How to take duphaston for the second month. How many days will my period go when taking Duphaston

Duphaston drug - hormonal agent, which has quite wide range action and helping to deal with the problems of the female genital area. This is polycystic ovaries, and disruptions in the menstrual cycle, and endometriosis, and even infertility. How does he act in each of these cases?

Features of the drug

Duphaston is an analogue of the female hormone progesterone dydrogesterone, created in a laboratory. It is absolutely safe for the body. In its structure, the drug is very similar to a natural hormone.

It has an effect on the uterine mucosa, in particular, on the receptors that are most sensitive to it.

Lack of progesterone in the body leads to headaches, mood swings, swollen breasts and swelling of the abdomen, excessive fatigue. If this is the period before menstruation, an insufficient amount hormone leads to a sharp weight gain and severe pain in the lower abdomen. Duphaston helps to solve these problems.

Why accept?

Why is Duphaston prescribed in each case? Its action depends on the situation.

Before conception

When planning a pregnancy, a woman needs to be tested for the level of progesterone in the blood. If it is underestimated, the doctor will prescribe Duphaston as the main treatment. It will speed up conception and promote easy flow pregnancy in the first 3-4 months.

There are several cases when treatment with Duphaston is mandatory:

Problems with the endometrium

When a woman's body lacks progesterone, the endometrium (uterine lining) greatly increases in size. It can flake off the walls of the uterus and cause severe bleeding.

In most cases, Duphaston helps to defeat this disease:

When the pregnancy has already begun

Why is Duphaston prescribed to pregnant women:

1. During pregnancy, the drug reduces the tone of the uterus, which can provoke a miscarriage or premature birth.
2. Participates in the preparation of the breast for feeding.
3. Helps the body store the fat needed to carry a baby.
4. Stops the deletion process gestational sac from the uterus (spontaneous abortion).
5. Improves the condition of the endometrium.

Disruptions in the hormonal system

In the work of the reproductive system of a woman, disturbances may occur. They are called different reasons. Most often, violations relate to the menstrual cycle. This is dysmenorrhea severe pain in the lower abdomen before the onset of menstruation and during its process), severe premenstrual syndrome (PMS), amenorrhea (no menstruation).

How does Dufaston deal with these problems? Regular menstruation is a sign that a woman's body clearly performs all its functions. The duration of the menstrual cycle is on average 28 days. If there is no menstruation after this time, then a failure has occurred. It is usually caused by disorders in the hormonal system, in particular, a lack of progesterone. Duphaston is prescribed in order to bring menstrual cycle back to normal.

What does the correct cycle look like? In the second week of the cycle, the ovary membrane ruptures, after which a mature egg emerges from it. At the same time, the corpus luteum appears, which is responsible for the production of progesterone. A sufficient amount of it launches such important processes like growth and renewal of the endometrium. It also allows the body to bear the child.

A low level of progesterone does not allow to finish the job, and Duphaston helps the mother's body cope with the task assigned to it.

At the moment when the level of progesterone returns to normal, the menstrual cycle becomes regular. Sometimes disorders in the hormonal system lead to the appearance of neoplasms. Cysts form in the cavity corpus luteum. They will resolve themselves if there is enough female hormone in the body. Otherwise, the cyst will continue to grow. Reception of Duphaston in this case is mandatory.

Polycystic

Polycystic ovaries is a disease associated again with disorders in the hormonal system. Duphaston is prescribed in order to normalize the hormonal background.

Women who suffer from polycystic ovaries are more at risk of miscarriage than others. On the early dates they may have a miscarriage or spontaneous abortion. Preterm labor or isthmic-cervical insufficiency (the cervix can no longer hold the fetus in the womb) often occurs.

With polycystic disease, Duphaston is prescribed until the 16th week of pregnancy. It is during this period that the placenta itself begins to produce progesterone.

Important Rules

Duphaston is a hormonal drug. Therefore, it should be prescribed exclusively by the attending physician. He also determines the dose and duration of treatment. The use of Duphaston must obey certain rules:

How to use

The dosage of the drug depends on the specific case.

Sometimes Duphaston is prescribed for menopause. It is usually combined with other drugs that restore the hormonal background of a woman. The duration of treatment is 14 days.

Duphaston is a synthetic hormone that has a huge effect on a woman's body. It not only restores the endometrium and promotes its renewal, but also prevents the formation of cysts and polyps in the uterus. Duphaston promotes the conception and fixation of the embryo in the uterus, after which the fetus can grow and develop. Thanks to him, the risk premature birth is reduced to a minimum.

