The state of a woman's reproductive health is evidenced by a regular menstrual cycle. Each of the representatives of the weaker sex at least once in her life faced with a delay in menstruation. 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 from the first day of the last menstruation to the first day of the onset. 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 proceeds 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
With a delay, and even more so the 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 the precautionary measures taken, the chance of getting pregnant still remains (see).
postpartum period
Menstruation should not be expected 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, the wound surface of the uterus (at the site of the afterbirth) should heal and build up a new functional layer of the endometrium, ready for desquamation. And if a woman is breastfeeding, then she has a place in her blood that inhibits the production of FSH and LH in the pituitary gland, which, respectively, block the secretion of estrogens and progesterone and changes in the endometrium (transformation and secretion) necessary for its rejection - menstruation.
puberty
During puberty, an irregular menstrual cycle is considered the norm 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 their unexpected onset. If after the specified time the cycle has not adjusted, you should undergo an examination and exclude other causes of delayed menstruation.
anovulation
The absence of ovulation can occur in a healthy woman in 2 to 3 menstrual cycles throughout the year (see). The corpus luteum is not formed due to anovulation, and the proliferative phase is not replaced by a secretory one, that is, the functional layer of the endometrium does not grow and there is nothing to reject. Such anovulatory cycles occur due to short-term failures in the hypothalamus-pituitary-ovarian system under the influence of various, but short-term factors (climate change, stress, physical overload).
Malnutrition
Malnutrition and malnutrition, including strict ones, are reflected in the menstrual cycle. The level of estrogens, which are synthesized not only in the ovaries, but also in adipose tissue, decreases with a sharp decrease in weight, which leads to hormonal disorders up to the development of amenorrhea.
Overweight
Excess body weight can also cause constant delays in menstruation, oligomenorrhea and. Estrogens, synthesized in large quantities by adipose tissue, are converted into androgens, which causes hyperandrogenism, cycle disturbance and changes in appearance (, and others).
Artificial or spontaneous abortion
Infectious diseases of the uterus and appendages
How duphaston works
The active substance of the drug "Dufaston" 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 the side effects inherent in most synthetic progestogens derived from androgens (excessive hairiness or coarsening of the voice).
Also, the drug does not have anabolic activity (does not increase protein synthesis and muscle tissue mass), does not affect the production and metabolism of glucocorticoids and temperature, including basal temperature (for example, when taking COCs, it makes no sense to measure basal temperature). Dydrogesterone supports the beneficial effect of estrogens on blood lipids, but differs in that it does not affect blood clotting. Also, dydrogesterone does not adversely affect carbohydrate metabolism and liver function.
Dydrogesterone compensates for the deficiency of its own progesterone in the body, that is, it contributes to the "unfolding" of the second phase of the cycle - it loosens the endometrium, preparing it either for implantation of an egg or for rejection (menstruation). Thus, duphaston reduces the increased risk of endometrial hyperplasia or cancer against the background of excess estrogen, which is observed with long and regular delays in menstruation.
Indications for use and dosage
The drug, in addition to calling menstruation, is also used for other indications (in case of progesterone deficiency):
- endometriosis - dufaston is prescribed from the 5th to the 25th day of the cycle, 1 tablet twice a day;
- failure of the second phase(luteal) and treatment of infertility caused by it - from the 14th to the 25th day of the cycle, 1 tablet;
- premenstrual syndrome- from 11 to 25 days on a tablet twice a day;
- irregular menstruation- from 11 to 25 days on a tablet twice a day;
- amenorrhea - in combination with estrogen (from 1 to 25 days once a day), duphaston must be taken in a tablet twice a day from 11 to 25 days of the cycle.
If the response of the endometrium to the drug, according to ultrasound data, is not sufficient (the thickness of the endometrium in the second phase does not reach 10 mm), the dose of dufaston is increased to 20 mg.
How to induce menstruation with duphaston?
With a long delay in menstruation, you should see a doctor who first of all excludes pregnancy. If there is no pregnancy, then after a thorough history and complaints, the doctor determines the possible cause of the delay in menstruation.
- In the case of the influence of external factors (stress, climate change, etc.), menstruation begins on its own after the elimination of their action.
- But in case of a continuing delay of up to 10 or more days, it is recommended to take a blood test for hormones, and then proceed to drug treatment.
