According to statistics, half of women of childbearing age experience discomfort associated with painful, irregular, overly scanty, or, conversely, abundant menses. Violations of the menstrual cycle can be both episodic and permanent: in both cases, the woman is forced to adapt to the specifics of menstruation, which negatively affects her personal life, work and leisure. To determine the cause of the occurrence of a violation in the state only a doctor, therefore, for any deviations in the menstrual cycle, you must undergo a full examination by a gynecologist.
The article discusses the drug Duphaston to call monthly, detailed instructions on the use of the drug to call menstruation, what Duphaston is and how it works. Also discussed are the main and frequently asked questions about what side effects can be when taking Duphaston to call menstruation, what indications and contraindications to the use of Duphaston to restore the cycle of menstruation can be.
How do Duphaston cause monthly? How to drink duphaston to call menstruation?
If menstruation is delayed for a long time, it is recommended to see a doctor, in the first place to exclude a possible pregnancy. In the absence of pregnancy, you need to collect anamnesis and establish the cause of the problem. If the delay has arisen due to the influence of external factors (change of weather, stress), then after their elimination, the monthly will begin by themselves. However, if the delay lasts 10 or more days, then you need to donate blood for hormones, and after which, medication will be started. Duphaston is prescribed to call for bleeding at a dosage of 10 mg (one tablet) twice a day, for five days.
Menstruation begins after discontinuation of the medication or a couple of days before. there are also delayed actions, when menstruation is observed 3-7 days later after drug withdrawal. If a woman has complaints about persistent delays and irregularities of menstruation, then the rate of Duphaston is 3-6 months from 11 to 26 day of the cycle. Often the treatment is effective and the cycle is normalized.
Features of the formation of the menstrual cycle
To understand why there is a delay in menstruation and what to do if you need to normalize a woman’s monthly cycle, you should know what menstruation is, what the main phases of menstruation exist and what is happening at this moment. The first menstruation, also known as menarche, occurs in 11-13 years. Some specialists expand the age range up to 9-14 years, due to the difference in puberty among women of different races and social circles (as is known, women living in southern latitudes mature earlier than women in northern regions, and girls from rich families are much less likely to suffer from a lack of vitamins, which provoke late puberty than children from low-income families).
The first year or two from the beginning of the monthly cycle is in its infancy. Characteristic features of this period are irregular menstruation and scanty volume of vaginal discharge. Upon completion of the hormonal adjustment process of the body, the cycle becomes regular, the unpleasant symptoms in the form of nausea, pain in the pubic region, lumbar discharges, and stool disorders disappear.
The average duration of a normalized menstrual cycle is 28-35 calendar days. In the absence of pathology, excretions are observed for 3-7 days, while their intensity gradually decreases. Any deviation from these indicators is a reason for going to a doctor, as it may indicate the presence of serious health problems.
Delay of menstruation with a regular menstrual cycle
Quite often, women of reproductive age have a delay in menstruation for a period of 3 to 5 days, due to such problems as:
2 lactation (breastfeeding infant),
4 intense exercise
5 stressful situations
6 is underweight or overweight.
7 inadequate nutrition,
8 urogenital diseases,
9 endocrine diseases,
10 frequent sun exposure
11 weakened immunity
12 compliance with diets, implying a complete restriction of certain products,
13 long-term medication,
14 artificial interruption of pregnancy
15 installation of intrauterine device,
17 the presence of bad habits (smoking, use of drugs and / or alcohol),
18 abrupt climate change.
In case of delayed menstruation, it is imperative to visit the attending physician in order to exclude the likelihood of developing a disease that represents a threat to the life and health of the woman.
It is worth considering that under the guise of a delay in menstruation such a violation of the menstrual cycle may be hidden:
1 oligomenorrhea (scanty and irregular menstruation lasting 2-3 days),
2 amenorrhea (absence of menstruation for 2 or more cycles),
3 openings (increased intermenstrual interval from 35 days to several months).
The treatment of these deviations is carried out after a thorough examination of the patient for the presence of comorbidities and obtaining the results of tests determined by the results of diagnostics.
The article may also be useful for reading: why there are no menstruations after Djufaston, what reasons may be and what to do if the menstruation did not occur after taking Duphaston.
Features of Duphaston, what Duphaston
Duphaston is a synthetic hormonal drug that is analogous to the female hormone progesterone. The main advantage of this drug over other drugs that have a similar effect, can be called the absence of male sex hormones in the composition, provoking the hair growth of the skin and a change in the tone of voice.
