What Causes Missed Period Despite Having Regestrone And Primolut?

Posted on Wed, 13 May 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 13 May 2015 Answered on

Tue, 14 Jul 2015 Last reviewed on

Question : Hi , I had IUI on 25thfeb 2015 n got period on15th March 15. Wasn't got period till now almost 60 days after taking restrogone n primolut .pls suggest what's Wrong with my periods

Answered by Dr. Mahesh Koregol (31 minutes later)

Brief Answer:
Details required.

Detailed Answer:
HI,

Please let me know till when you took regesterone and primolut.

How many days you took these.

Did you take any medicines after IUI. If yes, what medicines.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (4 hours later)

Hi doctor, have taken restrogen from 25 .4.15 to 29.4.2015 and primolut from 10.5.15 for 5 days doctor suggested. After iui taken progesterone vaginal tablets and had last period on 15.3.15 and iui done on 25.2.15.ultrasound scanning also negative.pls suggest

Answered by Dr. Mahesh Koregol (7 minutes later)

Brief Answer:
Increase regesterone dose

Detailed Answer:
Hi,

The dose you are taking may not be enough to induce periods.

Please take regesterone 10 mg 2 times a day for next 3 days. This dose should help you to get periods.

Delayed periods could be due to stress, change of place, exam tension, Polycystic ovaries etc..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (12 hours later)

Hi doctor,

Many thanks for the reply!

Sure will take regesterone 10 mg.

Am having PCOS but never my periods delayed by 60days.

am having Diabetic and thyroid from 3.5 years and in insulin medication-H1abc is 7.

Any chance i can be pregnant in case if didn't get periods..

Regards,
XXXX

Answered by Dr. Mahesh Koregol (6 minutes later)

Brief Answer:
Pregnancy possible

Detailed Answer:
Hi,

There is possibility of pregnancy in case you dont get periods.

Since pregnancy test is negative, you can take regesterone. It wont harm even if pregnant and pregnancy will continue.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (6 days later)

Hi doctor,

After taking the regesterone 10 mg . i got the periods on 18th May 2015.

Please suggest me with the below details:

we have tried for TSI with Siphine 100mg for 3 times NOV.Dec and XXXXXXX 15 and One IUI in Feb 15.

we have been married for 3 years.

But still not conceived..

Request you to suggest how to about further.

Regards,
XXXX

Answered by Dr. Mahesh Koregol (7 hours later)

Brief Answer:
IUI

Detailed Answer:
Hi,

I saw your history. I think you should try another 2 cycles of IUI. If you don't conceive, IVF would be next option.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (1 hour later)

Hi doctor,
How many times we can try for IUI before going for IVF?

Last cycle of IUI , over stimulation of follicles and mild OHSS has happened n swollen stomach still continuing and severe pelvic pain and took the clexine injection to avoid blood clotting , since our Gyno suggested.

Please suggest how we can proceed further.

Regards

Answered by Dr. Mahesh Koregol (7 hours later)

Brief Answer:
Reduce dosage to avoid OHSS

Detailed Answer:
Hi,

You can try 3 cycle of IUI ideally before going for IVF.

If you had OHSS, your doctor will start you on low dose drugs to avoid OHSS as in last time. Dont worry.

Regards,
Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (6 hours later)

Hi Doctor,

Many thanks for the reply!

Is IVF success rate chances are on higher side in our case? and is it painful procedure?

Is D and C is required before going for IVF and in my case Lineing is not coming as per expectation.

Please suggest.

Regards,
XXXX

Answered by Dr. Mahesh Koregol (35 minutes later)

Brief Answer:
IVF success rates better

Detailed Answer:
Hi,

IVF success rates are always better than IUI. It is not painful procedure .

D&C is not required before IVF. Generally lining improves with IVF drugs.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (10 days later)

Query and Follow up for Dr XXXXXXX Koregol:

Hi doctor,

I have the periods of 18/5/2015.

my Gyno gave me the Siphine 100mg from day2 to day 6.

Since he was out of country, we didnt go for IUI and continuing with TSI.

we are doing follicle scanning from day 10, today as of 15th day of periods follicles size is 16 mm on left ovary.Can I go for HCG trigger shot today 1-6-2015 ? or shall I wait for one more scan on 17th day of the period.

In case egg ruptures on 18th or 19th day would be health egg? and am on normoz and Folic IP.

Please suggest.

Regards,
XXXX

Answered by Dr. Mahesh Koregol (6 minutes later)

Brief Answer:
Repeat scan tomorrow

Detailed Answer:
Hi,

You should wait for follicle to reach 18 mm. Wait for one more day and get scan done tomorrow. If follicle is 18 mm, you can trigger.

Egg rupture after 18th day is normal and nothing to worry. Continue medicines you are taking

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (7 minutes later)

Thanks Doctor,

Will do one more scan tomorrow.