This remedy regulates the menstrual cycle and restores a woman's ability to have children. But it is worth remembering that this hormonal medicine and should only be prescribed by a doctor.

In modern gynecological practice widely used hormonal preparations containing analogues of the main female hormones- estrogen and progesterone.

The use of these funds is necessary for the treatment of certain diseases that lead to infertility. In particular, the drug Duphaston is widely used, which allows you to eliminate the causes that lead to the inability of a woman to become pregnant.

Who needs to use the tool? How to take Duphaston to get pregnant? After what day of pregnancy is the withdrawal of the drug required? These issues need to be sorted out.

Information about the drug

The drug Duphaston contains a synthetic derivative of progesterone - dydrogesterone. This product is designed to reduce systemic influence natural hormone on the woman's body.

Thus, the drug can be used without the risk of developing systemic side effects progesterone, because dydrogesterone acts only on reproductive organs. The drug achieves the following effects:

1. Increases blood flow in the uterus.
2. Prepares the endometrium for egg implantation.
3. Increases the secretion of glandular cells.
4. Relaxes the muscles of the fallopian tubes.

That is why Duphaston is better suited for conception than natural progesterone. Getting pregnant on Duphastone is easier and safer than when using analogues.

Contraindications and complications

In spite of minimal amount system effects, those who drank the drug when planning pregnancy note the appearance of side effects of the drug. The following adverse effects can be identified:

• Allergy.
• Skin itching.
• Edema of the extremities.
• Engorgement and pain in the region of the mammary glands.
• Uterine bleeding.
• Headache.
• Flatulence.

These conditions are in most cases associated with individual intolerance medicines.

Dufaston at conception should be prescribed by your doctor to avoid side effects. This is achieved by taking the drug only for those patients who have no contraindications:

• Hypersensitivity to the drug.
• Diseases of the liver.
• Diabetes.
• Violations in the work of the heart.
• neurological problems.

If your girlfriend got pregnant on Duphaston, this does not mean that the remedy is suitable and you. Be sure to check with your doctor before using the medication.

Hormonal causes of infertility

Duphaston is prescribed at conception if certain abnormalities are found in the woman's body that lead to infertility. You can formulate the indications for prescribing the drug for pregnancy:

1. Deficiency of progesterone in the body according to the results of a blood test.
2. Irregular cycle, lack of menstruation.
3. Endometriosis.

There are other more rare diseases in which the drug can be used to achieve pregnancy. However, these reasons are the most common. It is necessary to understand them in more detail.

Duphaston at progesterone insufficiency

After receiving the results of a blood test for the level of sex hormones, the doctor may note a decrease normal level progesterone in the female body.

Since this hormone is responsible for the onset of pregnancy and its maintenance, it is necessary to replenish the level of the substance. The reasons for the deficiency can be:

• hereditary predisposition.
• Anomalies in the development of organs.
• Absence of one of the ovaries.
• Taking certain medications.
• Exposure to radiation.
• Tumor diseases.

Whatever the reason leads to the problem, it is possible to increase the content of progesterone in the body by using Duphaston. After a course of application of the drug, the state of the target organs of the hormone is normalized.

If applied correctly remedy, follow the instructions, do not miss a single day of taking the remedy, long-awaited pregnancy will finally come.

Those who drank the drug when planning pregnancy, note the normalization of the state of the body already 1-2 months after the start of use.

Duphaston with an irregular cycle

The absence of menstruation, their irregular onset, a small number - all these signs may indicate hormonal imbalance. If a woman has problems with menstruation, the ovulation process may also be disturbed.

Even if the egg cell meets the sperm cell safely in fallopian tube, pregnancy may not occur with endometrial failure. The inner layer of the uterus cannot create conditions for implantation fertilized cells, because weakly blood supply, has insufficient thickness - these signs are observed with a small number or absence of menstruation.

Those who drank the drug with the indicated problems notice the normalization of the cycle after a few months of taking it. After that, pregnancy occurs safely.

Duphaston for endometriosis

A serious problem of modern gynecology is the disease endometriosis. This pathology often leads to the impossibility of pregnancy. The process of the onset of the disease is associated with the entry of endometrial cells into other organs and tissues.

The disease is manifested by the following problems:

1. Pain in the abdomen, aggravated by menstruation.
2. Profuse, painful menstruation.
3. Pain during intercourse.
4. Infertility.

This state of affairs requires complex treatment which may include taking Duphaston.

