is adjusted to the standard - 28 days. Such drugs save from unwanted pregnancy, force the body to work according to a certain pattern. Close in impact to Duphaston are Norkolut and Utrozhestan. Data medicines They simply adjust the level of progesterone in the body. They start drinking them in the second cycle. Questions regarding the analogue should be discussed with your doctor. Duphaston causes menstruation when used correctly.
Many women's health problems that are hormonal in nature are treated with Duphaston. Since its appearance, it has proven itself well, so it is often prescribed by specialists. But the effect of its use is not always as expected. Some patients notice that they do not have periods after taking duphaston. Also found unexplained changes features of critical days. How to solve these problems, and for what reasons do failures occur?
Read in this article
When and to whom is the drug prescribed?
Knowing the composition will help you understand more clearly when you should take duphaston. Its main component is dydrogesterone, that is, a synthetic analogue of the progesterone actively produced by the woman’s body in the second phase of the progesterone cycle. The product has the same effect as natural hormone, therefore used in complex treatment the following pathologies:
- dysfunction of the ovaries;
- heavy;
- disorders menstrual function, revealing themselves to be more frequent periods or, on the contrary, a cycle that is too long;
- to restore the balance of hormones in preparation for pregnancy, if there have been miscarriages before;
- in the treatment of uterine bleeding caused by an imbalance of estrogens and gestagens;
- to maintain pregnancy when there is a threat of premature termination;
- to correct the hormonal status of women in order to reduce the intensity of hot flashes and its other negative manifestations;
- infertility caused by gestagenic insufficiency.
Duphaston will be useful in each of these conditions if they are caused by progesterone deficiency. In cases where the same problems appear for other reasons, the treatment should be different. Therefore, you should not prescribe the drug to yourself, without examination.
Cycle changes after use
Like everyone else hormonal agents, duphaston has a strong effect. At the same time, women’s own balance of substances can change unpredictably. We cannot discount side effects, and also individual reaction body to the drug. There are other reasons why, instead of normalizing the functions of the reproductive system, difficulties may appear.
Lack of menstruation on time
Delay of menstruation after duphaston is the most common problem, it is she who causes the most concern. After all, the clarity of the arrival of menstruation is one of the most important signs women's health. And the absence of the beginning of critical days at the proper time can have many undesirable explanations. It is very important to identify why such a failure occurred; further treatment tactics depend on this. In most cases, diagnostics should be carried out by professionals.
But sometimes the absence of menstruation is not pathological manifestation, but just a little hitch. In most cases, after stopping duphaston, periods begin the next day, in others they come after 3-4 days or even a week later. All this is considered as the norm. If there is no menstruation during the specified time, there is no need to worry. Worry may increase their waiting period.
In the case where there are no periods for a longer period after duphaston, the reasons may be more serious than a simple hitch:
| Cause | Why is this happening |
| Pregnancy | Therapy for female ailments does not always require abstinence from sexual activity. And the restoration of hormonal balance, which occurred thanks to the use of Duphaston, can promote conception. Therefore, if your period is late, you should definitely check for pregnancy after finishing taking it. The easiest way is to do the analysis with a home test, and if the results are doubtful, donate blood for hCG at the clinic. |
| Hormonal disorder | When there are two circumstances at once - after taking duphaston there are no periods, the test is negative, perhaps the balance of substances is off. And now the woman’s estrogen level is reduced, which also does not contribute to the arrival of menstruation on time. This problem can be detected through hormone tests. |
| Delayed ovulation | This is also possible in absolutely healthy individuals. And when gynecological diseases the more likely it is. This kind of failure will lead to an increase in the level of your own progesterone, which will not allow the uterine lining to renew itself on time. Indeed, in these circumstances, the luteal phase will lengthen. |
| Problems in the functions of hormone-producing organs | The adrenal glands, thyroid gland and ovaries may react to the drug in an unpredictable way. The complaint that menstruation did not come after duphaston is sometimes caused by a malfunction of any of the listed organs. Therefore, to identify the causes, an ultrasound of the ovaries, adrenal glands or thyroid gland may be needed. |
Any of the reasons (except pregnancy) can manifest as adverse reaction and at correct application medications as prescribed by a specialist. But more often this occurs when it was recommended without reason, or the woman started taking the pills on her own initiative. It is easy to make mistakes on your own not only in the choice of the drug, but also in the dosage, as well as the time of administration.
Duphaston also has contraindications that cannot be ignored. This is liver failure poor clotting blood, too young. If you take pills while having these problems, difficulties with menstruation are possible, one of which is a long-term delay.
Earlier arrival of menstruation
Difficulties in performing menstrual function due to duphaston may also have a different nature. For some women, after taking the pills, their periods come earlier than the calendar date. The culprits of their shift are:
- Individual reaction of the reproductive system. At for the right purpose of the drug and without an unauthorized change in the dose or timing of its administration, bleeding may occur. This is nothing more than a side effect that should convince you to immediately go to the doctor.