I am consulting Dr XXXXXXX Mallikarjun- he is awesome person & very supportive doctor and later I came to know that you are friend of him after I had conversation and followup questions & clarification with you.

Many thanks for your reply!

Regards,
XXXX

Answered by Dr. Mahesh Koregol (28 minutes later)

Brief Answer:
Good

Detailed Answer:
Hi,

He is one of best doctors in the world. You will have good treatment under him.

Let me know if you need anymore help.

All the best.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (15 minutes later)

Hi Doctor,

Many thanks and definitely I will.

Will update you after tomorrow Scan.

We miss Dr XXXXXXX for 2 months as our bad luck.

Regards,
xxxx

Answered by Dr. Mahesh Koregol (7 minutes later)

Brief Answer:
All the best

Detailed Answer:
Hi,

Good to know. Keep in touch. Let me know if you need any help.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (47 hours later)

Query and follow up with Dr XXXXXXX Koregal. Hi doctor , I did the follicle scan for 17th day but still size is 17 mm . Shall I wait for one more day for HCG trigger?

Answered by Dr. Mahesh Koregol (39 minutes later)

Brief Answer:
Trigger tomorrow

Detailed Answer:
Hi XXXXXXX

You can trigger tomorrow. Hopefully after tomorrow's scan you should get 18 mm.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mahesh Koregol (1 hour later)

Query and follow up with Dr XXXXXXX Koregal Hi doctor , many thanks. I am having fever n caugh from past 3 days. Is it ok to take HCG trigger after the scan? Doctor am really frustrated from past from 8 months doing follicular scanning n IUI but nothing has happened . In my case shall I directly go for IVF? Please suggest

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
IVF is best option

Detailed Answer:
Hi,

Cough and fever wont harm pregnancy chances. It is fine to take hCG after scan.

If this IUI does not succeed IVF is a better option.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Mahesh Koregol (3 hours later)

Query and Follow up- Dr XXXXXXX Koregal Hi doctor , many thanks. How can I contact you? XXXXXXX IVF centre? Regards, xxxxx

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Let me know date

Detailed Answer:
Hi XXXXXXX

Let me know when you wish to come. I will make appointment if you inform me one day prior.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (1 hour later)

Hi Doctor,
Am traveling out of XXXXXXX for official work this Sunday 7th jun and back on 15th XXXXXXX

I stay in BSK 3rd stage, any other clinic I can meet you other than XXXXXXX IVF ?

At least before this week I can meet you.

Please let me know otherthan NOva?

Regards ,

XXXX

Answered by Dr. Mahesh Koregol (6 hours later)

Brief Answer:
Come when free

Detailed Answer:
Hi XXXXXXX

I am available only in XXXXXXX Let me know your free time so that I will book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (29 hours later)

Hi doctor,
I have done scan today , follicle size is 21mm and taken HCG trigger now.

Shall we have TSI for next 2 days?

Please suggest

Regards,
XXXX

Answered by Dr. Mahesh Koregol (0 minute later)

Brief Answer:
Try 4 days

Detailed Answer:
Hi XXXXXXX

Good to know follicle has matured. Try TSI for next 4 days.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (56 minutes later)

Hi Doctor,

Many Thanks for the reply.

Sorry for asking again ,if egg matures on 19th day will have healthy follicle?

Regards,
XXXXX

Answered by Dr. Mahesh Koregol (22 minutes later)

Brief Answer:
Yes. it will be healthy

Detailed Answer:
Hi,

19th day follicle should not be a problem. I have seen healthy pregnancies from follicle of 25th day. DOnt worry about day 19.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (2 days later)

Query and Follow up with Dr. XXXXXXX Koregol

Hi Doctor,

I have severe pelvic pain from yesterday,same thing I was experienced during my last IUI and am out of XXXXXXX

Please Suggest.

Regards,
XXXX

Answered by Dr. Mahesh Koregol (38 minutes later)

Brief Answer:
Follow instructions below

Detailed Answer:
Hi,

There is possibility of few more eggs being ruptured which is causing pain.

Drink more water. Take an antacid which are available over the counter. Have atleast 3 egg white per day.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (2 days later)

Hi doctor ,

Still pelvic pain not reducing and as suggested took a lot of water and liquids.

Am scared of OHSS??

Please suggest

Regards ,
XXXX

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Please followinstructions

Detailed Answer:
Hi XXXXXXX

This may not be OHSS. Even if it is OHSS, there is little you can do.

1. Eat 3 egg whites per day.

2. Have high protein diet.

3. Keep drinking more water with more frequently.

4. I dont think its easy to get drugs there.

5. Yiu cab take antacid tabletlike rantac which are availableover the counter.

6. If possible to get take tablet cabgolin 0.5 mg dailybfor a week to prevent OHSS.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar