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Next Step After Absent Periods Despite Taking Norethisterone?

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Posted on Sun, 9 Mar 2014
Question: Hi, we have been trying to get a baby for the past 8 months but failed.my periods are irregular due to PCO's. my last period was on dec 10 2013. I didn't get periods on XXXXXXX and feb also. So i went to a doctor and she prescribed me noresthiterone for 5 five days (2 tablets twice a day) and Ova mit. She asked me to take ova mit on my 2nd day of periods. I finished taking noresthiterone on feb 10. But my periods haven't come yet. Now i'm very confused. What should be my next step? Please help.
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Answered by Dr. Sree Gouri SR (20 minutes later)
Brief Answer: Better to wait for 3 to 4 days Detailed Answer: Hi, Thanks for the query. Hormonal imbalance will be there in polycystic ovary disease. It can present with irregular periods, anovulation etc features. Progesterone tablets can induce withdrawal bleeding by acting on estrogen primed endometrium. But sometimes it may take 7 to 10 days to induce the withdrawal bleeding. So, better to wait for 3 to 4 days. Possibly by that time you will get withdrawal bleeding. If you do not get withdrawal bleeding even after 4 days, there could be imbalance of both estrogen and progesterone hormones. In that case combined hormonal pills will help in inducing withdrawal bleeding. So after 4 days, if your doctor suggests you can go for them. Hope I have answered your question. I will be available to answer followup questions. If you are satisfied with the response, please give your review at the end of the discussion. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sree Gouri SR

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Practicing since :2006

Answered : 5839 Questions

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Next Step After Absent Periods Despite Taking Norethisterone?

Brief Answer: Better to wait for 3 to 4 days Detailed Answer: Hi, Thanks for the query. Hormonal imbalance will be there in polycystic ovary disease. It can present with irregular periods, anovulation etc features. Progesterone tablets can induce withdrawal bleeding by acting on estrogen primed endometrium. But sometimes it may take 7 to 10 days to induce the withdrawal bleeding. So, better to wait for 3 to 4 days. Possibly by that time you will get withdrawal bleeding. If you do not get withdrawal bleeding even after 4 days, there could be imbalance of both estrogen and progesterone hormones. In that case combined hormonal pills will help in inducing withdrawal bleeding. So after 4 days, if your doctor suggests you can go for them. Hope I have answered your question. I will be available to answer followup questions. If you are satisfied with the response, please give your review at the end of the discussion. Take care.