It is worth saying that not everyone who drank the remedy for endometriosis notes positive effect. This is due to the fact that the disease is not always combined with a hormonal deficiency, the mechanisms of the onset of the disease are not fully understood.

It can be assumed that the dydrogesterone contained in the preparation will be most effective in endometriosis of various layers of the uterus, since it is this organ that the drug acts on. At endometrioid damage to other body systems, the effect of dydrogesterone is weakened.

How to drink Duphaston?

Your doctor should correctly indicate how many tablets you need to drink when planning a pregnancy, what time you should take the remedy. The gynecologist will help you choose the dosage, calculate until which day you need to drink Duphaston after a problem is discovered.

Most often, the medicine is used according to the following rules:

• The tablet must be drunk without chewing.
• You need to drink the product with half a glass of water.
• The usual dose is 2 tablets per day.

In endometriosis, the drug is used until the intensity of symptoms decreases, obtaining negative result Ultrasound or biopsy. Control effectiveness is carried out exclusively by the treating doctor.

Irregular menstrual cycle is eliminated by using Duphaston from 11 to 25 days. Sometimes you need to take medicine for several months.

If a woman is found hormonal infertility, the drug is prescribed from 14 to 25 days of the cycle in a standard dosage. The level of hormones in the blood will allow you to adjust the dose, decide whether to continue taking the medication.

Cancellation of the drug

Choose a cancellation time medicinal product the attending physician also needs. Only a specialist can decide how much to use the medicine.

After reducing the symptoms of endometriosis, the gynecologist will repeat the necessary laboratory and instrumental tests. If on a biopsy of the affected tissue, as well as on ultrasound, it is found that the manifestations of endometriosis have regressed, then Duphaston helped. The doctor in this case, most likely, will recommend the abolition of the drug.

With infertility, the indicator that determines the tactics of treatment will be the onset of pregnancy. After positive results test for hCG, you need to determine until which day of gestation you should drink the medicine. Cancellation is most often carried out at the 16th week of pregnancy.

Adjustment of the regimen of use will be necessary in case of recurrent miscarriage in a woman, in which case the time of withdrawal may be delayed.

The abstract indicates that Duphaston contains active substance , as well as excipients: corn starch, lactose monohydrate, methylhydroxypropyl cellulose, dye, magnesium stearate, anhydrous colloidal silicon dioxide.

Release form

The product is produced in the form of tablets 10 mg No. 10 biconvex, round shape. Tablets white color have bevelled edges, they are covered with a shell. On one side of the tablet there is an engraving " S» above the sign « 6 ", on the other hand - the risk and the sign" 155 on both sides. In total, the blister contains 20 tablets, one blister is put into a cardboard box.

pharmachologic effect

The active component of the drug dydrogesterone is an analogue of natural . Dufaston is a hormonal drug.

Under the influence of this medicine in the body of a woman, there is no violation of thermogenesis, so basal temperature can be measured to determine ovulation. The tool has no effect on metabolic processes in the body, on liver function. Dydrogesterone in properties and structure is very similar to natural progesterone. However, the drug does not provoke the manifestation of those side effects that occur when taking a number of synthetic progesterones. Wikipedia indicates that this remedy does not have an androgenic, estrogenic, anabolic, thermogenic, corticoid effect. As a component of a substitution hormone therapy at LS provides a positive effect on the lipid profile women. But if estrogens have negative impact on the process of blood coagulation, then dydrogesterone does not affect coagulation.

When taken orally, there is a selective effect of dydrogesterone on , which helps prevent high risk manifestations endometrium or carcinogenesis, provoked by increased production of estrogens. The medicine does not contraceptive effect. During treatment, the drug does not affect ovulation. Menstruation while taking the remedy also continues according to the usual cycle. A woman can get pregnant with dydrogesterone and keep in the process of treatment with the drug, since in the process of treatment there is no negative effect on the fetus. There is a selective effect on the progestin receptors of the uterine mucosa. It does not affect the ovulation of the follicle. There is no masculinizing and virilizing effect.

Pharmacokinetics and pharmacodynamics

After oral intake there is a rapid absorption of dydrogesterone from the gastrointestinal tract, after 2 hours the highest concentration is noted active ingredient in blood. The degree of binding to blood proteins is 97%. 56-79% is excreted from the body by the kidneys, a day after ingestion, about 85% is excreted from the body, the entire excretion process is completely completed after 72 hours. are present in the urine mainly as glucuronic acid conjugates .