Duphaston is widely used to treat such health problems and diseases as:
5 missed abortion
8 secondary amenorrhea,
10 endometrial hyperplasia,
12 dysfunctional uterine bleeding.
One of the advantages of Duphaston is the possibility of its use in the period of carrying a child, with one amendment - its reception should be carried out under the strict supervision of the attending physician.
The principle of the impact of Duphaston on the menstrual cycle of women
Far from all women represent how Duphaston influences the cycle of menstruating women. As mentioned earlier, in the absence of health problems, menstruation occurs every 28-35 days. If there is a shift in timing in the direction of decreasing or increasing, then the reason most likely lies in the violation of the physiological processes occurring in the woman's body.
One of the most frequent causes of menstrual disorders in women of reproductive age is the instability of the hormonal background, triggered by insufficient production of progesterone, which stimulates the growth of the endometrium and provides suitable conditions for the implantation of the fetus and its subsequent development. The shortage of this sex hormone is intended to fill Duphaston, which, with prolonged use, triggers a mechanism for self-production of progesterone, which continues to function after the drug is discontinued.
Restoration of the cycle with the help of Duphaston, how?
To restore menstrual bleeding, gynecologists in some cases recommend taking Duphaston. This is a hormonal drug, as an active substance in which progesterone acts. According to the existing structure, pharmacological and chemical properties, it is very similar to natural progesterone. Acceptance of such a medication for each person is prescribed individually. In some cases, to cause menstruation, it is recommended to take Dufostan in the second half of the menstrual cycle from 11 to 25 to ten mg twice a day. The total duration of the medication is three months. Only a doctor can give an unequivocal answer regarding the total duration of this medication.
It can be extremely dangerous to use this treatment option to call menstruation on the recommendation of a friend or girlfriend. Taking the medication should be carried out exclusively after consulting with your doctor, as the delay in menstruation can be caused by the onset of pregnancy. Although it should be noted that the drug is harmless to the fetus and is not capable of causing embryonic developmental pathologies. However, in any case, before taking the drug, you must consult a gynecologist. Against the background of the positive characteristics of the drug, Duphaston has both contraindications and side effects. Only the attending physician, after examining and passing all the necessary tests, is able to accurately answer in what quantities and how long such a drug must be taken in each particular case.
Elimination of the delay of menstruation with the help of Duphaston
Reproductive processes in the body of a woman are regulated by progesterone, the insufficient production of which inhibits ovulation, which leads to a delay in menstruation. Replacing the shortage of progesterone, Duphaston normalizes the work of the female reproductive organs and contributes to the onset of menstruation for 5 days from the start of the drug. Also useful information can be found in the article: scanty periods after Duphaston, why scanty vaginal discharge appeared after the end of Duphaston administration.
Duphaston for calling prematurely
If you plan an important trip, vacation or corporate event, and the beginning of your period should be on this day, then some women take Duphaston to call for bleeding. True, if you take the drug thoughtlessly, it can cause a number of negative consequences. Therefore, before you begin to use the drug Duphaston to eliminate violations of the menstrual cycle, you must always consult with your doctor gynecologist.
How to cause menstruation using Duphaston, how to quickly cause menstruation?
With the delay of menstruation, Duphaston is considered the most effective means. If we talk about the general recommendations for taking this drug, then when it is delayed, it is necessary to take two tablets per day, in the morning and in the evening, it is desirable that this should occur at a certain time. The duration of the course of treatment is 5 days, after which it is necessary to wait for the onset of menstruation in 2-3 days.
Duphaston - detailed instructions for calling monthly, how to use the drug
Before taking the drug, you must ensure that there is no pregnancy, as the active substances of the drug can cause rejection of the fetus already attached to the walls of the uterus. Do not use the drug to terminate an unwanted pregnancy, as it can provoke the development of diseases that threaten the life and health of women. The course of treatment Duphaston ranges from 3 to 6 months. As a rule, they start taking the drug one week before menstruation, which contributes to the achievement of the optimal concentration of progesterone in the blood on the eve of menstruation.
Duphaston is produced in the form of tablets, which are taken orally according to the regimen prescribed by the attending physician. Absorption of active substances occurs in the digestive tract. The maximum concentration of synthetic hormone in the blood is reached after 2 hours from the moment of taking the drug, then its level begins to gradually decrease. The drug is completely excreted from the body after 3 days from the moment of taking the last pill.