- Dufaston to call menstruation is prescribed at a dosage of 10 mg (1 tablet) twice a day for 5 days.
- Menstruation begins after stopping the drug, or a little earlier than the end of the course.
- A delayed action is also possible, when menstruation "comes" 3 to 7 days after duphaston is canceled.
If the patient complains of an irregular menstrual cycle and constant delays in menstruation, then she is prescribed a 3-6-month course of treatment with duphaston from 11 to 25 days of the cycle. As a rule, after such a course of treatment, the cycle is restored.
Contraindications
- The drug should not be taken in the presence of Rotor and Dubin-Jnonson syndrome
- With extreme caution, duphaston is prescribed if there was skin itching during pregnancy.
- It is also not recommended to take the drug during breastfeeding (penetrates into milk).
- And, of course, duphaston is not prescribed in case of individual intolerance to dydrogesterone.
Side effect
Taking duphaston can be accompanied by a number of side effects.
- First of all, against the background of treatment with this drug, breakthrough uterine bleeding may occur, which is eliminated by increasing the dose of the drug.
- Changes in the hematopoietic system and the development of hemolytic anemia are also possible (rarely).
- A number of women note the appearance of a headache or migraine, increased sensitivity of the mammary glands.
- The occurrence of allergic reactions (and a rash, and in rare cases) is not excluded.
- Possible violations of the liver (weakness or malaise, and).
- And extremely rarely, duphaston provokes the development of edema of the extremities.
Duphaston analogues
There are a number of drugs whose mechanism of action is similar to duphaston. A distinctive feature of all the listed duphaston analogues is their ability to cause lethargy and drowsiness and reduce concentration.
 The active substance of this drug is natural micronized progesterone, which is obtained from plant materials. Utrozhestan is available in gelatin capsules, which are taken both orally (by mouth) and administered intravaginally. One capsule contains 100 active ingredients. The dose in the treatment is selected individually in each case and depends on the form of the disease and the severity of clinical symptoms. Utrozhestan, like Duphaston, can be taken during gestation. |
 The active substance of the drug is progesterone, obtained synthetically. Iprozhin is also available in capsules that can be taken orally or administered intravaginally. One capsule contains 100 mg of progesterone. |
 Crinnon comes in the form of a gel. One applicator contains 1.125 gr. artificially synthesized progesterone. The applicators are inserted into the vagina. |
 This preparation also contains synthetic progesterone, 100 or 200 mg per capsule. Peroral and intravaginal administration of Prajisan is allowed. |
Question answer
I had a long delay, the pregnancy test was negative. The doctor prescribed me to take duphaston. After the end of the reception, dark spotting discharge began, which lasted only 2 days. This is fine?
Yes, after the first course of taking the drug, the periods are short and rather meager, which is explained by the incomplete proliferation of the endometrium, that is, the uterine mucosa was not yet quite ready for rejection, since the functional layer of the endometrium had not reached the desired thickness. After a three-month intake of Duphaston, the menstrual cycle will even out and menstruation will become more intense and prolonged.
After the abolition of duphaston, menstruation did not start not on the 5th, not on the 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 duphaston for me for a long delay, but after the drug was discontinued, menstruation did not start. What is it connected with?
If pregnancy is 100% excluded, then you may have too low estrogen levels, which did not cause endometrial proliferation 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 investigate the level of estrogens in the first phase and the content of progesterone in the second and correct the treatment of the disturbed menstrual cycle with estrogen and progesterone preparations.
Does Duphaston increase weight?
The drug enhances metabolic processes, that is, it accelerates the absorption of nutrients, which can “spur” appetite and provoke an increase in body weight. When treating with duphaston, hypodynamia should be avoided and appetite controlled, then the weight will remain at the same level. Perhaps some increase in body weight due to peripheral edema, but they disappear with the onset of menstruation on their own.
Is it possible to take alcohol during treatment with duphaston?
The intake of alcoholic beverages is not desirable (but not prohibited) during treatment with duphaston. The drug is metabolized in the liver, and alcohol accelerates this process, so the therapeutic effect of dufaston against the background of alcohol consumption may decrease.
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 hormonal background of the body, and an “innocent” desire to shift the cycle in one direction or another can lead to ovarian dysfunction and even infertility.