There are no data on changes in the pharmacokinetics and pharmacodynamics of the active ingredient in people who suffer from kidney disease. Does not accumulate.

Indications for use

Why Dufaston tablets are prescribed depends on the diagnosis and treatment regimen, which is determined by the doctor.

Currently, the following indications for the use of the drug are determined:

• Lack of progesterone in the body (with infertility associated with luteal phase deficiency, with a threat or habitual loss of the fetus, with , violations of the monthly cycle, amenorrhea of ​​secondary genesis).
• As part of hormone replacement therapy (during menopause, it is used to neutralize the proliferative effect of estrogens on the uterine mucosa when using estrogen; during surgical castration).

Thus, tablets are prescribed for dysfunctional uterine bleeding, at , with a cyst of the corpus luteum, with endometritis, with .

From what the medicine is prescribed yet, when it is prescribed, and what the dosage should be, you should ask your doctor.

Contraindications

There are contraindications for taking the drug Duphaston.

First of all, do not take pills with high sensitivity to dydrogesterone or to other components of the medicine, as this can harm the woman's body.

Caution tablets are prescribed to women who have suffered from manifestations during pregnancy before.

No data on negative impact dydrogesterone on people who suffer in a chronic form.

Side effects of duphaston

During the reception, some side effects of Duphaston may be noted:

• the immune system: hypersensitivity (very rare);
• hematopoietic system: hemolytic anemia(isolated cases);
• nervous system: , ;
• hepatobiliary system: minor violations of liver function, in which weakness, jaundice, abdominal pain may occur;
• reproductive system : breakthrough bleeding when taken (rare), prevented by increasing the dosage of the drug; may increase the sensitivity of the mammary glands;
• subcutaneous tissue, skin: itching, (rare), (very rarely);
• general disorders: peripheral (very rare).

If you experience any of these symptoms, you should tell your doctor what side effect occurs.

Instructions for use Duphaston (Method and dosage)

The drug is prescribed for individual scheme both when planning a pregnancy and when gynecological diseases. How to take, before meals or after, it does not matter.

Duphaston tablets, instructions for use

The indicated reception patterns are indicative only. To prescribe a therapy regimen, determine how long you can take the pills, the doctor must take into account the symptoms of the disease, the phases of the monthly cycle. daily dose medicines should be divided into 2-3 doses, you need to drink tablets at regular intervals.

Duphaston with endometriosis appoint a dose of 10 mg of dydrogesterone 2 or 3 times a day. How to take Duphaston for endometriosis depends on the doctor's prescription. You need to take the remedy from the 5th to the 25th day of the cycle, or do it without a break. It should be borne in mind that only the attending physician can prescribe Duphaston for endometriosis. Reviews of doctors on the Internet or any medical forum with information about treatment should be taken only as information for review.

Duphaston for conception infertilityprogesterone genesis appoint from 11 to 25 days of the monthly cycle. How to take Duphaston for conception, you must definitely find out from a specialist. As a rule, the reception lasts for 3-6 months. How to take Duphaston to get pregnant, how much to drink to get pregnant depends on the woman's diagnosis, individual characteristics her body.

If there is a delay after taking the pills and others appear while taking the drug, treatment should continue, while the dose should be equal to that prescribed for habitual pregnancy loss.

If a woman has risk of miscarriage or habitual loss pregnancy , it is advisable to use the drug only if there is clear evidence of endogenous progesterone deficiency. Women with threatened abortion are shown single dose dydrogesterone 40 mg, then during the week you need to take 10 mg every 8 hours. Further, the dose is gradually reduced. But if the threat of abortion again arises, the dose is increased. The application can be practiced up to the 20th week of pregnancy. But more precisely, until which week to take pills during pregnancy, the doctor will advise individually.

How to take the threat of miscarriage in the early stages , the doctor determines individually. As a rule, with habitual miscarriage at the stage of pregnancy planning, Duphaston is taken from the 11th to the 25th day of the cycle, provided that conception has occurred, the woman continues to receive the same dose. Further, after the 20th week of pregnancy, the dose should be gradually reduced.

Women suffering from PMS are prescribed tablets from 11 to 25 days of 10 mg, the treatment lasts from 3 to 6 months.

Duphaston at delayed menstruation , at irregular cycle and other violations of menstruation are prescribed from 11 to 25 cycles, 2 times a day, 20 mg. How to induce menstruation with Duphaston depends on the diagnosis of the woman. The doctor prescribes the drug for an irregular cycle, determines how to take Duphaston to induce menstruation, how much to drink to induce menstruation. Whether it is possible to induce menstruation with amenorrhea depends on the correctness of the treatment. As a rule, the reception of Duphaston in this case is combined with the reception estrogen . Such treatment should be practiced for at least three monthly cycles.