Side effects when taking the drug Duphaston
The following side effects may occur while taking Duphaston:
5 peripheral edema,
6 hemolytic anemia,
7 breakthrough uterine bleeding (eliminated by increasing the daily dose of the drug),
10 abdominal pains,
11 increased gas formation,
12 skin rashes,
13 violation of the chair,
14 hypersensitivity of the mammary glands,
15 swelling of limbs
16 allergic reaction.
If you experience these symptoms, you must stop taking the drug and seek help from a doctor.
Iprozhin - as an analogue of Duphaston
As an active ingredient is progesterone, which is produced by synthetic means. Iprozhin is also available in capsules, which can be taken orally or injected into the vagina. One capsule of the drug contains 100 mg of progesterone.
This preparation to restore the cycle of menstruation contains in its composition a substance such as synthetic progesterone. The concentration of a given substance in one Prajisan capsule is usually 100 or even 200 mg. Doctors most often use two methods of administering Projisan, the first of which is intravaginal administration, and the second method of administering Prajisan is oral administration.
Such a drug as Kraynon is produced and produced in the form of a gel. In one such applicator is 1.125 grams of artificially synthesized progesterone. It is necessary to insert such an applicator into the vagina.
Can the reception of Duphaston increase the weight?
Taking the drug enhances metabolic processes, accelerating the absorption of substances from food products, which can cause an improvement in appetite and, as a result, weight gain. During treatment, you need to control your appetite, avoiding hypodynamia, in which case the weight will not change. Perhaps a slight increase in weight due to peripheral edema, but at the beginning of menstruation they will disappear by themselves.
About the drug, its effect on the cycle
Duphaston is available in the form of dragee. The active ingredient is didrogesterone (one dose is 10 mg). The substance is similar to progesterone in its pharmacological effects and structure. The hormone contributes to the preparation of the mucous membrane of the uterus (endometrium) to the attachment of a fertilized egg. If conception did not happen or the egg for some reason could not attach to the walls of the uterus, a part of the endometrium is rejected and leaves the body with blood. This phenomenon occurs monthly and is called menstruation.
With progesterone deficiency, the reproductive system can not normally complete the cycle, then Duphaston is prescribed. Disturbances often occur due to lack of ovulation. To eliminate this problem and normalize the functioning of the reproductive system, the drug must be taken for a long time.
Due to the positive influence of Duphaston, during this period, the ovaries are resting, since the synthetic hormone will do all the work for them.
The drug is taken orally, the components are quickly absorbed through the gastrointestinal tract and after half an hour the maximum concentration of substances in the blood is noted. The medicine is used to treat infertility and in the absence of menstruation.
Active ingredients not only normalize hormonal balance, but also reduce the risk of developing gynecological diseases such as excessive growth of the endometrium, which is caused by an insufficient amount of progesterone. Pathology often develops into oncology, and Duphaston stops this process and provokes rejection of the uterine lining.
Indications and Contraindications
The instructions for the drug indicated several indications for use Duphaston:
- Endometriosis. Pathology is characterized by excessive proliferation of cells outside the inner layers of the uterus.
- Amenorrhea - the absence of menstruation for a long time, several cycles in a row.
- Premenstrual syndrome - some women suffer from various unpleasant symptoms, the remedy eliminates them.
- Miscarriage due to progesterone deficiency.
- Dysfunctional uterine bleeding that is triggered by hormonal imbalances without changing the structure of the genital organs.
- Infertility - a remedy used for luteal insufficiency.
- Polycystic ovary.
- Opsomenorrhea - a cycle duration of 36-43 days.
These conditions are caused by a deficiency of progesterone, a violation is determined before fertilization.
- The presence and suspicion of malignant tumors that have arisen against the background of an insufficient amount of estrogen and progesterone,
- Component allergy,
- Rotor Syndrome
- Diseases of the liver, heart and blood vessels,
- Dabin-Johnson syndrome - congenital jaundice caused by impaired excretion of bile pigments.
Breastfeeding is another restriction to use as didrogesterone penetrates the milk.
How to take
To call for periods with a shortage of progesterone, Duphaston should be taken under the supervision of a doctor. The gynecologist will determine the dose, regimen and duration of therapy, as well as the need to use additional drugs. To induce menstrual duphaston, it is recommended to strictly follow the advice of the doctor, and the result of treatment will depend on this.
The standard dosage is 10 mg twice a day from 11 to 25 days of the menstrual cycle, followed by cancellation. При аменорее в дополнение назначается эстрогенные лекарства.
Djufaston need to drink on certain days of the cycle, they will differ depending on the cause of violations.
To get good results you need to follow these admission rules:
- Get tested.
- Exclude pregnancy.
- You can not increase or decrease the dosage without discussing this issue with your doctor.