If a woman had a magic wand, she would often use it to induce her period or to hasten the bleeding process. And what is very convenient: a date, a wave - the bleeding began ahead of schedule. A business meeting, a wave and no pains distract from the main issues. But, unfortunately or fortunately, such miracle objects do not exist in nature.
But I want to adjust my cycle all the same, so many ladies turn to medications for help. One of these "assistants" is Duphaston. What is it, and what kind of reception scheme will we talk about in this article.
Menstruation is a physiological process that takes place in the body of every woman.
- These are monthly and periodic changes in the body of a woman of reproductive age.
Every woman has her own monthly cycle. Normally, the duration of the cycle is from 21-35 days. And menstrual bleeding varies from 3 to 7 days.
Depending on the frequency of the cycle on different days. The world is accustomed to conditionally consider that the moment of ovulation falls in the middle of the cycle, but everything is conditional. It is during this short period, 1-3 days of ovulation, that a woman is able to become pregnant.
Reasons for the failure of menstruation
A fairly large number of women suffer from an irregular monthly cycle. This can spoil the quality of life, so ladies use a variety of ways to cause bleeding and restore them.
But first you need to find out the cause of such failures, because the menstrual cycle is an indicator of a woman's health. Perhaps the cause is serious, requiring immediate treatment by a doctor.
Let's start with easy reasons that are considered the norm for the fair sex:
- During the period of recovery of menstruation in adolescents. Starting from the first menstruation, the cycle of a young person may be irregular, there may be delays in menstruation - this is normal. Everything should be back to normal within 3 years. It just takes time for the body to adjust hormonally.
- During menopause. Here the situation is the same - the reproductive system is fading, the body is undergoing a global restructuring of hormones. In this case, the woman should be under the supervision of a gynecologist.
If single delays occur up to a week, this can be considered the norm. Provided that the girl does not feel any discomfort and pain.
The reason may be as follows:
- Acclimatization;
- Severe stress;
- Influence of medicines, etc.
If an additional symptom is added to bleeding delays, for example, pain, you should consult a doctor to avoid serious consequences.
Among the causes of unstable periods may be such problems:
- Diseases in the area of female genital organs;
- endometriosis;
- Various infections of the genitourinary system;
- Miscarriages with the help of special drugs;
- Various neoplasms;
- endometritis;
- Incorrectly installed intrauterine device;
- Taking certain hormonal drugs;
- Similar.
As you can see, there are many reasons, and self-medication can cause serious damage to your health. A specialist will identify the cause and help eliminate it.
Restore the cycle with Duphaston
Basically, the "tool" for the treatment of failures are medications. Most often, gynecologists use Duphaston.
Let's talk about the undoubted advantages of this drug. Duphaston is safe during pregnancy. Therefore, in cases where the reason for the delay lies in pregnancy, which the woman did not know about, and the drug was started, it is not scary.
In fact, they are prescribed for the prevention of miscarriage, during pregnancy planning, and also for the treatment of infertility in case of repeated miscarriage of the embryo.
The active ingredient of Duphaston is dydrogesterone. One tablet contains 10 mg. substances. Dydrogesterone in its chemical composition and pharmacological action is very similar to natural estrogen. In addition, it does not have the side effects of many synthetic drugs made from androgens (gross voice, extra hair).
It has no effect on protein synthesis and does not increase muscle mass. While taking the drug, you can measure the basal temperature. Dydrogesterone does not affect the functioning of the liver, blood clotting and does not negatively affect carbohydrate metabolism.
After discontinuation of the drug, menstruation should begin within a few days.
The action of dydrogesterone is aimed at loosening the endometrium, in this way the soil is prepared for the implantation of the fetal egg, or the increased wall of the endometrium is prepared for rejection (the beginning of menstruation).
Duphaston has a positive effect on a woman's health by reducing the risk of endometrial hyperplasia or neoplasms against the background of excess estrogen.
Remember! Duphaston tablets are a medical drug and you should not prescribe it to yourself.
Method of taking the drug
For maximum positive results, taking Duphaston should take into account the phases of the cycle. The daily dose is set by the doctor. It depends on the cause of the problem and the severity of the disorder.