- Insufficient dose of duphaston. If progesterone concentration remains low despite treatment with it, critical days will definitely start earlier. You can help by adjusting the dose, but only a doctor can do this.
- Incorrect time of taking the drug. On what day after duphaston your period comes depends on the regimen used. It is drunk in the second phase of the cycle, but it can have a different length. Inaccuracy is the reason early offensive menses.
Painful and heavy periods
Doctors call an important characteristic of menstruation the amount of discharge, its consistency and the sensations that occur on menstrual days. The most common change in this part is after taking duphaston. In most cases, the manifestation has a non-negative origin. Progesterone leads to thickening of the endometrium. This property of the drug is used in maintaining pregnancy with its help. But when, in its absence, the uterine mucosa is renewed, a lot of tissue is rejected. This is especially noticeable for those who have not previously noticed heavy discharge on critical days, as well as after a delay.
There are also fears that menstruation takes a long time after taking duphaston. In this case, it may also be a matter of their quantity. If there is a lot of discharge, it takes time for the uterus to get rid of it.
But both signs may be signals that:
- the drug has side effect on the body, expressed by bleeding;
- it did not provide the desired effect, as happens with endometriosis, and other treatment is needed.
The drug Duphaston (or dydrogesterone) is a synthetic hormone. It does not apply to oral means contraception, which allows a woman to conceive and maintain a pregnancy during therapy. This is the first reason why there are no periods after stopping Duphaston. But in some cases, menstruation does not appear due to health problems or other factors, for example, improper completion of the course of treatment, so you need to adhere to medical recommendations on drug use.
Duphaston is an analogue of progesterone, synthesized artificially, but in all parameters and properties the drug is close to natural hormone. It is prescribed for dysmenorrhea, infertility, threatened or habitual miscarriage, progesterone deficiency, premenstrual syndrome, menstrual irregularities, and other gynecological diseases. After treatment, the woman recovers hormonal balance and regularity of menstruation, but must take place according to determined by the doctor scheme.
Many women are interested in how many days after the end of the course of treatment menstruation begins. If you stop taking it, during the first 5 days the level of progesterone decreases and menstruation appears.
Sometimes they do not occur due to hormonal imbalance or other reasons.
It also happens that menstruation begins while taking the drug. Often, at the beginning of therapy and with a negative pregnancy test result, critical days came later than scheduled, for example, not until the fifth, but on the 13th day.
It also happens during the first courses that the duration and regularity of the cycle gets lost, the volume of menstruation changes (a lot or), other disorders arise. In case of any deviations, you need to consult a gynecologist and determine what could have caused the schedule failure, and when continuing therapy, follow medical recommendations.
Duphaston and pregnancy planning
For many reasons, less than the required amount of progesterone is produced in the second half of the cycle. This prevents normal childbearing and miscarriages occur, so doctors prescribe Duphaston in advance if a woman plans to give birth. The drug is taken according to the usual scheme: in the period from 11 to 25 days from the beginning of the cycle.
Discontinuation of Duphaston during planning is indicated only in the absence of pregnancy. This should be confirmed by an hCG or b-hCG (human chorionic gonadotropin) test. On which day of the cycle you need to come to the laboratory to submit biomaterial, it is important to ask your doctor in advance. The analysis is done before the 25th day from the start of the cycle, maximum - on the day of cancellation. 
If the hCG test result is negative, hormone intake is resumed next month as scheduled. If fertilization has occurred, the drug continues to be taken until the 16th week of pregnancy in the dosage prescribed by the doctor.
The gynecologist explains in detail how to correctly cancel Duphaston when planning. The dose is gradually reduced, so the course ends at approximately 20 weeks of gestation (sometimes longer). Abrupt cessation of taking the drug entails a sudden drop in the amount of progesterone in the body - the “motherhood hormone”. Because of this, the woman’s uterine tone increases, and bleeding may begin, after which a miscarriage occurs.
Why don't you get your period when you stop taking Duphaston?
The drug is not an oral contraceptive, so if you had unprotected sex during treatment. This is the main reason why your period did not come 5–15 days after stopping the course. You will need to take a pregnancy test. If he gave negative result, we must look for other reasons.
Secondly, the doctor excludes the following options:
If the product is used incorrectly, it may occur hormonal imbalance, which will disrupt the functioning of the reproductive system, and this will immediately affect the regularity of the cycle.
Other reasons for the absence of menstrual bleeding after discontinuation of Duphaston:
- a side effect of other medications the woman is taking;
- a sign of hidden pathology;
- erroneous diagnosis;
- malignant neoplasms;
- low estrogen levels;
- adrenal dysfunction.
Stopping the hormonal drug should cause menstruation to appear. If this does not happen in a timely manner, you must mandatory consult a gynecologist.