Tablets do not have contraceptive effects. If you take the tool to restore menstruation for too long, the effectiveness is significantly reduced. The effectiveness of treatment depends largely on the patient.
The drug is safe for health, and also has a minimum of adverse reactions. If you do not follow the instructions for use, stabilize and restore the monthly ones.
The dosage of the drug is determined depending on the root cause of violations:
- Dysmenorrhea. Drink 1 tablet 2 times a day from 5 to 25 cyclic day,
- Stimulation of ovulation - 1 pc. per day, the course starts on the 10th or 16th day,
- Irregular menstruation - 2 pcs. per day from day 5 to day 20,
- Cyclic treatment with estrogen - 1 tablet per day in the last 14 days of the use of estrogen-containing remedies,
- Amenorrhea - need to take 2 pcs. per day with estrogen from 11 to 25 days,
- Hormonal insufficiency - 1 pill a day from 14 to 28 days, estrogen is also taken in parallel.
The doctor can reduce or increase the dosage, based on the patient's condition and the results of the study.
Duration of treatment
Typically, the drug is prescribed to normalize the cycle with minor deviations. The course of treatment does not last too long. The patient takes the remedy, starting from the middle of the cycle, and ends a few days before the planned menstruation. With prolonged absence of bloody secretion, treatment can be delayed for several months, and sometimes up to a year.
The drug can not be drunk continuously, as long-term therapy reduces the effectiveness, and progesterone is not able to recover in the blood alone.
It is necessary to gradually reduce the dosage, abrupt cessation of administration increases the risk of uterine bleeding, or causes a prolonged absence of menstruation.
Observing all the rules, a woman will achieve the normalization of hormonal levels.
Time to receive
In addition to determining the dosage and duration of therapy, it is important to select time intervals. It is advisable to use the drug in the morning or in the evening, recording every 60 minutes when the last dose was taken. If the first dragee is taken at 8 in the morning, and the second at 8 in the evening, the next day the agent should be delivered to the body at the same time. A difference of half an hour is allowed.
Possible side effects
Even the safest drug for calling menstruation can cause side effects. Duphaston in the absence of menstruation can cause such negative reactions:
- Periodic headaches, sometimes accompanied by nausea and dizziness.
- Pain in the liver and stomach. The skin becomes yellowish, there is a general malaise. The remedy may aggravate the condition with existing renal and hepatic diseases.
- Uterine bleeding, as well as breast hypersensitivity.
- Dilated veins, heaviness in the limbs, swelling. Symptoms appear on the background of pathologies of veins.
- Allergic reaction. There are rashes and blemishes that are accompanied by swelling and severe itching, as well as discomfort in the affected areas.
The drug contains didrogesterone, which was created on the basis of male progesterone. For this reason, the reactions associated with an increase in its level are not manifested in the female body.
Usually, the agent is well tolerated by patients; if side effects occur, discontinue use.
No need to drink pills
If there are no menstruations for less than 7 days, most likely the cause of the violations is as follows:
- Hormonal contraceptive use,
- Excessive exercise.
- Sharp climate change.
- Obesity or underweight,
- Smoking, drinking alcohol,
- Abuse of diets, improperly planned diet.
A one-time delay is not a serious deviation; therefore, drug treatment is not required. To restore the menstrual cycle, you need to eliminate the negative factor. With a long delay of menstruation (more than a week) it is recommended to visit a gynecologist. The doctor will schedule an examination and identify the cause of the irregularities, thereby avoiding negative consequences.
Svetlana, 31 years old
I had no periods for more than 2 weeks, the test was negative, so I decided to go to the hospital. The doctor examined, discovered an ovarian cyst, which appeared due to hormonal imbalance. Appointed Duphaston, said that her monthly period should begin. Sawed 5 days and noticed the blood. After a time, the cyst also disappeared, the drug is very good.
Ekaterina, 29 years old
I haven’t had monthly periods, prescribed this drug, read reviews, there are side effects, now I'm afraid to drink. Allergies and diseases do not, but fear does not allow to begin treatment. Girls, how did it go, did you have adverse reactions or not?
I have been drinking for 10 days, I have not noticed any suspicious symptoms, although my friend had a lower abdomen. The delay month is a lot, you have to try it, otherwise it will be worse. If side reactions appear you can always quit taking. I think side effects are rare, so you shouldn't be afraid. Take the pill, if discomfort appears, explain the situation to the gynecologist. In general, this drug is very effective, many friends used it to normalize menstruation. Everything was going fine.
