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What Causes Delayed Menstruation After Taking Leuprolide Acetate?

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Posted on Tue, 19 Mar 2019
Question: Hello Doctor My wife gone through laproscopy surgery in Nov due to endometriosis..After that she was diagnosed with Genital TB and currently she is taking AKT3 . SHE WAS GIVEN LUPRIDE DEPOT ON 7 NOV ,30 NOV and 21 Dec. It has been almost 3 months since last injection but still her periods are not started.she did check for pregnancy using strip in last month but result was negative.she is also not having any symptoms of pregnancy like vomiting or swelling.Now we are very much concern about her period.why periods are not starting even after 3 months.Please guide us.
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Answered by Dr. Sameer Kumar (33 minutes later)
Brief Answer:
A side effect of lupride acetate.

Detailed Answer:

Hello,

The delay in menses is common side effects after taking lupride acetate, 3injections. Also as you have genital TB, the treatment should be undertaken for at least 6 months and this too can be the reason for delay now for 3 months.

The next step is to get an ultrasound pelvis done and check for endometrial thickness which if less than 7mm then you can be offered a withdrawal bleed with progesterone and if still no bleed then an endometrial curettage shall be required to initiate a new cycle.

Hope I have answered your query.

Regards,
Dr. Sameer Kumar, OBGYN
Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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What Causes Delayed Menstruation After Taking Leuprolide Acetate?

Brief Answer: A side effect of lupride acetate. Detailed Answer: Hello, The delay in menses is common side effects after taking lupride acetate, 3injections. Also as you have genital TB, the treatment should be undertaken for at least 6 months and this too can be the reason for delay now for 3 months. The next step is to get an ultrasound pelvis done and check for endometrial thickness which if less than 7mm then you can be offered a withdrawal bleed with progesterone and if still no bleed then an endometrial curettage shall be required to initiate a new cycle. Hope I have answered your query. Regards, Dr. Sameer Kumar, OBGYN