What to do if you miss your period after stopping the drug
If your period does not begin in the first week after stopping taking Duphaston, you need to take a pregnancy test and undergo gynecological examination. For more exact result carry out an analysis of hCG or β-hCG. The study will help determine the presence in biomaterial (blood, urine) from the first day of pregnancy. human chorionic gonadotropin, which appears shortly after conception. Then they contact a gynecologist with the test results. He conducts an examination and prescribes the necessary diagnostic procedures. 
If pregnancy is not confirmed, and menstruation does not begin after cancellation, the woman is prescribed laboratory and instrumental examination. During the diagnostic process, you need to donate blood, urine, and, if necessary, other biomaterial for clinical and biochemical analysis. Doctors study hormonal status - determine the level of hormones produced by the pituitary gland, adrenal glands, ovaries, and thyroid gland.
During the diagnostic process they also carry out ultrasound examination pelvic organs. Since Duphaston must be discontinued after normalization of progesterone production or according to the schedule - on the 25th day of the cycle, an analysis of the hormone level is prescribed a little earlier - on days 21–23.
Conclusion
To avoid violation hormonal levels During the treatment period, Duphaston must be properly discontinued. Then the effectiveness of the drug becomes higher, the duration of therapy is reduced, and menstruation will come on time, but provided that no hidden reasons menstrual irregularities.
Many women reproductive age face problems with menstrual irregularities. This state of the body may be due to various factors internal and external environment. For regular menstrual irregularities, doctors often prescribe hormonal drugs to correct the level of essential female hormones.
One of the most common drugs in gynecological practice is Duphaston. Before starting a course of treatment, be sure to ask your doctor how to take this medicine correctly and on what day after the drug your period begins. To receive desired effect You should not deviate from the Duphaston dosage regimen or finish the course of treatment early.
You should also remember that each woman’s reaction to the drug is individual and the timing of your menstruation may not coincide with generally accepted norms.
Characteristics of the drug
To understand how the drug works and when menstruation should begin after taking it, you need to familiarize yourself with its composition and basic properties. In the role active substance Duphaston is dydrogesterone, which is a synthetic substitute for natural progesterone. The drug is available in tablet form, each tablet contains 10 mg of the active substance. Convenient form for administration and good absorption in the intestine determines positive effect from treatment as well Duphaston is absolutely safe to take during pregnancy.Progesterone does a lot of things in a woman’s body important functions. It is he who regulates the second phase of the menstrual cycle and, after conception, prepares the uterine wall for intussusception. ovum. When a woman has an irregular menstrual cycle, insufficient levels of progesterone are often detected and a course of hormone replacement therapy is prescribed.
Menstruation after Duphaston becomes regular, and in many patients the intensity also decreases pain syndrome. This drug is prescribed for:
- endometriosis;
- threat of spontaneous abortion;
- planning pregnancy in cases where a woman has had miscarriages in the past;
- infertility.
Like any medicine, Duphaston has side effects. These include individual intolerance dydrogesterone, as well as breakthrough bleeding. Breakthrough bleeding most often occurs in women due to an imbalance in the estrogen-to-progesterone ratio (in patients who have previously taken oral contraceptives). There is no weight gain or appearance when taking the medicine. excess hair growth on the body.
Use for disturbances in the menstrual cycle
The main characteristic of a normal menstrual cycle is regular periods. The average length of a woman's cycle is 28 days. Menstruation after Duphaston occurs against the background of an increase in progesterone levels after ovulation. Hormonal regulation is very important for normal course menstrual cycle, any disruption in the production of major sex hormones leads to a delay in menstruation or their irregular appearance. Usually hormonal imbalance arises due to:- chronic, sluggish diseases of the female genital organs; ;
- nervous overvoltage;
- wrong taking oral contraceptives;
- harmful habits(smoking, alcohol abuse);
- unbalanced food(insufficient intake of certain vitamins and microelements into the body leads to disturbances in the synthesis of sex hormones).
It is advisable to take the medicine at the same time every day. Depending on specific situation The regimen for taking Duphaston may be different, and the doctor will also adjust the dosage and duration of treatment. Menstruation after Duphaston comes on the 3rd day (provided correct intake drug). May appear first scanty discharge, and after one or two days it begins menstrual bleeding.
It should be remembered that every woman’s body is individual; in some patients, menstruation begins after 7-10 days and this is not considered a deviation from the norm. After Duphaston, every woman should have her period after a certain period of time. If menstruation has not started, you should immediately consult a gynecologist about this and, if necessary, undergo an examination.
Remember that Duphaston should be taken only if there are clear indications medical indications. Dangerous to use this drug in order to induce the process of menstrual bleeding and postpone it to a more convenient time for you. In such cases, after discontinuation of the drug, menstruation occurs under artificially induced conditions, which in the future may have serious consequences for your health.
To normalize the menstrual cycle, treatment is carried out for 3-6 months. If, after taking the pills, your menstrual bleeding does not start or you notice a worsening general well-being(nausea, dizziness, vomiting), then you need to urgently consult a doctor to identify the cause of this condition.