How Duphaston acts on the female body
The lack of menstruation provokes a shortage of progesterone - a hormone with which ovulation occurs. The drug Duphaston is a synthetic substitute for progesterone. The active ingredient in it is didrogesterone. One tablet contains 10 mg of the substance.
There are a number of similar drugs, but Duphaston has an inherent advantage in comparison with its analogues: it does not turn into estrogen and does not have an appropriate effect on reproductive function. Didrogesterone does not belong to the category of testosterone derivatives. Therefore, it does not have typical side effects (that is, cases where increased hairiness is manifested, the voice becomes rougher).
When taking the drug, abrupt changes in metabolic processes are excluded, there is no increase in temperature. Therefore, during such a hormonal period, the effectiveness of determining ovulation with the help of measuring basal temperature is preserved. Also Duphaston does not increase (or only slightly increases) the endometrium of the uterine cavity.
Indications for admission Duphaston
The most common reason for prescribing Duphaston is the lack of menstruation. But the normalization of the cycle is already, one can say, a secondary result, a consequence. The primary causes for which menstruation does not go and which Duphaston cures include:
- Difficulties due to uterine surgery. Hormone therapy is a reliable way to help adapt to changes in the hormonal background.
- Severe estrogen deficiency. Because of this pathology, there are often cases of long monthly delays, miscarriages, and dysmenarea. Duphaston normalizes the concentration of the hormone and eliminates the consequences
In addition to the fact that you can cause monthly duphaston, the drug is used for other disorders of the female body:
- Endometriosis treatment
- Treatment of infertility caused by insufficiency of the second (luteal) phase
- Getting rid of PMS symptoms
- Stabilization of the menstrual cycle, including the delay
- Auxiliary drug for amenorrhea
Depending on the purpose of the medication is determined by the daily dosage and duration of administration.
Routes of administration and regimens
If you are assigned to take Duphaston to call menstruation, then it should be done only orally (by mouth). The composition of the drug is quite balanced, it is perfectly absorbed into the blood through the walls of the gastrointestinal tract, and after 1-1.5 hours after administration begins to interact with plasma protein.
The drug leaves the body three days after ingestion, along with urine. There were no cases of overdose or excessive accumulation even in women with kidney problems.
In no case can not take pills in a higher dosage in the hope of quickly cause monthly.
Reception should be regular, in small doses, at regular intervals. If delayed, this approach will help to balance the concentration of progesterone in the blood and will quickly rid the body of pathologies.
Dosages do not depend on the weight and age of the woman, but in each case are selected individually, depending on the type and extent of the problem.
Thus, in the treatment of PMS, it is recommended to take 10 mg of Duphaston per day, from 10 to 26 days of the cycle. To achieve the desired efficiency, the course should not be a month, but at least 4-6 months.
However, hormone therapy cannot be started independently. You need to go to the doctor and get an appointment, because the wrong choice and dosage can only aggravate the problem.
How to take Duphaston to trigger monthly
The main question that arises with this drug: how to drink Duphaston to correctly cause menstruation. The exact answer will be given only by the doctor, after the examination and delivery of the necessary tests in your case. Only in this way you can see a complete picture of the processes in the body and decide how to cause menstruation.
The scheme under which the treatment takes place is determined by the doctor. It depends on the hormonal state of the patient, and on how often she sought the help of a doctor. Such options are possible:
- In most cases, when there is a delay of more than 8 days, Duphaston is prescribed for 10 days of admission. For severe uterine bleeding that occurs at the beginning of the cycle or at the very end, the drug is prescribed for a maximum of 5 days.
- If you have a monthly breakdown caused by some external factor and hormonal disruption, and you need to stimulate them, you need to start drinking Duphaston at the beginning of the second half of the menstrual cycle, that is, from 12 to 15 days. If you adhere to the desired dosage and recommendations, the monthly is likely to begin already on the 4th or 5th day from the first day of administration. (similar effect is observed in 80% of women)
- In case of hormonal insufficiency, a woman should definitely undergo a full course of treatment, its duration can reach 6-9 months. But with such a long reception of an artificial hormone substitute, the opposite effect is observed: after some time the body gets used to the constant maintenance of progesterone and stops producing it on its own. Because on an ongoing basis, it is better to take Duphaston no longer than 2-3 months, after which you must take a break.
If you immediately saw the effect, the menstruation began to go regularly, you cannot immediately completely abandon Duphaston - this causes repeated long delays or, on the contrary, severe bleeding. Just gradually reduce the dosage, with time the body adapts, the hormones stabilize and the drug is no longer needed.
