The female body undergoes regular cyclic changes. So, in the first weeks after menstruation, the hormone estrogen is produced. Thanks to this substance, the follicle grows, which later releases the egg. In the second half of the cycle, progesterone predominates. It affects the contractility of the uterus and prepares the body for the next menstruation (in the absence of pregnancy). If conception has occurred, then this substance supports the development of the embryo, removing the tone from the reproductive organ.
Often the fairer sex faces a delay. However, the reasons for this phenomenon are unknown. In this case, it is worth visiting a doctor and getting a prescription for correction. Doctors usually try to induce menstruation with Duphaston. It is this method that will be discussed further. You will learn a lot about Duphaston (how to take it to induce menstruation, and whether there are any contraindications). You will also be able to get acquainted with the nuances of this treatment.
and progesterone
The hormone progesterone is normally produced by the pituitary gland and adrenal glands. However, malfunctions often occur in the female body. This pathology must be treated. Otherwise, it may negatively affect the health of the reproductive system.
Most often, a delay in the next menstruation can be caused by stressful situations, poor diet, non-compliance with the regime, hormonal diseases, neglect of taking certain medications and pregnancy. In all cases, the use of the drug should be different.
Can Duphaston cause menstruation?
This drug contains the main active ingredient called dydrogesterone. It is a synthetic analogue of progesterone, which is secreted by the ovaries and adrenal glands of a woman. In some cases, the product can completely replace this hormone.
It is certainly possible to induce menstruation with Duphaston. The drug has a similar effect on the uterine mucosa and prepares it for a new cycle. However, this only happens in the absence of pregnancy. Many patients ask: “How to drink Duphaston to induce menstruation?” The regimen for taking the drug will depend entirely on the drug. This is why it is so important to contact a specialist to receive prescriptions. Let's figure out how to drink Duphaston to induce menstruation in one case or another.
For endometriosis
If there is a hormonal disease, then you can induce menstruation with Duphaston only with long-term use. Endometriosis is often accompanied by heavy and prolonged bleeding, which is followed by prolonged delay. Treatment in this case usually has the following scheme.
You need to start taking the drug on the fifth day of the cycle. In this case, it does not matter at all whether your next menstruation has ended. You need to take the medicine three times a day, 10 milligrams. This means that you should take three capsules per day. The course of treatment is 20 days. When the 25th day of the cycle arrives, you need to stop the medicine and wait for bleeding. It usually occurs within a few days.
This treatment regimen must be repeated. In this case, the correction can take only three months. In some cases, longer treatment is required. Only then can Duphaston induce menstruation, which will be regular.
Unexplained delay
Most often, women seek medical help complaining of delays for unknown reasons. After the examination, it turns out that the hormonal levels of the patients are normal. However, for some reason, menstruation does not occur. In this case, you can induce menstruation with Duphaston. The treatment regimen should be as follows.
The first dose of the drug should be on the 11th day of the cycle. In this case, a single dose can range from 10 to 20 milligrams (1-2 tablets). When choosing a double dose, you should divide the portion into equal parts and drink after the same period of time. This treatment regimen should continue until the 25th day of the menstrual cycle. After this, you should stop the drug and wait for bleeding. It usually occurs within three days.
For long-term infertility and irregularities in the menstrual cycle
This remedy can cause menstruation if there are regular interruptions in the cycle. Often such complaints are accompanied by a long-term inability to conceive a child. In order to simultaneously improve the regularity of menstruation and become pregnant, the drug is prescribed in the following scheme.
The first day of admission should be in the third week after the next menstruation. Remember that you can take the product only after ovulation. Otherwise, you can simply suppress it. Treatment continues until the 25th day of the cycle using one to three tablets per day. If a new cycle does not occur within three days after discontinuation, you should make sure that there is no pregnancy.
For amenorrhea or functional neoplasm
This remedy can induce menstruation in the absence of menstruation for a long time and improve the cycle. In this case, therapy should be comprehensive. In the first half of the cycle, you need to take estrogens in the dosage prescribed by the doctor. Only after two weeks does treatment with Duphaston begin.
