"Duphaston" is a Belgian drug that has gained confidence among a large number of doctors in prescribing it in the treatment of diseases of a gynecological nature. The main active component of this medication is didrogesterone, which, in turn, is an artificial analogue of the hormone progesterone. This drug has a relatively small list of side effects, but nevertheless, in some women there is a delay in menstruation after Dufaston.
Reasons for prescribing the drug
Most often, "Duphaston" is prescribed to a woman with amenorrhea, delayed menstruation, due to progesterone deficiency and malfunctioning of the ovaries. In the course of effective treatment, as expected, in the middle of the phase in the female body ovulation occurs, the output of a mature egg. Then there is the formation of the corpus luteum, which produces progesterone. Control by the hormone prepares the endometrium for conception. In addition, this hormone prevents spontaneous miscarriage in early pregnancy.
With progesterone deficiency, the following pathologies occur:
- menopause;
- endometriosis;
- secondary amenorrhea;
- infertility due to luteal insufficiency;
- irregular and painful menstruation;
- dysfunctional uterine bleeding - DMK;
- threats of miscarriage;
- increased premenstrual symptoms;
- ovarian dysfunction.
Dydrogesterone, which is an active component of Duphaston, contributes to thickening of the walls of the endometrium, which consequently causes bleeding in the event that conception has not taken place. Sometimes a side effect of taking hormonal pills is too rapid proliferation of the endometrium. In this case, there are small bleeding in the middle of the cycle.
Delay after Duphaston, short-term menstrual irregularities are side effects of the drug. Allocations may begin earlier, be scarce, or vice versa, abundant, their intensity may change. If all these changes are not continuous and not systematic in nature, then everything is likely to work out on their own.
The effect of dydrogesterone on a woman’s body
This substance is able to compensate for the lack of progesterone and, accordingly, stabilize menstruation. Such treatment in most cases has quick and good results. In patients, the regular menstrual cycle is quickly and effectively restored.
It is important to understand that the dosage of the drug is selected individually for each person. The therapeutic treatment regimen will depend on the patient’s general clinic and diagnostic data. A gynecologist initially sets the daily dose of the drug, which is further divided into several parts for taking it throughout the day.
This drug is canceled a couple of days before the onset of the alleged menstruation. During this period, the level of progesterone decreases, which, in turn, leads to menstruation. It is impossible to identify the exact date of the onset of critical days with a delay in menstruation after the cancellation of Duphaston, because everyone has their own individual organism. Nevertheless, it is generally accepted by doctors that menstruation should occur in 3-7 days, small deviations are also acceptable.
The reasons for the arrival of menstruation ahead of schedule in the treatment of "Dufaston"
If blood discharge began earlier than expected, then the cause may be:
- The reaction of the body to dydrogesterone.
- The patient is incorrectly selected treatment regimen, or she herself violates the dosage.
The first menstruation after drug withdrawal may have a brownish color and appearance of a daub, which is the absolute norm. Over time, when the cycle improves, it will finally recover, everything will be as usual.
The delay after Duphaston is considered a pathology if there is no pregnancy. This medicine produces progesterone that the body lacks. When a woman stops taking it, the absence of progesterone gives a signal to the endometrium to reject all that is unnecessary from the uterine walls. The result is that everything unnecessary in the female body leaves him, along with menstrual flow.
Why there is no menstruation after taking "Duphaston"
When a woman takes this hormonal drug, she should keep in mind that it does not act as an oral contraceptive. When in the process of treatment between a man and a woman there was unprotected sex, this increases the likelihood of conception. Delayed menstruation after Duphaston may be a commonplace cause of a woman's pregnancy.
If menstruation does not begin within two weeks after the end of the course of treatment, it is necessary to check for pregnancy. The simplest and most common way is a special test, and for accurate confirmation, you can go through a gynecological ultrasound examination.
Is there a delay after Duphaston during pregnancy and is it worth taking further? This can only be decided by doctors. Often, they are prescribed to continue taking this drug to reduce the risk of miscarriage. It is necessary to cancel it carefully, gradually, strictly observing the doctor’s instructions.
If the test is negative if there is a delay after Dufaston, then the cause of this phenomenon must be clarified again. It is likely that the failure was formed due to factors such as:
- self-medication;
- violation of the regimen of the drug;
- when therapy is discontinued ahead of schedule.
Illiterate use of the drug can lead to hormonal disorders and disorders in the functioning of the reproductive system. All this creates the basis for the instability of the female cycle.
If, after consulting with a gynecologist on the topic of delayed menstruation after taking Duphaston, the causes of improper dosage disappear, then the following should be considered:
- The presence of an error in the diagnosis.
- Late ovulation in women.
- The presence of latent pathology.
- The body lacks estrogen.
- Adrenal gland disease.
- The presence of a tumor in the body.
- The use of medications intended for diseases that are non-gynecological in nature.
Ways to restore the menstrual cycle
What should I do if the delay after taking Duphaston did not end up with menses coming? Firstly, you should do a pregnancy test and visit a gynecologist. The most accurate determination of conception will be a blood test for hCG and a visual examination of a competent doctor.
