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What Causes Absence Of Periods After Stopping Progesterone Intake?
Question: I have a question for an endocrinologist. I was taking progesterone to get my period as I hadn't had it since getting off birth comfort in April. I never got my period following finishing 1 week of pills and have a prescription for another week's worth. Should I take a 2nd week of progesterone? I have 100mg 2x a day.
Brief Answer:
Progesterone need prior Estrogen action
Detailed Answer:
Good day,
Noted your concern.
From your previous question, i understood that you missed some pills during the first course. I would like to ask you few questions.
1. When was your delivery? Was it a prolonged one? Any heaedches during pregnancy/delivery time? Any excess bleeding?
2. Was there any dificulty lactating ( breast milk secretion) ?
3. How regular was your periods prioe to pregnancy ?
4)Did you use any steroids post delivery or during pregnancy ?
You should wait for up to 6-7 days after completing the progesterone pills .
Progesterone is given to induce a withdrawal bleed.For this to happen, your uterus should have been primed by estrogen. If there was no prior action of estrogen on uterus endometrial lining, progesterone can not induce a bleed.
In your case, since you had missed pills during the first two days during the first course, it is worth taking a second course if no bleeding happen after a week of completing the course.
Even after that, if there is no bleeding, we have to look at other causes.
Regards
Binu
Progesterone need prior Estrogen action
Detailed Answer:
Good day,
Noted your concern.
From your previous question, i understood that you missed some pills during the first course. I would like to ask you few questions.
1. When was your delivery? Was it a prolonged one? Any heaedches during pregnancy/delivery time? Any excess bleeding?
2. Was there any dificulty lactating ( breast milk secretion) ?
3. How regular was your periods prioe to pregnancy ?
4)Did you use any steroids post delivery or during pregnancy ?
You should wait for up to 6-7 days after completing the progesterone pills .
Progesterone is given to induce a withdrawal bleed.For this to happen, your uterus should have been primed by estrogen. If there was no prior action of estrogen on uterus endometrial lining, progesterone can not induce a bleed.
In your case, since you had missed pills during the first two days during the first course, it is worth taking a second course if no bleeding happen after a week of completing the course.
Even after that, if there is no bleeding, we have to look at other causes.
Regards
Binu
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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