Rules for taking Utrozhestan in the absence of menstruation. Utrozhestan to induce menstruation, cycle restoration

One of the main causes of menstrual irregularities is a lack of progesterone. Its amount is replenished with the help of medications containing this hormone. These include “Utrozhestan”. Being an analogue of biological progesterone, the drug regulates the cycle and reduces the contractility of the uterine muscles. It is taken both during pregnancy and when planning it.

General information

"Utrozhestan" is a hormonal drug used for progesterone deficiency.

It regulates the second phase of the menstrual cycle and supports pregnancy. The active substance is micronized progesterone, which is identical to the hormone produced by the female body. Taking Utrozhestan transfers the endometrium to the secretory phase and reduces the excitability of the muscles of the fallopian tubes. By increasing the amount of insulin, the drug leads to the accumulation of glycogen in the liver. It also helps eliminate nitrogen from the body and helps produce pituitary hormones.

The cost depends on the dosage and can range from 370 to 550 rubles. To purchase the medicine, a gynecologist's prescription is required. Capsules must be stored at room temperature not exceeding 25 degrees. The general shelf life is 3 years. After its expiration, taking the medicine is prohibited.

The drug is produced in capsule format. They can be used for oral administration and vaginal administration. There are two dosage options - 200 and 100 mg. A package with a concentration of 200 mg contains 2 blisters of 7 capsules, 100 mg - 14 pieces in 1 blister. The treatment regimen and dosage are prescribed on an individual basis, depending on the purpose of the therapeutic action. During pregnancy, it can reach 600 mg per day; to regulate the cycle, 200 mg per day is prescribed. The most common dosage regimen is from days 16 to 21 of the menstrual cycle.

"Utrozhestan" is used to replenish the supply of progesterone in the body. Indications for use are as follows:

threat of miscarriage while carrying a child;
fibrocystic mastopathy;
first phase of menopause;
cycle disruption due to lack of ovulation;
infertility due to luteal insufficiency;
hormonal therapy in postmenopause;
pronounced symptoms of the premenstrual period.

The use of other medications together with Utrozhestan may change its pharmacokinetics. Antiepileptic drugs and liver cleansing drugs increase progesterone metabolism. Taking antibiotics indirectly affects the absorption of drug components by disrupting the intestinal microflora. During menopause, Utrozhestan is taken together with products containing estrogen.

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Rules for taking Utrozhestan in the absence of menstruation

How do Utrozhestan and menstruation interact, and how does the drug stabilize the menstrual cycle? Utrozhestan is prescribed for progesterone deficiency. The lack of this hormone in the body causes delays in menstruation. How to take the drug, and when does your period come after it? Read more in the article.

Causes of menstrual irregularities

Normal hormonal levels are very important for women's health. If it is violated, heavy bleeding, absence or delay of menstruation, and difficulties in conceiving or bearing a fetus are possible. According to statistics, 15% of 100 women have a normal, clear menstrual cycle. A delay in menstruation provokes prolonged premenstrual syndrome, chronic physical and emotional fatigue, and nervous tension. To normalize the cycle, doctors prescribe Utrozhestan tablets.

How does Utrozhestan affect the cycle?

Doctors prescribe the drug Utrozhestan not only during pregnancy. A course of Utrozhestan is prescribed for irregular cycles. Progesterone deficiency can affect delayed menstruation. The effect of the drug depends on the form of administration:

Tablets work systemically.
Vaginal suppositories - the active substance accumulates in the reproductive organ.

The form of prescription of the drug is selected individually by the gynecologist. Utrozhestan affects the endometrial lining of the uterus, activating its growth and rejection. Thus, Utrozhestan causes menstruation. The process occurs two to three days after you stop taking Utrozhestan. This is how the patient’s menstrual cycle stabilizes.

Composition of the drug and release form

The drug has one release form - in gelatin capsules. They can be taken either in tablet form with water or vaginally, like suppositories. The main active ingredient of Utrozhestan is natural progesterone. Each capsule contains a homogeneous whitish mass. The outside of the capsules is covered with a soft gelatin shell, which dissolves upon contact with the skin. In addition to progesterone, the drug contains:

peanut oil;
glycerol;
emulsifier (natural lecithin);
gelatin;
titanium dioxide.