You need to take two capsules per day at equal intervals. It is recommended to use this scheme for two weeks. Only after this the drug is discontinued and bleeding occurs.
Is it possible to deviate from the dosage regimen?
What to do if the delay in the new cycle is already 2-3 weeks? How much to drink Duphaston to induce menstruation in this case? First, you should consult a doctor and rule out pregnancy. Only after this the doctor will select the correct correction scheme for you.
Misconception
Many women believe that the higher the dose of the drug, the faster menstruation will occur. That is why such ladies often go to the doctor with unsettled hormonal levels. If the drug is used incorrectly, you can not only not get the effect of treatment, but also significantly worsen the situation.
Without a doctor's permission, it is prohibited to use more than three tablets of this drug per day. Of course, sometimes a larger dose is prescribed. However, this most often occurs during pregnancy and
To induce menstruation, doctors often recommend taking the hormonal drug Duphaston. The drug has gained popularity in gynecology due to such qualities as safety, effectiveness and affordability. Duphaston helps stabilize the menstrual cycle.
You can induce menstruation if there is a delay and stabilize the menstrual cycle with the help of Duphaston hormonal tablets, which must be taken in strict accordance with the schedule
Progesterone prepares the female body for pregnancy. Before the onset of menstruation, the hormone begins to be actively produced by the ovaries and, together with estrogen, forms an environment favorable for conception in the uterine cavity.
This happens approximately 14 days after the start of menstruation.
During this period, fluid accumulates, which makes the uterine mucosa loose and soft. This environment promotes the attachment of the egg to the uterine cavity.
If fertilization of the egg does not occur, then the accumulated endometrium, the inner layer of the uterus, is rejected. The accumulations come out in the form of menstruation.
However, often this coordinated work of hormones is disrupted, their deficiency occurs, which is the reason for the failure of the menstrual cycle. To improve the functioning of hormones, gynecologists prescribe Duphaston, which contains synthetic hormones similar to progesterone and estrogen.
It is important to know! When taking Duphaston, estrogen levels increase and then, as a rule, pregnancy occurs or the effect of the drug causes menstruation. To restore hormonal levels, it is necessary to complete a full course of treatment.
By restoring the balance of hormones, Duphaston normalizes the cycle and promotes the proper functioning of the female body.
Duphaston and amenorrhea: when to start taking the drug
Duphaston is widely used to eliminate long-term delays in monthly discharge. Amenorrhea - absence of menstruation for more than 6 months, is a symptom of various diseases. These could be problems in the endocrine, nervous or reproductive systems.
Amenorrhea can be true or false:
- False amenorrhea associated with genetic abnormalities of the female genital organs: they completely retain the hormonal functions of the ovaries, but at the same time, blood discharge can collect in the fallopian tubes, in the vagina.
- With true amenorrhea, ovulation does not occur, which is why there is no menstruation. In order to induce menstruation, Duphaston is prescribed (how to take the drug will be discussed later). It is able to regulate the onset of ovulation and, as a result, normalize monthly discharge.
Therapy with the drug in question begins at the first symptoms of this disease. The sooner a woman begins a course of treatment, the faster she will restore her feminine health.
Important to remember! The drug in question should not be prescribed to yourself. Only a gynecologist can prescribe the necessary dosage and course of treatment.
How to take Duphaston correctly if your period is late
If menstruation is late by about 3-5 days, then this is considered normal and does not require treatment. Such a failure may be associated with stress, physical fatigue, insomnia, etc. Such a change in the cycle up to 3 times a year is also not a pathology.
But if menstruation is late for a week or more, then the doctor prescribes Duphaston.
Rules for taking Duphaston to induce menstruation
To eliminate delay due to a lack of female hormone, Duphaston is taken before the onset of menstruation, but no more than 10 days.
The time between taking pills should be equal to you need to calculate it depending on your daily routine. For example: if the first tablet was taken at 8 am, then the second should be taken at 8 pm. A slight deviation of 1 hour is acceptable.
Towards the end of the course of treatment, the dose is gradually withdrawn. They begin to reduce from 1 tablet per day to 1 tablet every 2 days. Abrupt withdrawal of the medication leads to increased bleeding and delay. The same effect occurs when the rules for taking the drug are neglected.
