Causes of delay in periods even after taking tablets to induce withdrawal bleeding

Delay in periods can occur due to many causes.
After ruling out causes like pregnancy, thyroid hormonal abnormalities, general causes like anemia etc, doctors will prescribe progesterone tablets usually.
Progesterone tablets will help in inducing the withdrawal bleeding in many women,
As usually estrogen predominance and deficiency of progesterone will be the cause in most of the women, progesterone can cause withdrawal bleeding.
Progesterone will prime the endometrium during the period of usage.
Lead to secretory changes in it.
When the progesterone stopped, that can lead to withdrawal bleeding.
Sometimes few women will not get withdrawal bleeding even after taking progesterone pills.
The causes are :
- Insufficient dosage of pills to induce withdrawal bleeding.
- The period of onset of withdrawal bleeding can vary from 3 to 10 days. So, need to wait till that time.
-Deficiency of both estrogen and progesterone.
In this case combined hormonal pills to be used.
-Cause of the delayed periods may be something other than hormonal imbalance.
In that case detailed evaluation should be done to find out the exact cause and that to be treated.



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