Separately, it is necessary to mention the admission of Duphaston pregnant women. In medical practice, most miscarriages are due to the lack of progesterone in the blood of a pregnant woman. To increase the hormone for the purpose of normal childbearing, this drug is also prescribed. If Duphaston is used with the desired pregnancy, as a means to prevent miscarriage, the duration of admission can reach even 5 months.
Side effects of Duphaston and contraindications
Like every other hormonal drug, you need to be extremely careful with taking Duphaston. He has far fewer side effects than other progesterone substitutes, but not completely devoid of them. There are such cases:
- A small part of women taking the drug notes such unpleasant symptoms caused by it: abdominal pain during menstruation, there are cases of dizziness, frequent headache and similar neurological disorders
- Stimulation of menstruation with Duphaston leads to abundant secretions in about 10-12% of cases. The reason for this is the rather ambiguous effect of the active substance on the mucous membrane and epithelium of the uterus. Indeed, the drug practically does not increase the epithelial layer, but this indicator is very individual
- Due to the active growth of the hormone progesterone in the blood of women can appear pulling, pain in the chest during menstruation. Due to the retention of excess fluid in the tissues, the mammary glands can increase greatly while taking Duphaston
- It is also impossible to completely deny the likelihood of allergic reactions. Due to the active substance may be a high temperature, moderate nausea, possible rash on the skin of a woman
Contraindications to receiving Duphaston are actually the same as for other drugs:
- Pregnancy. Before starting the medication, perform a control test and make sure that you are not pregnant. Even in the early stages, a hormone surge can adversely affect the course of pregnancy (unless the doctor prescribed it with progesterone deficiency for normal childbearing). If, with the onset of pregnancy, you have already taken Duphaston for some time, you cannot abruptly refuse it - just gradually reduce the dose.
- When breastfeeding. Opinions on this are controversial, but the fact remains: the artificial hormone gets into the mother’s milk and is passed on to the baby. This is an insecure process.
- Combination with alcohol. There are no direct contraindications for taking Duphaston with alcohol. But due to the effect of alcohol on the body, the drug can be worse absorbed and more quickly eliminated, thus becoming less effective. Therefore, it is desirable not to combine them. If you cannot avoid taking alcoholic beverages, try to use them no less than 2 hours after taking Duphaston
The drug has proven to be effective in the treatment of gynecological pathologies. But you can not independently assign a hormonal therapy and resort to its reception. Incorrect regimen or missed contraindications can provoke complications in the endocrine system. Reconcile the need for Duphaston and its dosage with your doctor.
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What is Duphaston
Duphaston is a medical product containing didrogesterone, an analogue of the hormone progesterone, necessary for women's health. With its shortage, the natural process of maturation of the egg is disrupted, which makes it impossible to initiate pregnancy and leads to a failure of the menstrual cycle.
If you translate the name of the drug from Latin, you get "helping to get pregnant." This fully characterizes Duphaston.
How does it affect the female body?
The positive influence of Duphaston on the female body has been proved by its long-term use in gynecology. Domestic doctors everywhere prescribe the drug to patients suffering from amenorrhea (menstruation delay) and the absence of ovulation. But medical workers in some countries have a negative attitude towards Duphaston, warning of its negative impact on the reproductive system. They assume that with regular use of the drug, the body stops producing progesterone on its own, making it impossible to start a pregnancy. For example, in Great Britain Duphaston was banned for sale more than 13 years ago.
While taking the drug is not marked negative dynamics in the body. The changes are only positive:
- reducing the amount of male hormones that prevent ovulation and gestation
- reduction in the number of recurrent ovarian inflammation
- preventing the development of cancer cells in the female body
- menstrual recovery
Taking Duphaston according to the instructions, a woman can reveal the advantages of the drug:
- well tolerated by the body
- practically has no contraindications
- the effect of taking is 10 times stronger than the use of endogenous progesterone
- no negative effects on the liver
- does not suppress ovulation and maturation of the corpus luteum
In what cases do Duphaston is prescribed when the menstruation is delayed?
Delay menstruation does not always apply to pathological processes in the body. Deviations from the schedule for 3-5 days up or down are considered normal and do not require treatment. Do not need drug therapy and women who have a delay occurs up to 3 times a year. This can contribute to stress, hard physical work, change of the climatic zone and other external factors.
If menstruation in each cycle comes with a delay of 7 days or more, then the woman needs to be examined by a gynecologist. To identify the causes, functional diagnostics, blood tests, urine tests and microflora of the external genital organs are assigned. And only according to the results of the analysis on hormones, the doctor can prescribe Duphaston.