Is it possible to use Duphaston to provoke a miscarriage?
The active ingredient in the drug is a synthetic hormone - progesterone, which is also called the pregnancy hormone. That's why the drug in question is often prescribed when there is a threat of miscarriage, to maintain pregnancy.
Consequently, the drug acts in such a way that it improves the menstrual cycle by restoring the balance of hormones.
To induce menstruation, Duphaston acts on the problem from the inside, improving the functioning of the body, so it cannot be taken as an emergency drug.
Duphaston will not help provoke a miscarriage, on the contrary, it will only strengthen the fetus and help the further development of pregnancy.
Contraindications for taking Duphaston
Duphaston can cause some unwanted reactions in the body. That's why There are contraindications to the use of the drug:
- Allergic reaction for Duphaston components. If a woman has a tendency to allergies, then before use you need to carefully study the composition of the drug. If a rash or other ailments appear, treatment should be discontinued immediately.
- Liver diseases, cardiovascular diseases. The condition may worsen. If you have heart or liver disease, you should consult a physician before using the drug.
- Lactation period since the components pass into breast milk and are dangerous for the baby.
Possible side effects of the drug
Side effects are one of the unpleasant aspects of medications. Before starting to take any drug, you must carefully read the instructions.
Duphaston can cause the following side effects:
Note! Duphaston contains dydrogesterone, which, unlike other substitutes, is not based on the male hormone progesterone. Due to this, reactions associated with its increase in the female body do not appear.
If side effects occur, Duphaston is replaced with an analogue or completely canceled. In general, the drug is well tolerated and rarely causes unwanted effects.
The drug does not have corticosteroid, anabolic or antiandrogenic effects, unlike natural analogues. Does not have a detrimental effect on health.
How often can Duphaston treatment be carried out?
How often to take Duphaston to induce menstruation and achieve lasting results is an important question in case of regular cycle disorders.
Gynecologists claim that the drug can be taken for a long time, since it does not harm health. The drug can be taken for 5 months to normalize the cycle.
If the drug was taken correctly, but the effect did not appear, you should make sure that there is no pregnancy and if the result is negative, then you need to undergo additional examination.
Perhaps the diagnosis is incorrect and the delay in menstruation is associated with other reasons, which is explained by the negative result of therapy.
Duphaston is a fairly safe drug that effectively combats delayed menstrual cycles, as well as diseases caused by a lack of female hormones.
Before you start taking it, you need to undergo an examination and find out the exact cause of the menstrual cycle failure. Be healthy!
Useful video materials on how to take Duphaston correctly and how you can induce menstruation in other ways
About how to take Duphaston correctly:
And what other safe ways to induce menstruation are:
The main indicator of a woman’s reproductive health is the presence of regularity in the menstrual cycle. But every woman has encountered cycle disorders and irregular periods at least once. If the cycle fails, today there is a huge selection of drugs.
One of the popular means for restoring the menstrual cycle among women is Duphaston hormonal tablets.
Before taking Duphaston if your period is late, you should consult a specialist.
Why is Duphaston prescribed for delayed menstruation?
If menstruation does not come for more than 7 days, then the gynecologist may prescribe the drug Duphaston.
This product contains dydrogesterone, which is an analogue of the hormone progesterone. They are very similar in their properties. When such a drug enters a woman’s body, its main component begins to act actively. It causes looseness of the endometrium, the layer of which is already subject to replacement, while restoring the level of progesterone for the onset of menstruation.
Hormone deficiency is often observed in women. Therefore, Duphaston for inducing menstruation is the most effective drug for delay, since it contains a hormone analogue.
When is the hormonal drug Duphaston prescribed?
Tablets are prescribed depending on the patient’s diagnosis and treatment, which is determined by the gynecologist.
Indications for use of Duphaston:
1. Insufficient amount of the hormone progesterone
Progesterone deficiency can occur in a woman:
- for infertility, which is associated with insufficient time between ovulation and the onset of menstruation (insufficiency of the secretory phase);
- in case of menstrual irregularities;
- when there is a threat of miscarriage (spontaneous abortion);
- for dysmenorrhea (painful menstruation);
- with secondary amenorrhea (no menstruation for 3 months in a row).
