I do not have bleeding even after taking Primolut-N. Do I need to worry about pregnancy?

Question

Hello doctor,

I had unprotected sex with my partner on the 25th two months ago, and the expected date of my period was on the 19th of the same month. I gulped down an I-pill within six hours. Later, I had withdrawal bleeding on the first of last month. The bleeding lasted for three days. This month, my period was late. So, I went to a gynecologist. She prescribed me Primolut-N for three days and told me to wait for a week. My HCG test was negative, but my periods have not yet started. Do I need to worry about pregnancy or is it just hormonal imbalance?

Answer 1

Hello,

Welcome to icliniq.com.

As the hCG (human chorionic gonadotropin) test was negative, there is no chance of pregnancy for sure. Because hCG is the most sensitive and conclusive test.

There was no apparent requirement for taking Primolut-N (Norethisterone) at all when the hCG test was negative and you would have naturally got your menses. But, now that you have taken them, you have to wait for five to seven days for the withdrawal bleed to occur. So, by the 21st, you should get your menses this month.

Do not take Progesterone regularly. They can easily upset your hormonal balance.

Regards.

Answer 2

Hello,

Welcome to icliniq.com.

Primolut-N is a progesterone which is given to initiate withdrawal bleeding in women who have chronically delayed cycles especially in Polycystic ovarian disease, hypothyroidism or hyperprolactinemia cases. Sometimes, it is given in stress-induced delay as well.

So, yes, stress can delay menses. But, in your case, it is I-pill induced, which is a known side effect.