Hi XXXXXX,
thanks for asking in Healthcare Magic.

The tablet Norlut contains Norethindrone or Norethisterone. It is a progesterone. Progesterone prevents bleeding as long as it is taken. Discontinuation of the pill results in withdrawal bleeding due to sudden fall in the progesterone level.

Generally, the withdrawal bleeding (menstrual bleeding) should start within 3 to 4 days. But in some, it can take about a week. Since your last period was only on 13th march, you can wait till then. Your stomach pain indicates that you may be getting it soon. If you have taken Analgesics (pain killers) like Ibuprofen, Paracetamol they will delay the onset of period.

I hope this helps.
Regards.

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Hi XXXXXX,

Welcome back.

You have not mentioned your marital status. But since you have mentioned that this is a recurring problem every month, I take it that you are single. If not, you have to first rule out pregnancy.

Oligomenorrhea means that the menstrual cycles extend beyond 35 days instead of the regular 28 days cycle. If it becomes erratic and irregular, as in your case, you should undergo proper medical examination to find out the cause - stress, anemia,overweight, thyroid problems, Poly Cystic Ovarian Disease (PCOD), hormonal imbalance are some of the reasons for irregular menstrual cycles. A complete investigation like Complete Hemogram, FSH, LH, TSH, Estrogen, Progesterone, Free T3, T4 level will give us an idea about your problem.

Failure of withdrawal bleeding following progesterone means that the uterus is not primed (prepared) by estrogen indicating low estrogen level. Also the habit of taking tab.Norethindrone every time the period fails is wrong as that itself will disrupt the menstrual cycles and such a practice is normally discouraged.

It would be hard to predict now whether you will have your periods without assistance. Therefore I would suggest you the following steps of action:

1. Get your urine pregnancy test done if you have been active sexually to rule out pregnancy.
2. Wait for 2-3 days for periods to start.
3. If periods do not resume, consult a gynecologist for evaluation.

Irrespective of the outcomes of this cycle, I encourage you to get evaluated to understand the cause of erratic period. Perhaps we may be able to solve the primary cause and avoid similar troubles in future.

I hope this helps. I will be happy to assist you if you have any further query related to this issue.

Regards

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Hi XXXXXX,

thanks for furnishing the details

March 13th does not fall in your safe period. Your cycle appears to be a 45 to 50 days cycle and ovulation usually occurs 14 days before the onset of menstruation. 10 days on either side of it is not safe if you don't want to conceive. Although the chances of pregnancy is remote because he didn't ejaculate inside, the possibility should not be ruled out.

Home pregnancy tests are 97% accurate when done by technicians and only 75% accurate when done by individuals. Your emotional state also plays a greater role in influencing the accuracy of the test. Blood pregnancy tests will be more accurate. If it turns out to be negative, you can be sure that the delay is due to your anxiety.

Post coital pills like Levonorgestrel offers protection if taken within 72 hours of intercourse and Ulipristal can be taken up to 120 hours (5 days) to prevent conception.

Taking Primolute again will not help. Even a single injection of progesterone (100 mg) will induce withdrawal bleeding only if the uterus is primed by estrogen. So wait for 3 more days and if you don't get period, then consult your treating Doctor.

I hope this is useful.

Regards and I wish you a happy married life.

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