Reception of Duphaston is necessary:
- for normalization of the menstrual cycle, call of menstruation in their absence for a long time
- to restore the functions of the reproductive system (lack of ovulation)
- for normalization of discharge during menstruation (with scanty monthly periods)
The doctor can prescribe Duphaston only after the study of hormones. It is wrong to recommend the patient Duphaston in the long and regular absence of menstruation, based only on the patient's complaints. Despite proven safety, the drug should not be taken at normal progesterone levels. Also, in the absence of menstruation, there may be a serious pathology requiring complex treatment.
How to take with delayed menstruation - regimens and dosages
With a long absence of menstruation and a survey by a gynecologist, Duphaston may be appointed. It is taken orally, rapidly absorbed by the gastrointestinal tract and after 90 minutes it reacts with blood proteins.
The drug does not accumulate in the body, which prevents overdose. It is completely eliminated from the body after 3 days in the urine.
To cause menstruation, you can not immediately take a large dose of the drug. The required number of tablets and the regimen of administration are selected individually, depending on many indicators:
- patient age
- delay time
- state of hormones
- the presence of inflammatory processes
As a rule, Duphaston in the amount of 30 mg is prescribed for a single treatment of delayed menstruation, which must be divided into three doses. Take before the arrival of menstruation, but not more than 10 days. If you need to restore the cycle, the daily dose is 10-20 mg, divided into 2 doses.
It is recommended to take Duphaston in the second half of the menstrual cycle, starting from day 15. Last admission - on the day of the onset of menstruation or their last day (depending on the disease). The course of treatment is up to 7 months, but this period is designed for serious deviations in the work of the body, with a strong hormonal failure.
The drug is not canceled immediately with the normalization of the menstrual cycle. The dosage is reduced gradually, brought to the reception of 1 tablet per day, then 1 tablet in two days, etc. Abrupt cancellation leads to severe bleeding and prolonged delay of menstruation.
It is necessary to take the drug at regular intervals, so the scheme is drawn up independently. A deviation of 1 hour is allowed, but no more. Failure to comply with this requirement may cause bleeding.
Duphaston and alcohol - compatibility
It is not recommended to take Duphaston together with alcohol. Despite the lack of scientific evidence, experts believe that alcohol-containing beverages inhibit the function of progesterone.
The instructions for the drug indicated the dosage for review, not self-treatment. Duphaston must appoint a gynecologist.
In general, Duphaston is well tolerated by the female body and has a positive effect on the reproductive system without affecting the general well-being. But side effects occur in about 10% of women.
Sensitization, soreness and swelling of the breast. Occurs in about 8% of women taking Duphaston. This change is not pathological and does not require treatment. The mammary glands swell under the influence of progesterone (as occurs during pregnancy). Unpleasant sensations pass with the onset of menstruation.
Abundant menstruation. Experts have not proven the influence of Duphaston on the epithelium of the uterus, therefore, it is possible to increase menstrual secretions during treatment. This does not indicate a negative impact on the main female organ. The main thing is not to confuse a side effect with bleeding!
Abdominal pain. Painful menstruation is a fairly frequent complaint of female patients taking Duphaston. Experts attribute this effect to an increase in progesterone.
Allergic reactions in the form of skin rashes, nausea and fever are rare, but with individual intolerance to the drug occur.
Duphaston retains fluid in the tissues, which leads to the formation of edema.
Headaches, neurological disorders, dizziness are possible.
If taking the medication leads to a deterioration of health, it is necessary to consult with a gynecologist. As with any hormonal drug, Duphaston may not be suitable for a woman, causing side effects. But this is rare, in overwhelming cases, it is well tolerated by the body and even improves well-being during menstruation and before it occurs.
Duphaston is contraindicated in women with diseases of the cardiovascular system, kidneys and liver. It can not be taken in pathologies of the gallbladder, as well as benign and malignant neoplasms of any localization.
It is not recommended to take Duphaston when compiling a basal temperature chart. The drug changes this indicator, and temperature data will be uninformative.
Contraindication to the treatment of hormonal drug is breastfeeding. Duphaston components penetrate into breast milk and can lead to neurological and intestinal problems in a child. It is worth noting that during lactation the menstrual cycle is established for a long time and treatment is not required.
Individual intolerance to the drug, allergy to components Duphaston is also a contraindication.
During pregnancy, Duphaston can and in some cases it prevents miscarriage, but treatment should be carried out only under the supervision of a physician. Increasing the dose can lead to serious pathologies in the fetus.
Duphaston has proven efficacy in the treatment of amenorrhea. But the drug should be taken in conjunction with vitamins, anti-inflammatory medicines and other means recommended by the gynecologist. It is possible to appoint reception of Duphaston only after careful inspection of reproductive organs and studying the state of hormones. In the absence of contraindications, the drug quickly copes with the problem of delayed menstruation, allowing the woman to plan the pregnancy and restore the functionality of the appendages.
The main characteristic of the drug
The menstrual cycle in women is characterized by a complex system of hormonal regulation. Even the slightest failure in the endocrine organs can lead to a long delay of menstruation. The active ingredient of the drug Duphaston is didprogesterone - a synthetic substance, an analogue of the most important hormone for the female progesterone. Unlike other synthetic hormonal preparations, Duphaston for calling monthly has the following advantages:
- No effect on thermoregulation in a woman's body: this property is very important for women who practice a natural method of contraception or calculate ovulation for successful conception.
- Does not have an androgenic effect.: During the reception of Duphaston, there is no risk of voice roughening or the appearance of excessive hairiness on the body.
- Does not affect carbohydrate and fat metabolism: a woman does not have fat deposits on the upper body (corticoid effect).
- Active substance rapidly absorbed in the small intestine.
- Tablets Duphaston for monthly do not affect the onset of ovulation.
The mechanism of action of Duphaston is to act on special (progestin) receptors that are located in the uterine lining. As a result of exposure to the active substance, physiological secretory changes begin in the endometrium (assuming a normal level of estrogen in the body). Reception of Duphaston is considered quite effective and safe for women of reproductive age.
Scope of application
Duphaston is not only used to trigger menstrual bleeding during a delay. The biological effects of the active ingredient didrogesterone cause a fairly wide scope of the drug. It is prescribed for such pathological conditions:
- miscarriage in history,
- risk of miscarriage,
- severe premenstrual syndrome,
- amenorrhea compared to other gynecological diseases.
Many women know that menstruation can be called Duphaston, but this drug is better. take strictly according to the indications and prescription. In the case of accompanying pathologies in the body, Duphaston alone is strictly contraindicated.
How to cause menstruation
Violation of the menstrual cycle for each woman should serve as a serious reason to consult a gynecologist. Only a qualified doctor can determine the exact cause of delayed menstruation or the appearance of other alarming symptoms. Often, the menstrual cycle is disturbed against the background of psycho-emotional stress or chronic fatigue and the reception of Duphaston is not required. In such cases, it is recommended to adjust the regime of the day and take sedatives based on medicinal herbs.
If the reason for the violation of the regularity of menstruation is hormonal failure, then it is advisable to begin therapy with hormonal drugs. The doctor must explain what should be taking Duphaston tablets to call monthly. It is necessary to strictly follow the designated pattern to achieve the desired result. Irregular pills can lead to aggravation of hormonal failure in the body and the appearance of headaches, irritability and fatigue.
Before prescribing the drug, a woman is recommended to undergo a blood test and also check the levels of the main hormones that regulate the menstrual cycle (estrogen, progesterone). If the progesterone level is lowered, then they begin the course of treatment with Duphaston. One tablet contains 10 mg of the active substance didrogesterone. To call the monthly 5 days should take one tablet in the morning and evening (maximum daily dose - 20 mg). For the best effect, you need to drink pills at the same time. With proper use of the drug, menstrual bleeding begins after 24-48 hours.
If menstrual irregularities are observed in a woman for a long time, then the doctor decides on the long course of administration of the drug. Usually tablets need to be taken within six months. The best time to take a drug is from 11 to 25 days of the menstrual cycle.
Features of the drug
Use for monthly duphaston is considered safe for the health of women (subject to the scheme prescribed by the doctor). However, you should consider certain features that you need to pay attention to while taking these hormonal pills:
- If you become pregnant while taking the drug, you need gradually reduce its dosageas abrupt cancellation can lead to spontaneous abortion.
- In some women menstruation does not begin on day 2 after taking the drug, and after 7-10 days. This is not considered a pathological deviation and is caused by the individual characteristics of the organism.
- It is undesirable to drink alcoholic beverages., as this leads to an additional load on the liver, in which the drug is metabolized.
- Can not take drug in order to change the time of menstruation under the condition of a normal, regular cycle. Such self-medication can lead to severe hormonal failure.
- If you are taking other medicines, be sure to tell your healthcare provider about it to avoid drug incompatibility.
Before starting treatment, read the instructions, in case of doubt, ask for reviews about taking Duphaston in other patients.