When dysfunctional bleeding prescribe the drug at 10 mg twice a day, for 5-7 days, combining the intake with 0.05 mg . In order to prevent the development of bleeding, tablets are prescribed at a dose of 10 mg in the period from 11 to 25 days of menstruation. Reception is combined with 0.05 mg of ethinyl estradiol (1 time per day).

If necessary hormone replacement therapy practiced in combination with estrogens. Continuous treatment involves taking 10 mg of the drug for 14 days during each monthly cycle. If necessary, the dose may be increased to 20 mg per day.

How to take Dufaston endometrial hyperplasia , depends on what other drugs the doctor prescribes for treatment. As a rule, the treatment of endometrial hyperplasia involves taking the drug at a dose of 10 mg from the 16th to the 25th day of the cycle.

How to take Dufaston ovarian cyst , also depends on the appointment of a specialist. With an ovarian cyst, treatment should continue for at least 3 months.

Treatment follicular cyst ovary provides for the appointment of 10 mg of the drug 2 times a day. Similar dose per day is prescribed if treatment is being carried out ovarian dysfunction and also if diagnosed multifollicular ovaries .

If a woman missed a Duphaston tablet, then an additional dose should not be taken. Need to continue with next pill. For convenience, you can count how many tablets are left in the Duphaston package and control the regularity of taking.

With any diagnosis, Duphaston should not start drinking without a doctor's prescription.

Overdose

There is no information on drug overdose. If a high dose was taken by accident, and the patient has discomfort or nausea from tablets, gastric lavage should be carried out and symptomatic therapy should be carried out.

Interaction

At simultaneous reception microsomal liver inducers ( , Phenobarbital) may accelerate dydrogesterone and reduce the effect.

There are no data on incompatibility with other drugs.

Duphaston and can be administered in parallel, most often when planning a pregnancy. Proginova is an estrogen drug.

Duphaston and are prescribed in the complex for the treatment of infertility. Clostilbegit is a non-steroidal antiestrogen that stimulates ovulation.

Borovaya uterus and Duphaston - the compatibility of these drugs is controversial. There is evidence that the phytopreparation upland uterus in combination with Duphaston can cause bleeding.

Terms of sale

In pharmacies, they are sold by prescription, patients write out a prescription in Latin.

Storage conditions

The manufacturer provides that the tablets should be stored at a temperature not exceeding 30 ° C, in a dry place.

Best before date

5 years. After this period, it should not be used.

special instructions

If Duphaston is used in combination with estrogens, care must be taken in patients suffering from vascular, heart, kidney diseases, , , migraine. It is also carefully prescribed for liver diseases.

If a woman is prescribed a drug for the purpose of hormone replacement therapy, a series of studies should be carried out before starting, and later, regular mammographic examinations should be carried out. It is important to consider all contraindications. The doctor must clearly study the patient's history. In the process of HRT, the tolerability of such treatment should be monitored with a certain frequency. There is a possibility of breakthrough bleeding during the first months of therapy. If such bleeding also occurs after a course of treatment, a woman needs to have an endometrial biopsy to rule out malignant processes.

Duphaston should not be taken by those who suffer from lactase deficiency, galactose deficiency or malabsorption syndrome.

Does not affect the ability to drive a car or work with precise mechanisms.

If discharge occurs regularly when taking pills, you should tell your doctor about it.

Since Duphaston is a synthetic progesterone , it can replace the natural hormone progesterone, for which Duphaston is prescribed to pregnant women, as well as to women during pregnancy planning. How to drink Duphaston to get pregnant is determined by the attending physician. When asked whether this drug suppresses ovulation, experts unambiguously answer in the negative. How this medicine affects ovulation depends on the frequency and duration of its administration.

Often women are interested in whether the drug can cause delay in menstruation , or how to drink to induce menstruation. It should be understood that the regulation of menstruation is provided by the production of estrogen and progesterone in the body. Often a woman notes that she has not started her period if there is a lack of progesterone in the body. If the ovaries do not produce enough progesterone for any reason, a course of Duphaston is prescribed. If menstruation did not come after taking Duphaston, you should do it. Provided that there are no periods after discontinuation of the drug, and the woman is not pregnant, she should definitely consult a doctor. The reason for meager periods after the drug may be a lack of estrogen, late ovulation, changes in the uterus.

