RX
1) Estradiol valerate 2 mg 1 tab twice daily for 10 days 2) Tab regestrone 10mg 1 tab twice daily for 5 days
Wait 3–7 days after last tablet for periods to occur
Important investigation Upt 2) Pelvic Ultrasound 3) serum beta HCG 4) serum prolactin
Follow up soon 1)
If your pregnancy test is negative and Regulate (norethisterone) did not induce periods, it could be due to hormonal imbalance, thyroid issues, or PCOS. Consult a gynecologist for hormone tests (like LH, FSH, prolactin, TSH) and an ultrasound to find the cause. Avoid self-medicating further without specialist advice to prevent complications.
Hormonal imbalance (most common at your age)-PCOS (polycystic ovaries) or thyroid related problems
Investigation suggested Serum Prolactin TSH (thyroid) FSH & LH (cycle day 2–5 if period comes) Pelvic Ultrasound (to check PCOD or thin endometrium)
As regulation drugs didn’t work for you U need either 21 days program or there was issue regarding timings of drug
Ovral-G / Novelon – 1 tab daily for 21 days After stopping, periods usually start in 3–7 days I would suggest to get checked with your gynecologist before taking this medicine
If your periods have been delayed for over two months and a pregnancy test is negative, there could be various reasons for this disruption. Hormonal imbalances, stress, significant weight changes, excessive exercise, or underlying health conditions like polycystic ovary syndrome (PCOS) or thyroid disorders can affect your menstrual cycle. Since you’ve already taken a regulation tablet like Medroxyprogesterone (commonly used to induce a period) for five days without success, it’s essential to consider seeking a thorough evaluation from a healthcare professional. This assessment may include a review of your medical history, a physical exam, and possibly some blood tests to check hormone levels. An ultrasound might be suggested to inspect the ovaries and uterus. If stress is a contributing factor, adopting stress-reducing activities such as yoga or meditation can be beneficial. Meanwhile, ensure you’re maintaining a balanced diet and regular, moderate exercise regimen. If your weight fluctuated drastically, note that returning to a balanced weight can help normalize periods. Thyroid function tests are also worth discussing as they can pinpoint or rule out an underactive or overactive thyroid, both known to disrupt menstruation. Occasionally, missing periods can occur without any underlying problem, but extended absence of menstruation should be investigated to exclude any serious conditions. If new symptoms arise or you’re feeling unwell, contact your healthcare provider promptly.
