After Utrozhestan, there are normal and diseased periods.

 Utrozhestan and Proginova are hormonal drugs. The drugs have many indications. They are prescribed only if there is evidence and after consultation with the doctor. Girls often wonder if Utrozhestan and Proginova can delay menstruation.

Utrozhestan can delay the onset of menstruation

Absence of menstruation is not uncommon with this treatment. There is a high probability of daubing, bleeding and delays as well. Before using medications, you should familiarize yourself with the possible contraindications. In their presence, the use of drugs is strictly prohibited. The course of treatment is selected individually. The diagnosis, age of the patient, etc. are taken into account.

Possible reasons for delayed periods

The monthly cycle of a woman - the basis of her fruiting - is offensively changeable, subject to the influence of psychosomatic and pathological causes. If the test is negative, then in addition to pregnancy, delays may have the following reasons:

• adolescence or premenopausal age (unstable hormonal levels);
• dysfunction of the thyroid gland;
• ovarian dysfunction;
• inflammatory processes of internal female organs;
• growth of the lining of the uterus (endometriosis);
• polycystic ovaries (with an excess of testosterone and a lack of progesterone);
• inseparability of the follicle (with an excess of estrogen and a lack of progesterone);
• strong tension, load, chronic stress;
• a sharp change in climate or work;
• anorexia, obesity. Weighing less than 45 kg. or the third degree of obesity, the body loses resources for normal functioning;
• contraceptive withdrawal syndrome (missed 2-3 cycles is the norm, then you need to go to the doctor);
• emergency contraception syndrome (after taking Postinor, Escapela);
• delayed menstruation in the postpartum period and after cesarean section (prolactin suppresses cyclic function);
• side effects of drugs;
• gastritis, diabetes, kidney disease;
• curettage, vacuum, pharmacological termination of pregnancy.

The doctor will help determine the disease, he will also choose the treatment - with the assistance of the patient. If female malaise is caused by hormonal changes, therapy with Utrozhestan or other bioidentical drugs is prescribed.

What are the indications for use

Any funds are accepted only if there is evidence. Self-use can lead to the development of side effects. Uncontrolled intake causes disruptions in the endocrine system.

The drugs are indicated if you want to get pregnant in the absence of ovulation

Indications for the use of Utrozhestan include:

• progesterone deficiency;
• reduced functionality of the ovaries;
• excess testosterone;
• complete absence of the ovulatory period;
• intense symptoms of premenstrual syndrome;
• infertility due to lack of corpus luteum.

You must first familiarize yourself with the existing contraindications and make sure that they are absent.

Indications for the use of Proginova include:

• pronounced course of menopause;
• transfer of surgical intervention to remove part of the ovary or organ completely;
• high risk of developing osteoporosis during menopause;
• the need for hormonal support during pregnancy;
• insufficiency of the endometrium;
• pathological scarcity of menstruation.

Proginova should be used in estrogen deficiency. This is the main indication of the drug.

Proginova helps restore estrogen levels

What to do if there is no menstruation

The first step is to go to the doctor, get tested, remembering that the concentration of hormones in the blood fluctuates depending on the phase of the cycle. An analysis for hormones is taken during the period of their maximum value. In the case of progesterone - for 22-23 days.

Do not worry about a delay of 3-5 days - this is a variant of the norm. A delay of 7-10 days is already a reason to be wary. If more than 35 days have passed since the last day of menstruation, it is time to look for the cause and start treatment.

Often the reason for the delay after the course of "Utrozhestan" is simple and beautiful - pregnancy.

A responsible person undergoes a preventive examination by a gynecologist at least once a year, after 40 years - once every six months.

How "Utrozhestan" affects 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 sac cells collect more and more estrogens. They cause the mucous membrane of the uterus (endometrium) to grow, in which a new life must be fixed (if fertilization occurs). The egg matures, the amount of estrogen reaches a peak and begins to decrease. Now another hormone enters the scene - lutein (progesterone), which causes the follicle sac to rupture and the egg to be released.