The dose is evenly distributed throughout the day. You need to drink Duphaston, adhering to all the recommendations of a specialist.
Taking the drug, approximate schemes:
- To call menstruation during a delay. Daily dose of 20 mg. Drink in the morning and in the evening, after the same period of time. The course of taking the medication begins on the 11th day of the monthly cycle and ends on the 25th day.
- Induce menstruation with Duphaston ahead of time. There are also situations when you need, for example, a vacation is planned. Of course, such a technique causes negative consequences, but who stops it. It is better to take the course scheme from a gynecologist, this will help minimize the negative impact. Usually the course starts from day 11 to day 25 of the menstrual cycle. It is worth drinking one capsule every day.
- To regulate menstruation Duphaston's regimen remains unchanged.
The number of courses of treatment should be determined by the doctor individually.
Before starting the course of taking the drug, you should familiarize yourself with the contraindications:
- severe liver disease;
- Dubin-Jones syndrome;
- Rotar's syndrome;
- Allergic reaction to a component of the drug.
Side effects:
- Slight pains in the abdomen with weakness;
- Nausea and vomiting;
- Headache, dizziness;
- Uterine bleeding;
- Urticaria, rash, sometimes angioedema.
If the patient has found one of the symptoms of a side effect, it is better to consult a doctor to adjust the dose and regimen.
Within 2-5 days. If after stopping taking the pills there is no menstruation within 10 days, you should consult a gynecologist.
If, after a course of treatment with Duphaston, a woman again has problems with menstruation, an additional examination is necessary to rule out a serious pathology.
A little about the analogue "Norkolut"
There are many reasons for changing medications. Perhaps the girl was allergic to Duphaston or feeling unwell from taking the drug.
In such cases, the doctor may prescribe an analogue of Norkolut.
Norkolut includes the active substance norestisterone 5 mg. plus additional components. Norestisterone is similar in its properties to gestagens (hormones).
Indications for the use of Norkolut:
- premature pregnancy;
- Violations of the monthly cycle;
- Infertility.
The drug is available in the form of tablets. It is used regardless of the meal time. How much to drink Norkolut and the scheme of its administration is prescribed by the doctor, otherwise, the woman runs the risk of knocking down the rhythm of the cycle.
How to take Norkolut:
- With a common scheme, Norkolut should be drunk two times a day. The course of treatment is 7 days. Then a waiting period (8 days) during which menstrual bleeding should occur.
- Another scheme suggests taking Norkolut 1-2 capsules per day, the course consists of 10 days.
- Cause menstruation in another way: drink 2 tablets in the morning and 2 tablets in the evening, a course of 5 days. Then 7 days expect menstruation.
- To restore the monthly cycle, Norkolut is taken in courses. How many cycles you need to drink, the gynecologist indicates. Reception starts from the 16th day of the cycle to the 25th day.
Duphaston and Norkolut are similar in principle of action. What is suitable for this or that woman can only be determined by a doctor. After all, each history of the disease has exclusivity, as well as a woman, by her nature, is the only one in the world.
Minasyan Margarita
A variety of factors can cause a failure in the menstrual cycle. Before you start using Duphaston with a delay in menstruation, you must accurately determine the cause of the violation. The dose and regimen of the drug will depend on this.
Indications
Duphaston is used not only to induce menstruation, but also to treat diseases that may be associated with hormonal disruptions:
- opsomenorrhea (cycle 36-43 days);
- amenorrhea;
- oligomenorrhea;
- infertility;
- endometrial hyperplasia;
- dysmenorrhea.
With all these disorders, patients have a lack of progesterone. Hormone deficiency can be determined even before problems with pregnancy. This will tell the course of the monthly cycle. According to reviews of Duphaston, with a delay in menstruation, most women experienced the following symptoms:
- Painful menses.
- Scanty bleeding in previous months.
- Frequent headaches.
- Problems with the gastrointestinal tract.
- Pain during sex.
- Increased dryness of the vagina.
- No daily withdrawals.
- Emotional destabilization.
- Sudden hair loss.
- Swelling of the extremities.
- Jumps in body weight.
- Excessive sweating or constant feeling of cold.
- Insomnia.
- Delay or absence of menstruation.
- Deterioration of the condition of the skin.