2. Hormone replacement therapy (HRT)
As part of HRT, the drug is used in the following cases:
- during surgical castration (bilateral orchiectomy);
- during menopause (when using estrogens, it neutralizes their effect on the lining of the uterus).
Contraindications:
- intolerance to dydrogesterone and other components in the tablets;
- with caution if itching occurs during previous pregnancy;
- not recommended during lactation, since dydrogesterone is excreted along with milk from a woman’s breast.
Use during pregnancy is possible according to indications.
In case of impaired renal function, there is no data on the negative effects of the components of the drug Duphaston.
A delay in menstruation may be associated with the onset of menopause. Gynecologists claim that Duphaston can normalize hormonal levels.
Duphaston instructions for use for delayed menstruation
It does not matter before or after taking the drug. The doctor prescribes tablets according to the scheme individually for each patient. To do this, the gynecologist takes into account the symptoms of the disease, the phases of the menstrual cycle, excludes the presence of contraindications to the drug and conducts an analysis to determine the amount of progesterone in the body. One tablet of Duphaston contains 10 mg of the drug. It is taken orally and absorbed within 2 hours. It is completely eliminated from the body after two days.
Directions for use and dosage:
- For endometriosis - 10 mg 2 or 3 times a day, starting from days 5 to 25 of the menstrual cycle, or continuously
- For habitual abortion – 10 mg 2 times a day until the 20th week of pregnancy
- For threatened abortion - 40 mg once, then 10 mg every 8 hours until symptoms disappear (on average 1 week), after which the dosage is reduced
- For infertility - 10 mg per day from 14 to 25 days of the cycle, treatment should be carried out continuously for 3-6 monthly cycles
- For dysmenorrhea - 10 mg 2 times a day from days 5 to 25 of the cycle
- For amenorrhea - 10 mg of Duphaston 2 times a day is taken along with estrogen from days 11 to 25 of the cycle
- For dysfunctional bleeding - 10 mg 2 times a day for 5-7 days along with estrogens
- To prevent the development of bleeding - 10 mg from 11 to 25 days of the menstrual cycle
- For HRT (hormone replacement therapy) - taken together with estrogens, continuous treatment of 10 mg per day for 14 days of the monthly cycle
- For PMS - 10 mg 2 times a day from 11 to 25 days of the cycle.
Duphaston is used once or over several cycles. This remedy makes the ovulation process more active, which increases the risk of pregnancy. Therefore, it is necessary to use contraception.
If pregnancy occurs, the pills should be stopped gradually to avoid miscarriage. This remedy will not cause any harm to pregnancy.
Often women want to call their period ahead of time. If you take the drug for 5 days, your period will come on the second day after you stop using Duphaston. But such an action is undesirable.
Side effects of hormonal drugs
Before you start using the tablets, you need to familiarize yourself with the side effects.
These include:
- abdominal pain during menstruation;
- migraine, headache;
- chest pain during menstruation;
- weakness, malaise;
- heavy periods;
- skin itching, rashes;
- hypersensitivity;
- liver dysfunction;
- breakthrough bleeding.
This bleeding can be eliminated by increasing the dosage of the drug.
There is no information about an overdose of Duphaston. But if the dose of the drug has been much exceeded, it is necessary to perform gastric lavage and only then carry out indicative therapy.
Release form and storage conditions of tablets
The drug is available in the form of round tablets, 20 tablets of 10 mg each in a blister, in a cardboard package.
Should be stored at room temperature not exceeding 30°C, protected from direct sunlight, out of the reach of children.
The shelf life of the drug is 5 years.
The instructions contained in the package are for reference only. The drug should be taken only as directed by your doctor.
Dispensed only with a doctor's prescription.
The price depends on the region, the average price is 530 rubles.
This hormonal remedy is a relatively inexpensive option and is effective for late periods. Helps quickly restore a woman's menstrual cycle.
You need to treat your health with care and monitor changes in the body. You should not self-medicate in such cases, as this can lead to serious consequences.
