HomeAnswersObstetrics and GynecologystressI did not get my period last month however my pregnancy test was negative. Please advise.

How to induce periods that got delayed due to stress?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At May 30, 2023
Reviewed AtFebruary 19, 2024

Patient's Query

Hi doctor,

I did not get my period last month. I am sexually active also but my pregnancy kit results were negative. A recent tragic incident happened in my family my grandfather passed away so there was a lot of stress and tension. What should I do? Should I take an I-pill or something?

Please help.

Hi,

Welcome to icliniq.com.

I understand your concern.

Has such a thing happened before? When did you have the last intercourse? When was the last time you did a pregnancy test? I should know these things to guide you properly. I-pill is an emergency contraceptive pill, and cannot be used for induction of menses or abortion.

Kindly update us with the answers.

Thanks and regards.

Patient's Query

Hi doctor,

Thank you for the reply.

Last year it happened due to exam stress. I have done the test six times of which four were negative and two were not working and the last I checked was three days back. I am facing acne issues too and what to take for the periods to come? I have felt cramps five to six times.

Please help.

Hi,

Welcome back to icliniq.com.

So you had intercourse on your safe day so very less chances of pregnancy. Yes, it could be PCOS (polycystic ovary syndrome) irregular periods, scanty menses, acne, excessive weight gain these things are commonly seen in PCOS. Thyroid abnormality also such things could be seen. Please do a USG (ultrasound) abdomen and pelvis scan, thyroid profile, and CBC (complete blood count) to rule out PCOS and thyroid disorders. Then accordingly will start the treatment for now to induce your period take tablet Deviry (progestogen)10 mg twice daily for three days, after stopping this tablet period will come within two to seven days.

For further queries, you can reconnect.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply,

Is it a safe medicine? My weight is the same for the last five months. I have checked now also it remains the same maybe because of stress.

Please help.

Hi,

Welcome back to icliniq.com.

Weight gain is not always seen in PCOS, sometimes there are no symptoms also. If now it is not possible, please get it done next month. Yes, this medicine is safe, and as such no side effects, sometimes nausea could occur. It contains Medroxy progesterone.

Hope it helps.

Thank you.

Patient's Query

Hello doctor,

I took the tablet as suggested by you but still I am not getting my period.

Please help.

Hello,

Welcome back to icliniq.com. Sometimes it might take a longer time to induce menstruation. I suggest you wait for one more week. Have you done USG scan, thyroid profile, and CBC (complete blood count)?

Kindly update with the answer.

Thanks and regards.

Patient's Query

Hello doctor,

Thanks for your reply.

No, I have not done the tests yet.

Please suggest.

Hello,

Welcome back to icliniq.com.

After stopping this tablet, the bleeding starts in two to seven days, which is called the withdrawal method. I suggest you complete the course and wait for one week.

Hope it helps.

Thank you.

Patient's Query

Hello doctor,

Should I wait for another one week?

Please help.

Hello,

Welcome back to icliniq.com.

I clearly mentioned after stopping the tablet, periods will come within two to seven days.

Thanks.

Patient's Query

Hello doctor,

I got my ultrasound done and there is no PCOD. Also, I have taken four pills of the tablet Deviry but there is no sign of bleeding. What to do?

Please help.

Hello,

Welcome back to icliniq.com. I completely understand your concern.

Do not get stressed out because stress is also one of the reasons for delaying the periods. Please attach the USG report and have you done thyroid profile and CBC as I asked that also?

Hope it helps.

Thanks.

Patient's Query

Hello doctor,

I took four tablets. Should I get my blood tests done?

Please help.

Hello,

Welcome back to icliniq.com.

Yes, please get your blood test done. Do not stress. Drink lots of water. Get enough sleep and take a healthy, nutritious diet.

Hope it helps.

Thanks and regards.

Patient's Query

Hello doctor,

Thanks for your reply.

Do I need to worry?

Please help.

Hello,

Welcome back to icliniq.com.

There is nothing to worry about. Do not panic.

Thanks and regards.

Patient's Query

Hello doctor,

I am suffering from the same problem. Is it due to hormonal imbalance? I am taking good diet and doing proper exercise. I did not get my periods last month. What to do?

Please help.

Hello,

Welcome back to icliniq.com. Have you done blood investigation which I mentioned before like CBC and thyroid profile?

Kindly update with your blood reports.

Thanks and regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sanap Sneha Umrao
Dr. Sanap Sneha Umrao

Obstetrics and Gynecology

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