When examining the comments on the forums, it is also noticeable that the cycle is sometimes broken without signs, manifesting itself with only a slight delay. Without timely medical attention, the situation worsens, which can lead to a systematic absence of ovulation and menstruation.
There are many more drugs and, which you can find on our website.
Features of the drug
If you have not had a period for a long time and you are prescribed Duphaston, you should study the effect of the drug and the rules for taking it.
Duphaston is a gestagenic hormonal drug from Germany, the active ingredient of which is dydrogesterone. This substance, in all its indicators, is as close as possible to the natural progesterone that is produced in the body. Thanks to this, the drug acts on the background of a number of advantages:
- Does not provoke the development of hyperplasia, cancer.
- No side effects of androgenic progestogens.
- There is no effect on blood coagulation parameters.
- Does not affect liver function.
- Does not cause weight gain.
- It is quickly excreted from the body.
- It has a beneficial effect on reproductive function.
- It does not adversely affect other systems in a woman's body.
What effect does the drug have
In a healthy woman of reproductive age, increased production of progesterone falls on the second phase of the cycle. A sufficient level of this hormone ensures the necessary accumulation of fluid in the mucous layer of the uterus (endometrium). Due to this, the mucous membrane becomes as ready as possible for the implantation of the fetal egg. If there was no conception or the fertilized egg could not attach, then part of the endometrium is rejected and comes out with monthly bleeding.
If progesterone is not enough in the body, then the reproductive system cannot complete the cycle correctly, and in this case, Duphaston is used.
And also a delay in menstruation can be associated with a lack of ovulation, that is, with an unripe egg. To normalize the work of the reproductive system, the drug against the background of such a violation is taken for a long time. But during this time, the ovaries rest, because the synthetic hormone does all the work for them.
The absence of menstruation can be caused precisely by taking the drug. - a rare occurrence, but it suggests that the drug is not suitable and you should think about replacing it.
How to take Duphaston with a delay
In case of violation of the cycle, Duphaston is taken under the supervision of a doctor. The gynecologist individually selects:
- dose
- reception scheme;
- duration of therapy;
- additional drugs (if necessary).
Terms of Use
When using Duphaston tablets to call menstruation, the following should be considered:
- the remedy is prescribed only by a doctor;
- before treatment it is necessary to do tests;
- it is important to exclude pregnancy;
- tablets contain only progesterone;
- the effectiveness of therapy depends largely on the woman herself;
- you can not independently increase the dose or duration of treatment;
- the drug does not have a contraceptive effect;
- with excessively prolonged use, the effectiveness decreases.
Duphaston is safe for health, because it has a minimum number of side effects. But any violation of the instructions affects the recovery time and stabilization of the menstrual cycle.
Instructions for using Duphaston with a delay in menstruation
How to take Duphaston correctly to induce menstruation? Here an important place is given to the daily dose. The amount of the drug is selected based on the root cause of the failure:
- Dysmenorrhea. One tablet twice a day during the 5th to 25th day of the cycle.
- Irregular periods. Two tablets per day from the fifth to the twenty-fifth day.
- Amenorrhea. Together with estrogens, you need to take 20 mg per day from the 11th to the 25th day.
- Hormonal insufficiency. One tablet per day from the 14th to the 28th day of the cycle against the background of continuous estrogen intake.
- With cyclic therapy with estrogens. 10 mg per day in the last two weeks of taking estrogen-containing drugs.
- Stimulation of ovulation. One tablet per day (10 mg), it is worth starting the course on the 10th or 16th day. It is worth completing the reception a few days before the end of the cycle.
The gynecologist on an individual basis can increase or decrease the daily dose based on the results of the examination and the condition of the patient. Prescribing a drug on your own, based on the experience of other women, is extremely dangerous for health.
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Duration of treatment
Most often, the drug is prescribed for minor hormonal disruptions. The course of treatment for stimulation does not last long. A woman begins to drink the drug from the middle of the cycle and ends a few days before the start of the expected menstruation.
With serious hormonal problems, therapy can last for months, and sometimes up to a year. But the drug cannot be used continuously. Due to long-term treatment, the effectiveness of the drug decreases, and progesterone is no longer restored in the blood on its own.