It should be borne in mind that, while practicing taking Duphaston to induce menstruation “for convenience”, without a doctor’s prior appointment, a woman, although she causes menstruation, runs the risk of disrupting the functions hormonal system. As a result, after uncontrolled treatment, a woman sometimes complains that she has heavy periods after taking the pills or that her periods are long.

Therefore, the answer to the question of whether Duphaston can be taken without a doctor's prescription is unequivocal: this should not be done.

Another question of interest to women: do they get better from Duphaston? Namely, do they get fat from it with prolonged use? Because active substance the drug is synthetic progesterone, then the question of whether they get fat from it, experts answer in the negative.

Duphaston's analogs

Matches by ATX code 4th level:

Any substitute for Duphaston must be approved by the attending physician. What can replace this drug depends on the diagnosis of the patient and the individual course of the disease. The analogue in composition is the drug , other drugs with similar action are the means , progesterone in ampoules , etc. The price of Duphaston analogues may be slightly lower.

Utrozhestan or Duphaston - which is better?

Comparison of these drugs shows that both drugs have similar indications to application. But it is not difficult to determine what the difference is: Utrozhestan, unlike Duphaston, contains natural progesterone from plant raw materials. Which is better - Duphaston or Utrozhestan - during pregnancy, can only be determined individually. But Utrozhestan also has a sedative effect on the body. Sometimes both drugs are prescribed at the same time during pregnancy.

Which is better: Duphaston or Norkolut?

Norkolut is also used in gynecology. However, it has a different active ingredient - norethisterone. It's over cheap drug, but it is possible to prefer this or that drug only after consulting a doctor.

Prajisan or Duphaston - which is better?

Prajisan is a hormonal drug, an analogue of Duphaston. It has similar indications, but its cost is lower. But still, doctors do not recommend making a decision on replacing funds on their own.

For kids

Children are not assigned. It can be practiced to prescribe the drug to adolescent girls with violations of the monthly cycle. How to take these pills in violation of the cycle in girls, the doctor individually determines. After consultation, he determines whether it is possible to drink during menstruation, and whether it is advisable to do so.

Duphaston and alcohol

Since the drug often has to be drunk over a long period, many women are interested in whether it is possible to drink alcohol while taking Duphaston. There is no information about this in the instructions for the drug. At the same time, many reviews indicate that alcohol was consumed in small quantities. However, doctors warn that combining alcohol and hormonal drugs may negatively affect hormonal background, on the functions of the liver and provoke others negative phenomena. In addition, the effectiveness of the product when combined with alcohol is significantly reduced. For those who become pregnant on Duphaston, alcohol is strictly contraindicated.

Duphaston during pregnancy and lactation

The instruction indicates that the drug can be drunk during pregnancy. Taking pills during pregnancy is possible in the early stages in order to prevent miscarriage. Therefore, Duphaston during pregnancy in the early stages is prescribed to women who have previously suffered from habitual abortion, or who have had a miscarriage. But, as a rule, the doctor recommends that such patients take Duphaston when planning pregnancy. Is it possible to drink the drug, how much to take and how to take Duphaston when planning a pregnancy, the doctor determines after the woman is tested for progesterone. In the process of discussing the drug Duphaston during pregnancy, the doctors' reviews indicate that this drug should be prescribed only after a comprehensive and thorough examination female patients.

As a rule, during the planning of pregnancy, the drug is taken for 3-6 months. You need to drink the remedy from 11 to 25 days. But this scheme is relevant only for women who have monthly cycle is 28 days. How much to drink drugs with a different cycle duration, the doctor will tell.

It is important to know about how to cancel this medicine during pregnancy. Provided that the pregnancy occurred while taking the pills, Duphaston should be taken further. During the period of gestation, the dosage is 20 mg of the drug per day (two doses). It should also be taken into account how to cancel Duphaston during pregnancy correctly. Be sure to consult a doctor about how to reduce the dose and until what week they drink pills. The withdrawal regimen during pregnancy provides for taking the drug until the 20th week of pregnancy, but sometimes how long to take the medicine depends on the individual health condition future mother. Some women are advised to cancel as early as 16 weeks. But in any case, only a gynecologist should recommend in detail how to cancel Duphaston during pregnancy. You can not be guided by the advice that other women write on forums or in reviews about the remedy. After taking and after discontinuation of the drug, it is important to regularly monitor the condition of the woman. During pregnancy, in some cases, Duphaston and Proginova are prescribed at the same time.