The dosage of the drug is one hundred and two hundred grams of the active substance. Capsules of one hundred grams are round, packed in blisters of 15 cells. Capsules of two hundred grams are oval, packed in blisters of 7 cells.

Indications and contraindications

Utrozhestan for delayed menstruation is prescribed only if there are no contraindications for use. When not to take this remedy:

Adhesions in the uterus and fallopian tubes.
Bleeding from the vagina of unknown origin.
Diseases of the liver and kidneys.
Tumor formations in the chest.
Predisposition to thrombosis.
Diabetes type.
Myomatous formations and polyps in the uterus.
Increased blood pressure.

For any of these pathologies, taking Utrozhestan or similar drugs is prohibited.

Side effects

Since this is a hormonal drug, it has many side effects. Among which:

Utrozhestan contains progesterone of natural origin, but it cannot be taken without a doctor’s prescription. If side effects occur, you should consult a gynecologist.

How to take to induce menstruation

How to take Utrozhestan to induce menstruation is determined by the gynecologist after diagnosing the patient. The instructions for use indicate the standard dosage regimen. Therefore, the drug must be taken from 16 to 25 days of the cycle. That is, the course of treatment is ten days. Since progesterone acts after ovulation has occurred, the hormone will not take effect until then. During treatment, you must strictly adhere to the dosage prescribed by the gynecologist and do not skip days of taking the pills.

The doctor may prescribe a five-day or ten-day course. For a ten-day course, you need to take one lozenge or suppository of the drug per day. For a five-day prescription, double the dose. That is, take two capsules. Every 12 hours. The medicine works as an endogenous hormone and suppresses testosterone in the female body. Thus, cycle failure occurs much less frequently. In no case should you exceed the dose of the drug. This leads to adverse consequences.

When does your period start?

On what day should my period come after stopping the pills? Usually, menstruation comes a couple of days after stopping the drug. But sometimes there can be failures, despite taking progesterone. Menstruation may also begin in the form of brownish smears after discontinuation or brownish discharge while using the pills.

If a woman has hypomenstruation, or hormonal imbalance in the first part of the cycle, then taking progesterone alone cannot solve the problem fully. To understand this, the doctor prescribes an ultrasound examination of the uterus to assess the condition of the endometrium. And only then does he prescribe Utrozhestan. If the drug is prescribed for the treatment of polyposis or benign endometrial hyperplasia, then menstruation occurs with dense blood clots. These periods usually last four to eight weeks when you start taking the product. Then everything returns to normal.

If the patient has an active cystic formation, then progesterone drugs are not as effective, and the cycle does not return to normal immediately. In this case, you need a larger dose of the hormone, or a longer course of treatment, to normalize your periods. Complete normalization of MC occurs within three months with regular use of Utrozhestan. During this time, the hormonal background levels out.

Menstruation after taking Utrozhestan

Menstruation after a course of Utrozhestan may be normal or abnormal. It all depends on the individual characteristics of the body. Abnormal menstruation:

Scanty periods after Utrozhestan. Possible if in the first sixteen days of the cycle, the endometrium did not have time to grow enough.
Menstruation with blood clots after discontinuation of the drug. During the delay, the endometrial layer grows in excess, and when rejected, it forms clots. This happens in the first four weeks of the progesterone course.
A delay in menstruation after Utrozhestan indicates that there are serious pathologies in the body, pregnancy has occurred, or the drug has been prescribed incorrectly, the dosage needs to be increased or the duration of use.
If you don’t have your period, you need to rule out the possibility of pregnancy.

Reviews from women

Evgeniya, 28 years old

I constantly had delays. I tested for hormones, and the gynecologist prescribed Utrozhestan for three months. My period came three days after stopping the pills. It came out profusely, there were clots, but the doctor told me that this was normal. Three months later, the cycle was completely restored.

Alisa, 25 years old

It took a long time to get pregnant, but there were often delays. I was very nervous about this. I was expecting a pregnancy. It turned out that I have progesterone deficiency. Utrozhestan capsules were prescribed, vaginally. I took it for two months. And on the third I got pregnant. After that, I still took the drug to maintain the pregnancy.