Patients' comments about Duphaston with a delay demonstrate the need for a gradual dose reduction. If a woman abruptly stops treatment, there is a risk of severe uterine bleeding or, conversely, a prolonged absence of menstruation.
Subject to the rules of drug withdrawal, the reproductive system optimally adapts to the changes, and the hormonal background returns to normal.
Time of receipt
In addition to the dose and duration of therapy, it is important to choose the right time intervals for the next dose. It is best to take the tablets in the morning and in the evening, recording the hour when the next dose was taken. This must be done to ensure maximum effectiveness of therapy.
If the first tablet was drunk at 8-00, and the second at 20-00, then the next day the drug should enter the body at the same time. Deviations in this indicator are allowed, but not more than 30 minutes or an hour. Otherwise, it will not be possible to achieve the desired level and assimilation of the hormone.
When will menstruation start?
The rate of recovery of the menstrual cycle during therapy remains individual. Based only on reviews of Duphaston with a delay, it is impossible to determine how long your period will come specifically for you. But experts say that it is possible to expect the normalization of menstruation, subject to the instructions, within a few days after stopping the drug.
Doctors allow a deviation of a week, after which menstruation should begin. They can be plentiful due to the thickening of the mucous layer of the uterus. The shade also changes, which approaches a dark brown color. In some patients, after pills with progesterone, scanty menstruation begins, which is also quite normal in the first month after therapy.
Too early
Sometimes menstrual bleeding after Duphaston does not linger, but begins ahead of schedule. This can be provoked by:
- Body reaction. The medicine is rare, but can still cause a side effect. Because of this, bleeding occurs, and not menstruation. A woman should immediately visit the hospital and consult a doctor.
- Low dosage. By restoring the hormonal balance with insufficient progesterone, a woman can get her periods earlier. Only dose adjustment can solve the problem.
- Wrong appointment time. The luteal phase is different for every woman. But Duphaston must be taken at her time. If therapy has affected the follicular period, then the risk of early bleeding increases.
long delay
Duphaston, in the absence of a woman's menstruation, may not fix the problem. A long delay after treatment is most often associated with the following factors:
- Pregnancy.
- Low estrogen.
- Delayed ovulatory period.
- Pathologies of hormone-producing organs.
That is why, before starting therapy, it is necessary to undergo a comprehensive examination so that the drug helps, and the treatment ends with the onset of menstruation.
When to drink the drug is not necessary
Duphaston should not be taken if menstruation is absent for less than a week. The reason may lie in the following:
- Increased physical activity.
- Postponed stressful situations.
- Too much or too little body weight.
- Improper nutrition and strict diets.
- Bad habits.
- A sharp change in the climate zone.
- Use of hormonal contraceptives.
A one-time delay with a regular cycle is not a deviation and you can do without drug treatment. It is enough just to identify the negative factor and eliminate it. However, with a long delay - more than seven days, it is better to visit a doctor. A specialist will conduct an examination and, based on the results of the tests, Duphaston will be prescribed to prevent more serious violations.
Contraindications
Dufaston to call menstruation can not be taken:
- with individual intolerance;
- during breastfeeding;
- with diabetes;
- against the background of problems with the liver;
- with chronic indigestion.
With caution, the medicine should be used by women who suffer from:
- problems of the cardiovascular system;
- kidney dysfunction;
- frequent dizziness and migraines.
Side effect
- headache;
- loss of consciousness;
- general weakness;
- allergic reactions on the skin;
- vomit;
- uterine bleeding;
- swelling of the extremities.
In case of any negative reaction from the body, you should consult your doctor. In case of severe discomfort, the specialist will cancel the therapy and prescribe an additional examination, followed by the selection of an alternative remedy.
You need to know how to take Duphaston with a delay in menstruation in order to avoid aggravating hormonal failure. The medicine helps only those patients who drink the correct dose and follow all the recommendations of the gynecologist. If menstruation does not begin, it is necessary to re-take tests or replace Duphaston with another remedy.
Duphaston with a delay in menstruation is an effective tool that allows you to induce menstruation. Regular critical days are an opportunity to conceive a child and endure it, which cannot be guaranteed if the menstrual cycle is disturbed. , too early onset of menstruation, and discharge or, conversely, meager, require correction.