The second phase is ovulation. It falls at the very peak of the menstrual cycle - 14-17 days for a cycle of 28-29 days. The egg is sent to the fallopian tube, where there is a chance of fertilization by a sperm.

The third phase is progesterone. Progesterone is produced by a temporary gland that has arisen at the site of a ruptured follicle. This gland is called the corpus luteum. It also increases the volume of progesterone, which reduces the growth of the endometrium and produces a secret necessary for the consolidation and development of the embryo.

Progesterone suppresses excessive contraction of the muscles of the uterus and prevents the rejection of the embryo. If there is no embryo, progesterone drops as unnecessary, the mucous membrane of the uterus, without waiting for the baby, is rejected and excreted from the body along with menstruation. On the same day, everything starts all over again - a new egg rises to the throne.

This perfect mechanism is broken if there is little progesterone. Menses are scarce or disappear altogether, infertility or miscarriage occurs - “habitual miscarriages”. This is where Utrozhestan is prescribed - usually intravaginally, for greater concentration in the walls of the uterus.

Assign "Utrozhestan" and with an excess of estrogen - progesterone levels the balance, suppressing the production of estrogen hormones. As a result, a woman gets rid of mastopathy, fibroids, PMS and other conditions associated with hormonal imbalances.

About the hormone

Progesterone is one of the main female sex hormones that regulates the course of menstruation, the normal development of the fetus and the course of pregnancy. The first half of the menstrual cycle is regulated by the hormone estrogen. During this period, the egg matures, which, during ovulation, leaves the bursting follicle to connect with the sperm.

With the rupture of the follicle, a permanent gland is formed, called the "yellow body", which produces progesterone. That is, in the second (luteal) phase, an increase in the level of this hormone is observed, the role of which at this stage is to give the endometrium such a shape, structure and quality that would contribute to the favorable fixation of a fertilized egg in it.

If fertilization does not take place, this substance transforms the endometrium into a secretory type and provokes its exfoliation - menstruation.

With the conception taking place, the hormone helps to fix the fetal egg in the walls of the uterus, prevents the exfoliation of its inner cover. One of the important functions of this substance is to reduce the tone of the uterus during pregnancy and provide favorable conditions for the development of the fetus. For these properties, progesterone is rightly called the hormone of pregnancy.

In gynecology and obstetrics, it is used for the following purposes:

1. Elimination of menstrual irregularities. Most often, Utrozhestan is prescribed for delayed menstruation. This phenomenon occurs due to various factors: stress, physical activity, poor lifestyle, low weight, endocrinological and hormonal disorders. These reasons can delay critical days by 2-5 days, but in the absence of more than a specified period, you should consult a doctor and use the remedy as prescribed.
2. Treatment of climacteric syndrome. In menopause, when the body itself is not able to cope with hormonal imbalances, this drug helps to cope with the symptoms of menopause.
3. Reducing the manifestations of PMS (premenstrual syndrome, indicated 2-5 days before the onset of critical days).
4. Planning pregnancy and during IVF (in vitro fertilization). In these situations, a stable hormonal background is the main guarantee of a successful pregnancy.
5. Preservation of the fetus and prevention of miscarriage with the onset of endometrial detachment or increased uterine tone.
6. Treatment of pathologies of the endometrium (hypoplasia, hyperplasia, polyps).

Scanty periods

Scanty periods (hypomenorrhea) are not necessarily evidence of an illness. There are lucky women who have congenital short and scanty menstruation (primary hypomenorrhea). Secondary hypomenorrhea should cause anxiety - when impoverishment came suddenly, after normal menstruation.