Often, pregnant women are interested in how Duphaston affects the body as a whole, in particular, whether they recover from it. It should be noted that weight gain during pregnancy is a physiological process, it is not associated with taking pills.

As one proverb says - "without difficulty ..." well, in general, you will be left without fish. So it is with the little ones. Sometimes a couple has to get nervous and run around to the doctors - to look for the reason why they can’t conceive a baby.

One of the causes of infertility is a lack of the hormone progesterone. It is deservedly called the hormone of pregnancy. It ensures the preparation of the inner layer of the uterus to receive a fertilized egg, contributes to the normal course of pregnancy.

The pharmaceutical industry produces several drugs that contain either progesterone or its synthetic counterpart, dydrogesterone. If for some reason a woman cannot use drugs that contain natural progesterone, one has to use synthetic progesterone. This is Duphaston.

Is it possible to get pregnant on Duphaston?

Let's find out! The positive qualities of dydrogesterone It is important to remember that synthetic progesterone is not contraceptive and does not stimulate ovulatory processes.

Its task is to prepare the surface of the uterus for the implantation of a fertilized egg. If fertilization does not occur, then the unnecessary mucosa is rejected and menstruation begins.

If a woman's cycle is broken without influence external causes- stress or moving, then obviously walked here hormonal balance. Using Duphaston tablets, you can adjust the menstrual cycle, which will help balance hormone levels.

How much do you need to drink "Duphaston" to get pregnant? Doctors prescribe the drug for at least 3 months. Do not despair if nothing has happened during this time. Some gynecologists believe that dydrogesterone is necessary and can be drunk for up to six months.

Planning for pregnancy. Rules

How to take "Duphaston" to get pregnant? Instructions for medicinal product says that it should be taken in the second half of the cycle.

Why is it prescribed to drink pills this way? Dydrogesterone does not affect ovulatory processes. The drug does not inhibit ovulation. With the help of Duphaston, the endometrium is prepared to receive a fertilized egg. And if the pregnancy has already taken place, then taking the drug can improve the process of implantation of the future baby to the uterine wall.

So, the rules for taking "Duphaston":

• with a proven lack of progesterone, 1 tablet is prescribed 2 times a day from the 14th to the 25th day of the cycle;
• if pregnancy has not occurred, then after taking the drug, normal periods will begin;
• if pregnancy does not occur within 3 months, then, after additional examination, the dose of the drug is increased by 2 times - 2 tablets per day from the 14th to the 25th day of the cycle;
• if a diagnosis of "habitual miscarriage" is established, then the woman is prescribed immediately 2 tablets per day - in the morning and in the evening. After the onset of pregnancy, a woman should continue taking the drug until the 20th week. After the dose, gradually reduce.

If after the course of "Duphaston" the desired pregnancy did not occur, the drug is canceled. Unwanted hormonal changes after taking the drug does not occur.

Important! You can’t self-diagnose yourself and take Duphaston after visiting a pharmacy. The drug can be drunk only as prescribed by the doctor and after the examination.

Contraindications - pay attention

For all positive qualities the drug he still has contraindications for use. Be sure to tell your doctor if:

• history of allergy to progesterone or other progestogens;
• in past pregnancies there were neurological reactions in the form of itching.

Adverse reactions with "Duphaston" are extremely rare, but if something bothers you after taking the drug, then this should be reported to the doctor.

Side effects of "Duphaston":

• acquired anemia;
• individual intolerance to dydrogesterone and others excipients, which are part of the tablets;
• headache, migraine experienced for the first time;
• irritation of the liver and gallbladder with symptoms of jaundice, abdominal pain;
• uterine bleeding;
• swelling of the limbs;
• allergic to dydrogesterone or progesterone.

If, while taking the drug, you notice any of the side effects, then you need to stop drinking Duphaston.

There was a dispute that it is used STRICTLY from 16 to 25 days ... or only after ovulation. But how can it be used after ovulation, if it is NOT!!! how do all-knowing girls explain this? Or wait until opupeniya this ovulation? If the doctor prescribed me to drink from the 8th day, then this, according to my analyzes and according to the testimony, is true, if you were prescribed from the 16th day, this is true for you, how can you trim everyone for yourself, the organisms are different. In addition, dufaston does not clog ovulation, and I confirm this, I drank without interruption and managed to get pregnant 2 times !!!

PREMENSTRUAL SYNDROME (PMS).

DUFASTON renders therapeutic effect with multiple symptoms of PMS. DUFASTON is well tolerated by patients, in particular, it does not have androgenic properties inherent in other synthetic progestogens.