Irina, 31 years old

I had problems with my cycle, I searched the Internet. I read good reviews about Utrozhestan. There are not many side effects. I consulted with my doctor. He assigned it to me. I've been drinking for the second month. While the menstruation is coming, it’s scanty, but it’s coming. I hope everything will be fine in the third month.

tvoimesyachnye.ru

"Utrozhestan" and pregnancy

During pregnancy planning, Utrozhestan is prescribed as part of complex hormonal therapy.

Lack of progesterone is one of the main causes of female infertility. When its amount decreases, the endometrium becomes too thin. This makes it difficult for the embryo to implant. When planning pregnancy, the medication is taken in a dosage of 100 or 200 mg every 24 hours.

"Utrozhestan" is prescribed in ovulation stimulation cycles and in preparation for IVF. In the first half of the cycle, estrogen-containing drugs are taken. If necessary, the hCG hormone is injected into the body. If conception occurs, Utrozhestan helps maintain the pregnancy.

In the first planning cycle, the drug is taken at 200 mg. Subsequently, the dosage is increased to 600 mg. The maximum daily dose is 1 gram. The need to use the drug remains until the placenta is formed. In the second and third trimesters, use may be resumed in case of development of isthmic-cervical insufficiency.

Once conception has occurred, “Utrozhestan” is necessary to prevent miscarriage . It is prescribed for uterine bleeding and uterine tone. Most often the drug is used in the first trimester. But sometimes it is prescribed in the second and third trimesters. In this case, only intravaginal use is possible, since there is a risk of disrupting liver function.

When does your period come?

To be sure that the treatment is working, you need to pay attention to when your periods come after stopping Utrozhestan. This time frame is different for each woman, but there are general time frames that should be taken into account.

Ideally, menstruation returns one day after the patient stops treatment. But this is usually observed 3-5 days after stopping therapy. Every fifth case of progesterone treatment shows that the cycle began to return after exactly that number of days.

A delay of up to 10 days is allowed. But if endometrial rejection does not begin after this period, you should look for the cause with your doctor.

Often on websites and forums, women ask the question of whether Utrozhestan can cause such a delay in menstruation. This is only permissible if you are pregnant. If this factor is excluded, we are talking about certain violations, such as:

Hypomenstrual syndrome.
Insufficient production of hormones of the first phase or its excess.
Pathological changes in the endometrium (hyperplasia, hyperplasia, polyposis).
Functional cyst.

Read about why menstruation is delayed due to an ovarian cyst in the article at the link.

Malignant neoplasms.
Endocrinological disorders that prevent the correction of hormonal levels.

Malignant neoplasms.
Endocrinological disorders that prevent the correction of hormonal levels.

For several months after a course of treatment with Utrozhestan, instead of menstruation, brown spotting or the opposite situation may be observed - brown, bloody, heavy discharge. Such manifestations are acceptable, but only in the first months of the body’s adaptation to the new cycle.

The first day of menstruation, which began after the abolition of Utrozhestan, is characterized by the beginning of a new menstrual cycle.

Possibility of use during lactation

There is insufficient data regarding the ability of the active substances of the drug to pass into breast milk. Therefore, taking the medication during lactation is not recommended . Menstrual irregularities during this period are a natural phenomenon. Gradually it normalizes on its own. There is no need to take progesterone medications.

How does Utrozhestan affect the cycle?

The menstrual cycle has three phases - estrogen, ovulation and progesterone.

The first phase begins on the first day of menstruation, from the moment the egg begins to mature under the influence of the pituitary hormone. The egg matures in a sac called a follicle. The cells of the pouch collect more and more estrogens. They cause growth of the lining of the uterus (endometrium), in which new life must take hold (if fertilization occurs). The egg matures, the amount of estrogen reaches a peak and begins to decrease. Now another hormone comes onto the scene - lutein (progesterone), which causes the sac-follicle to rupture and the release of the egg.

The nature of the discharge during administration

The nature and intensity of vaginal secretion depends on the level of hormones in the body. With an increase in progesterone, white discharge of a thick consistency appears. Some women mistake them for symptoms of thrush. The difference is the absence of sour odor and itching sensations.