Often the cause of this violation is:

• hormonal disorders caused by improper functioning of the pituitary gland and ovaries;
• impoverishment of the endometrium - the mucous layer of the uterus. With thinning of the endometrium, menstruation becomes scanty, short, with breaks of several months. The endometrium can suffer from oral contraceptives, curettage, inflammation and infectious intragenital diseases;
• stress, overload, chronic fatigue syndrome (especially in family working women);
• strict diets and hunger strikes, nervous eating disorders;
• hypovitaminosis;
• anomalies of the uterus (bicornuate, "baby" uterus);
• alcohol, chemical, food intoxication, radiation;
• lactation.

Scanty periods also occur after the end of treatment with Utrozhestan, against the background of the establishment of a new hormonal level after the drug is discontinued. Scanty, brownish periods should not scare - the cycle will soon normalize. However, it is important to strictly follow the scheme prescribed by the doctor. It is easy to spoil your hormonal background, it is much more difficult to straighten it out.

Scanty periods after "Utrozhestan" may be associated with other reasons - estrogen deficiency, late ovulation, pathological changes in the uterus, age-related changes. In women after forty, delays and meager periods are a variant of the norm, a sign of premenopause. A trap can await such a woman: it is not surprising to confuse the symptoms of hypomenorrhea with pregnancy.

Rules for taking "Utrozhestan" for calling menstruation and tips

What is written in this section does not replace the advice of a specialist. But on the other hand, as we hope, it will increase the awareness of women.

Utrozhestan is well absorbed into the mucous membranes of the gastrointestinal tract and vagina. Within 1-3 hours after oral administration, a therapeutic dose of progesterone accumulates in the blood, which works for about 8 hours. The capsules dissolve in the vagina and enter the blood after 2-6 hours; when administered twice a day, Utrozhestan works for 24 hours.

There is no golden dose for everyone. There is an average recommended by the developers (100 mg orally twice a day or 100 mg in the morning and 200 mg in the evening, from the second half of the menstrual cycle, i.e. from 16-17 to 25-26 days).

The dose is adjusted individually for each patient. Age, malaise, weight, lifestyle, tests and symptoms are taken into account.

With intravaginal administration, the capsules are introduced to the maximum possible depth 1-2 times a day. If the reception is once a day, then it is better to enter at bedtime. It happens that the doctor prescribes a mixed regimen - orally and intravaginally.

Side effects

Minor for healthy women, but dangerous for women with the following diseases:

• increased blood clotting (thrombosis);
• severe liver dysfunction;
• malignant disease of the breast and reproductive system (progesterone stimulates the growth of pathological cells).

Caution should also be exercised in the following cases:

• cardiovascular diseases;
• severe kidney disease;
• diabetes;
• asthma;
• epilepsy;
• migraine;
• depression;
• photophobia;
• violation of fat metabolism;
• lactation.

When taken orally, lethargy, drowsiness, dizziness, nausea, shortening of the cycle, itching, allergies, bile stasis (yellowish skin) are possible.

Dose of the drug during pregnancy

Immediately after the conception has occurred, the production of progesterone, a hormone necessary for the preservation and development of the fetus, is activated in the woman's body. The substance affects the consistency of cervical mucus, so the vaginal discharge during early pregnancy becomes more dense and viscous.

Candles Utrozhestan during pregnancy are prescribed to women in whose body progesterone deficiency is diagnosed. With a shortage of the hormone, the risk of miscarriage, the risk of the onset of premature labor and the development of placental insufficiency are significantly increased.

Utrozhestan in early pregnancy can be prescribed for preventive and therapeutic purposes. In the first case, a woman is recommended deep vaginal administration of Utrozhestan capsules once at night - a dose of 200 mg of the drug. The increase in the volume of whites will be insignificant. Sometimes it remains at the usual level.

For the treatment of a pathological condition, Utrozhestan will also be prescribed in the form of capsules, but in a different dosage. The daily volume - 600-800 mg - should be divided into two or three doses. Utrozhestan during pregnancy in most cases is used topically, that is, it is injected by the patient deep into the vagina as close as possible to the cervix.