Dosage for premenstrual syndrome.

10 mg twice a day from days 11 to 25 of the cycle. The course of treatment is 3-6 months.

DYSMENORRHEA.

Despite the fact that DUFASTON does not suppress ovulation, its effectiveness in this indication has been convincingly demonstrated.

Dosage for dysmenorrhea.

5-10 mg of DUFASTON 2 times a day from the 5th to the 25th day of the cycle. The course of treatment is 3-6 months.

IRREGULAR CYCLE.

DUFASTON is indicated for the treatment irregular cycle due to a lack of endogenous progesterone with a short luteal phase (for example, in menopause).

Dosage for irregular cycles.

10 mg DUFASTON 2 times a day from 11 to 25 days after the onset of menstruation.

SECONDARY AMENORRHEA.

The use of DUFASTON is usually indicated in combination with estrogenic drugs, because endogenous progestogen deficiency in this condition is almost always accompanied by estrogen deficiency.

Dosage for secondary amenorrhea.

From the 1st to the 25th day of the cycle, 0.05 mg of ethinylestradiol, to which 10 mg of DUFASTON is added 2 times a day from the 11th to the 25th day of the cycle. Five days after the end of the dose and the subsequent withdrawal bleeding, the same pattern is repeated to simulate natural cycle. The course of treatment is at least 3 months.

DYSFUNCTIONAL UTERINE BLEEDING.

Symptomatic treatment aimed at stopping menstrual bleeding and induced withdrawal bleeding.

Dosage to stop bleeding.

5 mg DUFASTON together with 1 tablet 0.05 mg ethinyl estradiol 4 times a day for 5-7 days.

Dosage to prevent bleeding.

10 mg of DUFASTON 2 times a day from the 11th to the 25th day of the cycle, together with 1 tablet of 0.05 mg of ethinyl estradiol 1 time per day.

ENDOMETRIOSIS

Treatment of endometriosis with DUFASTON brings not only symptomatic improvement, such as a reduction in pain. Achieved therapeutic effect, while there is no suppression of ovulation or violation of menstruation. Therefore, against the background of treatment with DUFASTON, the possibility of becoming pregnant remains.

Dosage for endometriosis.

10 mg of DUFASTON 2-3 times a day from the 5th to the 25th day of the cycle or constantly. The course of treatment has a duration of 6-9 months.

INFERTILITY DUE TO INSUFFICIENCY OF ENDOGENOUS PROGESTERONE.

In cases where infertility is due to a lack of natural progesterone, DUFASTON is recommended for maintenance and replacement therapy.

Dosage for infertility.

10 mg of DUFASTON 2 times a day from the 11th to the 25th day of the cycle.

Continue treatment continuously for at least 6 consecutive cycles. It is recommended to continue treatment during the first few months of pregnancy at the same doses as for habitual abortion. Since DUFASTON does not affect body temperature, ovulation can be determined by measuring basal body temperature.

During treatment, pregnancy is established not only by the absence of menstruation, but also by basal temperature. Since DUFASTON has a progestogenic effect on the vaginal epithelium, effective dosage and the duration of treatment can be established using the results of vaginal cytology.

THREATENED AND REGULAR ABORTION.

Lack of endogenous progesterone may be one of the causes of miscarriage. In this case, replacement or maintenance therapy is indicated. For this purpose, such progestins should be used that do not cause masculinization of the female fetus and / or the appearance of signs of virilization in the mother. It has been proven that DUFASTON, unlike many other progestogens, does not have masculinizing and virilizing properties. Therefore, DUFASTON is suitable for the treatment of threatened and recurrent abortion.

Dosage for threatened abortion.

40 mg of DUFASTON at once, then 10 mg every 8 hours. If symptoms recur or do not go away during treatment, then the dose is increased by 10 mg every 8 hours. After the disappearance of symptoms, treatment with an effective dose is continued for 1 week. Then the dose of DUFASTON is gradually reduced. If symptoms reappear, then treatment should be continued immediately using the previous effective dose.

Dosage for habitual abortion.

Treatment is started as early as possible, preferably before conception, minimum dose is 10 mg of DUFASTON 2 times a day from 11 to 25 days of the cycle. After conception, continue taking continuously. Treatment should be continued at the same doses until the 20th week of pregnancy; then the dose can be gradually reduced. The dosage may also be determined according to the results of the vaginal cytological examination. If symptoms of threatened abortion appear during treatment, then treatment is continued as prescribed for that indication.