When the capsules are inserted into the vagina at night, the woman experiences oily discharge in the morning. They appear as a result of the dissolution of the drug shell, which consists of soy lecithin, glycerin and peanut oil. The internal component of the capsules has time to be absorbed in 1-2 hours. There is no need to worry about it leaking.

Using progesterone injections to induce menstruation if they are delayed

Elena Malysheva: “I can recommend only one effective and safe remedy for normalizing hormonal levels and diseases associated with its disruption, this, of course...” Read more…

For menstrual irregularities, gynecologists prescribe Progesterone - injections to induce menstruation; the instructions for use of this drug recommend its use for various hormonal disorders or in case of metabolic pathologies that have developed in a woman for various reasons. It is necessary to understand how appropriate it is to use such a medicinal substance to correct the menstrual cycle.

Why is there no menstruation?

Before using any drug, you should ensure that it is needed for the patient. If a woman’s menstruation does not start on time, then first we need to exclude the possibility of such a reason for the disruption of the cycle as the development of pregnancy. If such a possibility exists, then the fastest way to confirm this assumption is to take a pregnancy test. If the result is positive, especially if this is confirmed during an examination by a gynecologist, there is no point in waiting for the onset of menstrual bleeding. In this case, injections will not help. It will be necessary to make a decision about carrying the pregnancy or terminating it.

If for certain reasons it does not make sense to expect the development of pregnancy or the pregnancy test showed a negative result, and monthly bleeding does not begin in a timely manner, then a visit to the antenatal clinic is necessary. In addition to a gynecological examination, the doctor in this case will recommend an ultrasound examination and a series of clinical tests, including blood tests for the presence of human chorionic gonadotropin. Only after that

Source

If the cycle is disrupted, women are often prescribed Utrozhestan, and the delay in menstruation should stop. It is necessary to follow the rules of administration and means.

Contraindications

Before starting treatment, a woman must undergo examination.

This will avoid unpleasant results from taking the drug. For diabetes mellitus, hypertension, bronchial asthma, depressive disorders and impaired renal function, Utrozhestan is used with caution, under medical supervision. Contraindications include:

deep vein thrombosis;
malignant and benign breast tumors;
vaginal bleeding of unknown etiology;
porphyria;
individual intolerance to the constituent components;
intracranial hemorrhages;
liver pathologies (hepatitis, cholestatic jaundice, cancerous tumors, etc.);
unsuccessful abortion.

Menstruation after taking the drug

To figure out how many days after stopping utrozhestan the next period comes, you need to know what can happen to the menstrual cycle after this correction:

The cycle returns to normal. Menstruation occurs regularly every month with the same duration, a moderate amount of blood is released, there are no delays.
Critical days came earlier, which indicates a shortening of the cycle. In this case, the first dose of tablets or suppositories is postponed to a later date. (i.e., the scheme from days 16 to 25 changes to another: from days 18 to 27 or from days 19 to 28).
My period is late. If after Utrozhestan there are no menstruation for more than 10 days, the first thing you should do is take a pregnancy test.

When a woman discontinued Utrozhestan, the test gave a negative result, and she was completely convinced that there was no pregnancy, then the reason may be a complex hormonal disorder, or the drug was discontinued early. When it comes to a serious lack of progesterone, the doctor increases the dose of the substance.

Menstrual flow has changed its character: now it is scarce or profuse, and painful sensations have begun to bother me, which was not observed before.

Many women are interested in the question: can menstruation begin when taking Utrozhestan. This is acceptable, and in this case you need to stop treatment and consult a specialist.

Side effects

Oral use of Utrozhestan affects a woman’s well-being. Dizziness and drowsiness may occur 2-3 hours after administration . With vaginal administration of capsules there are no such symptoms. Due to fluid retention in the body, body weight increases slightly and the stomach becomes rounder . PMS symptoms appear 5-7 days after the start of treatment. They look individual for each woman. Other side effects include:

bowel dysfunction;
hives;
spotting in the middle of the cycle;
migraine;
nausea and vomiting;
acne;
discomfort in the chest;
change in sexual desire.

