When a woman is prescribed any drug, it is expected that it will not adversely affect her menstrual cycle. Moreover, most drugs prescribed by a gynecologist are aimed at its normalization. Consequently, any deviation, including the delay in the onset of the next critical days, is perceived with anxiety or expectations for a possible pregnancy. How to react in this case and when should you see a doctor? What are the reasons for this phenomenon? More on this in the article below.
What is Duphaston?
The appointment of the drug "Dufaston" is due to the lack of production of the hormone progesterone by the female body. It leads to the fact that the duration of the second phase of the menstrual cycle (luteal) is not productive enough. In simple terms, pregnancy does not occur, because the body does not have enough of its own strength to maintain a favorable environment. And even if the egg is successfully fertilized, it will not be able to gain a foothold in the uterine cavity. That's how importantprogesterone, and therefore its lack is compensated by synthetic derivatives.
"Dufaston" is relatively easy to tolerate and is prescribed in accordance with the doctor's recommendation. It is the specialist who determines the duration and frequency of taking the drug. However, it happens that after the abolition of Duphaston, there is no menstruation, and the reason has yet to be clarified.
When do I need to see a doctor?
The next question that worries many women is: why is there no menstruation after the cancellation of Duphaston, and when should the alarm be sounded? If a woman is expecting pregnancy, then you should not immediately run to the pharmacy for a test. It may not be as informative. Doctors advise to wait a couple of weeks and only then do a rapid test.
A woman should be alerted by the absence of the beginning of the next critical days with a delay of more than 30 days. This is considered critical and a reason for an urgent appeal to a specialist. It is possible to undergo an ultrasound examination before applying, which will tell you exactly what is the reason for the delay.
Drug regimen
Only a competent specialist can choose the Duphaston regimen, the required dosage and determine the day you start taking the drug. It is important to understand why and why he is appointed. If a woman wants to become pregnant, then the drug is started before ovulation. You must first pass an analysis to determine the level of progesterone in the blood. Having an accurate idea of what the result of the study is, you can correctly determine the course and treatment regimen.
However, doctors rarelyresort to this method, determining "by eye" the time and duration of treatment or rely on the manufacturer's recommendations. Most often, "Dufaston" is prescribed to all patients who have experienced a menstrual cycle disorder, have problems with establishing and carrying a pregnancy. The annotation says that it is necessary to start taking it on the 11th day from the onset of menstruation, and end on the 25th day, i.e. the course lasts 14 days. This scheme is designed for a cycle duration of 28 days. But practice shows that such a scheme is not characteristic of every woman. Therefore, it is important to take into account specific cases and focus on an individual regimen for prescribing the drug.
Between taking the pills, you must adhere to the time interval of 12 hours. If you miss another tablet, it is recommended to take it at the next time.
Missing pills
It is highly undesirable to allow breaks in taking pills. They can cause breakthrough bleeding or spotting. If you skip a Duphaston tablet, there is a violation of the hormonal form, which is fraught with the absence of menstruation for a long time. The importance of taking the pills in a timely manner is explained by the fact that any hormonal drug must enter the body strictly dosed according to a certain scheme at the same time.
In most cases, women note that skipping one pill does not affect the nature and timing of the next cycle. The resulting delay in menstruation can be caused by the onset of pregnancy or a hormonal imbalance.
Whenmenstrual flow begins
In order to determine the start date of the next cycle, you need to understand how the process itself takes place. The body of a woman is designed in such a way that it is sensitive to the level of the hormone in the blood. As soon as there is a decrease in progesterone, there is a detachment of the inner layer - the endometrium. It is secreted gradually along with blood secretion.
As a result, after the cancellation of Duphaston, the next cycle should begin on day 2-3. That's what the manufacturer says. As a rule, this is what happens. In some cases, menstruation begins even the day after the end of the drug. However, do not lose sight of late ovulation, which can cause a delay in the onset of menstruation. Therefore, doctors do not advise rushing to an appointment, moreover, they do not recommend doing tests and ultrasound at this stage. They may simply not be informative.
Incorrect drug dosage
One of the reasons why menstruation is delayed by 3 days or more is an incorrectly selected treatment regimen and dosage of the drug. It is important to understand that it is not recommended to prescribe "Dufaston" on your own, even if a woman has previously taken it and had a positive result. You should immediately consult a doctor, take tests to exclude the risk of developing hormonal failure.