Reasons for the lack of discharge
On average, the menstrual cycle of a woman of reproductive age lasts 21 to 35 days, while menstruation lasts from 3 to 7 days. Values may change in adolescent girls, women during childbearing, lactation, and also at the onset of menopause.
In most cases, loop failure and delays occur for the following reasons:
- gynecological or non-gynecological diseases;
- infections, inflammatory processes;
- violation of the production of hormones;
- diet or weight gain;
- moving, climate change;
- heavy physical activity;
- stress, emotional upheaval.
If menstruation does not come as usual and the reason is a hormonal imbalance, the doctor prescribes drugs to correct the cycle. In this case, Duphaston is effective for inducing menstruation.
Amenorrhea - absence of periods
How does it work?
If Duphaston is prescribed, instructions for use for delayed menstruation will help you understand how to drink pills and how the medicine works.
The composition of the drug contains an artificial substitute for progesterone, which regulates the menstrual cycle, including -. This substance does not cause a sharp jump in metabolic processes in a woman's body, does not increase the temperature like similar drugs. Therefore, if you cause menstruation with Duphaston, from its use it will be as it should be.
Indications for appointment
The drug is most often prescribed for the following indications:
- lack of menstruation, delay;
- deficiency of the hormone progesterone, which leads to dysmenorrhea, cycle disorders, abortion;
- therapy after removal of the uterus and appendages, in this case, hormone intake is necessary.
Duphaston with a delay in menstruation
How does the drug affect menstruation? It is based on dydrogesterone - progesterone obtained artificially. It is he who replaces the natural hormone in the body of a woman, which is not enough, because of which the cycle and delays fail.
On what day menstruation comes after the pills depends on the day you stop taking the drug and the individual characteristics of the woman's body.
But it also happens that after Duphaston, menstruation did not come, or they did, but. Sometimes a synthetic hormone cannot completely replace the natural one or is not perceived by the body.
It happens that when taking pills, a woman becomes pregnant. It is impossible to cancel them abruptly, you should consult a doctor. The medication does not threaten the bearing of a child in any way, but, on the contrary, maintains the level of the hormone progesterone, which has a positive effect on pregnancy. An abrupt cessation of dydrogesterone intake can cause a threat of interruption.
Copious discharge
After applying Duphaston, excessively intense discharge may begin. There is nothing dangerous in this. The reason is an increase in the level of the hormone in the body. Under its influence, the thickness of the endometrium in the uterine cavity increases. With rejection of the mucosa on critical days, the discharge becomes correspondingly larger.
Side effects
Being interested in how to take the drug, it is important not to forget about possible side effects.
Application can lead to the following consequences:
- breakthrough bleeding;
- feeling of weakness;
- headache;
- increased sensitivity of the breast;
- violations of the liver.
Contraindications
The drug should not be taken in the following cases:
- Pregnancy. To exclude taking pills during pregnancy, in any case, a test should be done before using it. Synthetic progesterone will not greatly harm the body when carrying a child, but can lead to hormonal imbalance. More dangerous is the abrupt cessation of the drug, so the cancellation should occur gradually, by reducing the dose.
- Lactation. It is believed that Duphaston can be used during breastfeeding. However, the active substance in any case will penetrate into the mother's milk, and, accordingly, to the child, which can lead to various consequences.
- Alcohol and other medications. The interaction of Duphaston with alcohol-containing drinks or other drugs is not recommended.
Duphaston with a delay in menstruation is an effective remedy that allows. When taking it, pregnancy should be excluded. Can only be used as directed by a doctor. Self-medication can lead to negative consequences.
Problems with the menstrual cycle are very common among girls of reproductive age. Duphaston with a delay in menstruation showed a significant effect, and is used as an effective drug. Most of them are due to a violation of the hormonal background, in particular estrogen and progesterone. To restore menstruation, hormone replacement therapy is recommended. However, most drugs have devastating side effects for the body.
Duphaston (Duphaston) refers to synthetic substitutes for hormonal drugs, so it has the desired therapeutic effects without negative effects on the female body. The composition of the drug contains dydrogesterone, which is identical to progesterone in terms of molecular structure and chemical and pharmacological properties. Dufaston in the absence of menstruation is the drug of choice.