With long-term use of Utrozhestan, it is necessary to monitor the condition of the liver , since an increase in liver enzyme levels is possible. Intravaginal administration of capsules can cause side symptoms in the form of local reactions - itching, burning and hyperemia . If the treatment regimen is violated, the length of the menstrual cycle changes. In this case, uterine bleeding is possible.

In the presence of thrombophlebitis, treatment with Utrozhestan is carried out with extreme caution. The following signs indicate the need to stop taking it:

severe headaches;
blurred vision or double vision;
thrombotic complications;
proptosis of the eyeball;
swelling of the optic nerve.

In case of an overdose of a hormonal drug, the length of the menstrual cycle is reduced. Nausea and dizziness increase, and apathy appears. Possible development of intoxication of the body. It is caused by low estradiol content and sensitivity to the active substance of the drug. In this case, a reduction in dosage or selection of an alternative drug replacement is indicated.

When does your period start?

Bottom line

"Utrozhestan" is one of the most effective medications used for hormonal adjustment. Unlike analogues, it contains not synthetic, but natural progesterone. Another advantage of the product is the possibility of oral and intravaginal use. If the prescribed dosage is observed, the use of Utrozhestan increases the chances of successful conception and a successful pregnancy. Despite all the advantages of the medication, it should be taken with caution, after the approval of the gynecologist.

How to get your period early?

If you are taking birth control, you can do this without much harm - just stop taking it two days before your desired menstruation. If you do not take COCs (combined oral contraceptives), then you can resort to folk remedies. Here are some of them.

Option 1

Buy chamomile, valerian root and mint at the pharmacy. Mix: 4 tbsp. spoons of chamomile, 4 tbsp. spoons of mint and 3 tbsp. spoons of valerian root. Pour a glass of boiling water over the herb mixture and let it brew for a while. This infusion should be consumed hot, ½ cup in the morning and evening.

Option #2

Elecampane root is considered a strong effective remedy. It is enough to consume 50 grams of root decoction; more can cause severe bleeding. If it starts, call an ambulance immediately. The pad should not get wet in less than three hours. If the dosage is observed, if there are no problems with clotting, taking elecampane is tolerated normally.

Read also: Delayed menstruation: the main reasons

Option #3

A decoction of dill with parsley is taken 3 days before menstruation, half a glass 2 times a day. Parsley and dill can be added to any salads; they are very healthy. The effect of this remedy is enhanced by lemon.

Option #4

Premature menstruation is caused by a hot bath with table salt for 45 minutes. Make the bath as hot as possible. Contraindication to taking hot baths is oncology. You should also be careful if you have problems with the heart and blood vessels. Both high and low blood pressure are reasons to avoid this method, as there is a risk of fainting.

Option #5

Taking an infusion of onion peels is considered a safe way.

Option #6

Gym, housework, weight lifting, intense sex. Any physical activity leads to uterine tone. Therefore, during pregnancy you should not overwork yourself. But if you know for sure that you are not pregnant, but need to induce your period, this method is suitable. If the delay is long and you have not taken the test yet, do so. When the connection between the fetus and the uterus becomes stronger, abortion at home becomes deadly.

Option #7

Mint and chamomile tea, tea with ginger help in combination. No decoctions should be taken in loading doses. Never use methods such as:

Iodine with milk (taking it causes problems with the thyroid gland).
Large doses of ascorbic acid, especially if you already have gastritis or ulcers.

If these methods do not help, and no more than 3 days have passed since the last sexual intercourse, you can resort to emergency contraception methods. For example, Postinor is a drug used to induce menstruation. It has many side effects. This medicine attacks the endocrine system. Be very careful with it and be sure to consult your doctor before using it. The price of Postinor in the pharmacy is above average and is available without a prescription.

If time is lost, a medical abortion is possible under the supervision of a gynecologist (only with a confirmed pregnancy). Consult your doctor if after taking Postinor you experience:

Nausea and incessant vomiting.
Pain in the lower abdomen.
Tearfulness.

Contraindication: liver failure. If pregnancy occurs, then in the early stages, a vacuum mini-abortion is suitable for such patients. It is less harmful than classic scraping.

Read also: Can you get pregnant during your period?