In order to exclude incorrect prescription of the drug, experienced specialists recommend doing an analysis to determine the contentblood progesterone levels on days 21 and 23 of the menstrual cycle. Having received the results, it is possible to determine the feasibility of prescribing Duphaston and the required dosage of the drug, the form of its use and the duration of treatment.
It happens that the drug was selected by the attending physician, but after the abolition of "Duphaston" there is no menstruation. Then experts recommend coming to the appointment after a two-week delay to adjust the treatment regimen. The reason for an extraordinary visit to the doctor is the appearance of other alarming symptoms that cause obvious discomfort to the woman.
Disruption of the reproductive system
The main task of taking this drug is to restore the cycle, help in the formation of a he althy layer of the endometrium, the inner layer of the uterus. It is he who is rejected by the body in the event of a failed pregnancy. If after the abolition of "Dufaston" there is no menstruation, the reason for this may be the presence of an infectious or inflammatory process in the pelvic organs. This also includes the risk of developing cancer, intoxication as a result of long-term use of drugs.
The solution to this problem in this case lies in the cure or elimination of the symptoms of toxic damage. The further treatment regimen is determined strictly on the recommendation of a doctor who decides on the advisability of further continuation of the course. It is not recommended to independently cancel and start taking the drug again as soon as the woman discovers the restoration of the cycle. This may adversely affect future work.reproductive system.
When the cause is not visible to the eye
The work of the internal organs goes unnoticed, you might think that everything is in order, but the female system is arranged in a very interesting way. She is sensitive to any changes that are not immediately accepted as the true cause of the broken cycle. So, if after the abolition of "Duphaston" there is no menstruation, then the hormones produced by the pituitary gland or hypothalamus can serve as the reason for this.
Having received an increased amount of adrenocorticotropic hormone, the production of which occurs in the adrenal glands, the female body receives a "signal" that there is no need for follicle-stimulating and luteinizing hormones. They interfere with the normal functioning of the main reproductive organ - the uterus, and there is a delay in menstruation for 3 days or more.
It happens that the cause of the failure is an excess of the hormone prolactin. In a he althy female body, it plays an important role during breastfeeding. Prolactin inhibits the production of follicle-stimulating hormone and thereby provokes the absence of the onset of the menstrual cycle.
The lack of thyroid hormones, which are produced in the pituitary gland, also has a negative effect on the functioning of the thyroid gland. It is noted that its excess amount does not threaten the menstrual cycle in any way, which cannot be said about its lack.
Compatibility of "Duphaston" and alcohol
It should be understood that while taking any medication, especially if it contains hormones, alcohol and othersalcoholic beverages (even with a low content) must be excluded. The same rule applies to Duphaston. Despite the fact that the instructions for use do not explicitly indicate the presence of a ban on alcohol, no doctor will give approval for this.
The combined use of "Duphaston" and alcohol leads to a negative impact on the development of the internal organs of the fetus. This is due to the fact that the drug contributes to the development and maintenance of pregnancy. As you know, there is a contraindication to the use of alcoholic beverages at a time when a woman is carrying a child. Therefore, it is worth excluding any alcoholic beverages for this period.
In addition, alcohol has a negative effect on the liver, which is already stressed by the hormonal system.
Negative test and delay, what to do?
When there is no menstruation after the cancellation of Duphaston, and the test is negative, it is important to understand on what day it was carried out, if there are other signs indicating the presence of pregnancy. If no more than a week has passed since the end of the course, then it is worth waiting a little more. In the event of late ovulation, conception may not occur in the usual first 28 days, but a couple of weeks later. This corresponds to the resulting delay. So when a woman takes a rapid test on the first day of her delay, it may come back negative.
Long-awaited pregnancy
The increase in the production of the hormone progesterone has a beneficial effect ondevelopment of pregnancy. Therefore, when there is no menstruation after the abolition of Duphaston, after 5-7 days it is recommended to do a test that can show whether expectations were met or not. Naturally, it is worth confirming the testimony with an ultrasound study and passing an analysis to determine the level of hCG in a woman's blood. This is how you can get visual confirmation that there is a pregnancy, and it develops without deviations.
It is not recommended to abruptly stop taking the drug, as it can provoke a miscarriage. As a rule, the duration of the course reaches 16-20 weeks of gestation, and Duphaston is canceled smoothly so as not to provoke the risk of abortion.