The mechanism of action of the drug
In order to correctly prescribe the drug, you need to know the principle of its effect on the body. Since Duphaston is an analogue of progesterone, its action manifests itself in the second phase of the menstrual cycle, when the egg has already left the ovary. At this time, the uterus is preparing for pregnancy, so the hormone has a stimulating effect on the growth of the endometrium and helps to maintain pregnancy. Therefore, with a delay, Dufaston is taken from 21 to 23 days of the cycle.Additionally, the drug has the following effects:
- improvement of the lipid composition of the blood;
- alignment of the menstrual cycle with its irregularity;
- reducing the risk of spontaneous abortion during pregnancy;
- restoring hormone levels during menopause and reducing the risk of age-related diseases.
Instructions for use
Dufaston with a delay should be drunk only after visiting a gynecologist. The doctor will conduct a thorough examination of the body, determine the level of progesterone and correctly calculate the duration of administration and dosage of the drug. Also, before starting the reception, a pregnancy test is performed to exclude it as the cause of the delay.Approximate treatment regimens with Duphaston:
- With an unstable menstrual cycle when it is necessary to induce menstruation, one tablet is prescribed per day from the 11th to the 25th day of the cycle. If the hormone deficiency is severe, then two tablets are prescribed per day: in the morning and in the evening.
- If a woman has hormonal infertility, then the doctor prescribes a tablet per day from 14 to 25 days of the monthly cycle.
- In the absence of menstruation complex treatment is required. Estrogens are prescribed from the first to the 25th day of the cycle. Then they are combined with Dufaston, which is taken twice a day from the 11th to the 25th day of the cycle.
- It is also recommended to take medication for the treatment of endometriosis. The doctor prescribes 3 tablets per day from 5 to 25 days of the menstrual cycle.
Side effects
The drug is absolutely safe for women and has few side effects, unlike its natural counterparts. It does not have a corticosteroid, antiandrogenic, anabolic effect. Therefore, after taking it, there are no health problems that cause discomfort and complexes. Also, Duphaston does not have a detrimental effect on the liver.The main side effects that occur if you drink the drug with a delay in menstruation:
- effects on the central nervous system: recurrent headaches or migraines;
- effects on the reproductive organs: sudden uterine bleeding, which is eliminated by increasing the dosage of Duphaston;
- effects on the gastrointestinal tract: minor and very rare violations of liver function that are not clinically manifested, mild pain in the abdomen, mild malaise;
- blood system disorders: minor hemolytic anemia in isolated situations, which is accompanied by mild icterus (yellowing) of the skin;
- effect on the skin: the appearance of rashes, accompanied by itching;
- hyperergic reactions from the immune system: allergic manifestations in the form of urticaria or angioedema (rarely).
You need to understand that side effects are typical for all drugs, and their number depends on the knowledge of the drug. If there are practically no side effects in the instructions, then the medicine was poorly tested. The list contains all the effects that can be, even if they were registered only once. With a delay in menstruation, Duphaston is taken for a long time, however, for the entire course of treatment, the above side effects occur in single patients. And they, as a rule, have a predisposition to certain conditions. As for the overdose of the drug, there are no verified data on the consequences. The patient is advised to perform a gastric lavage and consult a doctor. You may have to compensate for the increase in progesterone with other hormones. There is also no exact information about the interaction of the drug with other drugs. It is not recommended to drink alcohol while taking it, as it reduces the effect of Duphaston. Carefully combine the drug with estrogens, doing this only with the permission of the doctor and under his control.
Consequences of taking Duphaston
If, with a delay in menstruation, you drink the pills correctly, after consulting with the doctor and following all his recommendations, then there will be no consequences from taking them. Sometimes the outcome of treatment is pregnancy, as patients do not read the instructions and do not know that Duphaston does not have a contraceptive effect.If the doctor incorrectly diagnosed or the girl decided to take the drug on her own, the consequence may be a delay in menstruation.
In this case, you should immediately undergo an examination in the hospital to identify the cause of the failure in the cycle. Hormones of the pituitary gland, thyroid gland, adrenal glands can affect menstruation. Sometimes obstruction of the uterus or fallopian tubes is established.
In order to avoid negative consequences and not worsen your health during a delay in menstruation, you need to take Duphaston only with the permission of a gynecologist according to the correct scheme. You should also follow the doctor's recommendations regarding drug withdrawal.