There is a situation in every woman's life when it is necessary to induce menstruation. This is often necessary before a vacation, planned surgery, or in case of a long delay. In our article we will try to figure out how, when and to whom the procedure for provoking menstruation is indicated.
When is it possible to induce menstruation?
In the case of regular delays in menstruation, constantly artificially provoking their onset is illiterate and even criminal. Such an irregular cycle may hide serious endocrine diseases: hypothyroidism, pituitary prolactinoma, adrenal tumors and others. To clarify the reasons for such an irregular cycle, it is necessary:
- Donate blood for thyroid, adrenal and sex hormones.
- Check blood sugar levels and glucose tolerance levels.
- Perform an ultrasound examination of the thyroid gland and pelvis, and sometimes the abdominal organs.
- Monitor the presence of ovulation using special tests, basal temperature or ultrasound.
Constantly prescribing medications to such patients and, without understanding the reason for the absence of normal menstruation, inducing menstruation is an indicator of the indifference and illiteracy of the attending physician.
The use of special medications is justified in the case of a one-time delay in a gynecologically healthy patient. Such delays can occur due to stress or climate change. In some cases, it is permissible to wait one or two weeks, perform a pelvic ultrasound, assess the condition of the ovaries and endometrium, and only then prescribe drugs to provoke a menstrual reaction.
It is important to understand that the only proven group of medications that can in some cases cause delayed menstruation are gestagens and gestagen-like drugs. Today we will talk about Duphaston as the safest and most widely used to provoke a menstrual reaction.
How does Duphaston “work” to induce menstruation?
Duphaston with its active ingredient dydrogesterone belongs to the group of synthetic gestagens. Other gestagen-like drugs (Norkolut, Mikronor) and natural gestagens (Utrozhestan, Crinon, Susten) have a similar effect regarding the menstrual cycle.
The main tasks of gestagens:
- The transition of the uterine mucosa from the proliferation phase (that is, active growth) to the secretion phase (that is, the accumulation of nutrients in it).
- Germination of the endometrium by vessels.
- Decreased contractility of the uterine muscle.
- Production of mucus in the cervical canal and formation of a cervical mucus plug.
- To some extent, depending on a particular drug and dosage, blocking the ovulation process.
It is logical to assume that Duphaston and his “relatives” will be able to induce menstruation only if, during the delay, there was a deficiency of the natural gestagen - progesterone.
Such a deficiency occurs in the following cases:
- Lack of ovulation: one-time in a given cycle or its chronic absence. The first situation occurs in every healthy woman once or twice a year. Chronic anovulation requires careful examination and treatment.
- Persistence of the follicle or follicular cyst. It often happens that the follicle grew, but ovulation did not occur for one reason or another. The former follicle froze at a certain stage of development and turned into a cystic ovarian formation. For the reverse development of this cyst, progesterone is necessary, and its level is low, since ovulation has not occurred. It is this vicious circle that helps to break the introduction of gestagens from the outside.
- Luteal phase deficiency or absolute deficiency of progesterone. With a lack of its own gestagens, the uterine mucosa cannot move into the second phase and be rejected.
When can you not induce menstruation with Duphaston?
Like any drug, Duphaston has a number of contraindications:
- Allergic reaction
- Mentions of skin itching, especially a history of pregnancy dermatitis.
- Liver diseases. In addition to absolute contraindications, there are situations where harm
Duphaston will not cause harm, however, it will not provoke menstruation:
- Pregnancy.
- Conditions associated with estrogen deficiency, such as menopause or lazy ovarian syndrome.
- Endometrial insufficiency.
How to take the drug?
Duphaston is sold in pharmacies strictly according to prescription, and only a doctor can prescribe this or that regimen. The drug has contraindications and a number of unpleasant side effects, so self-medication is absolutely unacceptable! To provoke a menstrual reaction, Duphaston is usually taken 1 tablet twice a day for 10 days. After this, the pills are discontinued, and menstruation occurs within 3-10 days. If your period does not come within the specified period, you need to see a doctor for a re-examination and tests.
Alexandra Pechkovskaya, obstetrician-gynecologist, especially for website