If the delay after taking Duphaston is not the cause of pregnancy, then most likely the doctor will prescribe blood and urine tests for a clinical study. It is important to determine what the patient's current hormonal status is. In the laboratory, it is necessary to calculate each hormone that is produced by the pituitary gland, ovaries, thyroid gland and adrenal glands.
Another effective research method is ultrasound, where increased attention is paid by the sonologist to the adrenal glands and ovaries. To determine the level of progesterone, it is necessary to donate blood on the 21-23 day of the menstrual cycle.
If the doctor suspects a woman has a tumor, then she will be assigned to computed tomography. In some cases, ovarian puncture and thyroid hormone tests can be prescribed.
Possible pathologies in the absence of menstruation
The delay after Dufaston may indicate a signal for the development of pathological processes:
- Estrogen deficiency.
- Tubal obstruction.
- Cicatricial changes in the uterine cavity.
- Belated ovulation.
- Adrenal malfunctioning.
- Changes in the pituitary gland and genital organs that are oncological in nature.
When treating a detected disease, the doctor must develop an individual scheme, in some cases, maintaining a delay after Dufaston leads the doctor to exclude this drug. This applies mainly to those who have been taking this drug for a long time.
Could there be a delay after Dufaston? As it turned out, this mainly happens due to illiterate self-medication, and the chances of a quick recovery of health are slim. A competent specialist is required to resolve the problem. It is important to know that any hormonal drugs can be taken only with the permission of the attending physician.
Who is contraindicated to take "Duphaston"?
This drug has its contraindications, such as:
- Girls under 18 years old.
- Malignant neoplasms.
- Poor coagulability.
- Liver disease.
- Breastfeeding
- Allergy to the components in the drug.
- Alcohol consumption.
Alcohol lowers the quality of the drug, reducing its effectiveness. As a result, the body does not receive the necessary amount of hormone. Dufaston is designed to influence the menstrual cycle of women, as well as prolong the phase of the corpus luteum. If you use it contrary to the instructions, then most likely, such an action will lead to menstruation without ovulation. Here the method of oral contraceptives works, which is an adverse effect, a dangerous violation of the stability of the cycle. It is not necessary to self-medicate and change the doses that are prescribed by the doctor, because this often causes harm to health.
The reasons for the absence of menstruation after the cancellation of "Duphaston"
Painful menstruation, infertility, miscarriage - this is only a small list of diseases that are treated with this drug. You need to drink it from the day onset of ovulation and before menstruation. However, sometimes women are faced with the problem of a delay after the cancellation of Duphaston.
Ideally, after 2-3 days from the last pill, menstruation should come. Valid waiting up to 10 days. If the time is right, but there is no menstruation, then this is an occasion to seek the advice of a gynecologist. One of the common causes of delay after Dufaston is the patient’s pregnancy. If this is not confirmed, then a further examination and identification of the specific cause of the pathology is necessary.
Hormonal failure in the body
The reason for the delay after "Duphaston" may be the malfunction of the adrenal glands when they produce too much adrenocorticotropic hormone. An excess of this substance leads to the fact that the hypothalamus produces an insufficient amount of luteinizing and follicle-stimulating hormones. All this leads to a violation of the normal functionality of the uterus - the absence of menstruation.
As you know, the hypothalamus is also responsible for prolactin - a hormone that is responsible for the appearance of milk in a woman's breast during breastfeeding. Sometimes with hormonal failure, prolactin blocks the synthesis of the hormone responsible for the development of the follicle, so menstruation does not begin. The body believes that at the moment a woman is feeding her baby milk and the reproductive function is inhibited by nature.
Could the woman’s delay after the abolition of Duphaston be caused by a malfunction of the ovaries? This is quite possible, but ovulation will be, but with a delay. In this case, the female body already has a high level of its own progesterone, and until the moment it decreases, critical days will not come.
For women's health, there is another important hormone - estrogen. In the first half of the cycle in the blood, you can observe its maximum amount. If the female body does not have enough of this hormone, then the growth of the endometrium will slow down. In this regard, menstruation is not only because there is nothing to stand out from the uterus. If the thyroid gland is not active enough, it produces little thyroid hormones, then the critical days may stop altogether.
Other reasons
Unfortunately, many women, after listening to reviews and reading the instructions, prescribe medications for themselves. In this regard, many are asking the forum about the delay after Dufaston. It is important to know that you can not experiment with this drug! The absence of menstruation can become chronic, which will lead to irreversible consequences.
The drug is prescribed taking into account studies of the hormonal profile of the patient. If the delay after Dufaston is not due to pregnancy or hormonal failure, then the cause may be the presence of adhesions, scars on the cervix and the uterus itself. They can be formed due to surgery, abortion, childbirth or infectious diseases. In this case, the scars begin to gradually replace muscle tissue, and therefore there is no possibility of an outflow of bleeding from the uterus.
The absence of menstruation of 6 days or more is also due to strong physical overstrain. For example, a woman lifts weights or engages in power sports. Also, a large number of negative situations, prolonged depression can affect the state of hormones. This condition usually causes either premature menstruation or a delay of up to 15 days.
In any case, almost everything is now treatable, and the sooner the patient seeks medical help, the more effective it will be.