How to Delay Menstruation

Jul 14, 2022 Source: Cainiu Health
Dr. Chen Zhe
Introduction
Menstruation can be delayed up to five days before its expected onset—for example, by taking progesterone once daily until just before the anticipated start of menstruation. Menstruation occurs when estrogen stimulates endometrial proliferation to a certain extent, followed by withdrawal of estrogen, which triggers endometrial shedding. If menstruation is expected in just two or three days, endogenous hormone levels are already very low; under such circumstances, no medication can postpone the onset of menses.

If a female student experiences menstruation during the National College Entrance Examination (Gaokao), it may significantly impair her performance. In such cases, it is often desirable to delay menstruation by a few days. So, how can menstruation be postponed?

How to Postpone Menstruation

Menstruation can be delayed if intervention begins approximately five days before the expected onset. One common method is to take progesterone once daily, stopping the medication just before the anticipated start of menstruation. Menstruation occurs due to hormonal fluctuations: estrogen stimulates endometrial thickening and proliferation; when estrogen levels subsequently decline, the endometrium sheds, resulting in menstrual bleeding. However, if menstruation is imminent—within two or three days—hormone levels are already very low, making pharmacological postponement ineffective.

Occasional use of medication to delay menstruation poses no significant health risks. However, repeated or frequent postponement may adversely affect health—for example, potentially impairing ovarian function. Many women opt for hormonal intervention prior to important examinations. Progesterone is the most commonly prescribed agent for this purpose. If menstruation begins within seven days after discontinuing progesterone, associated symptoms such as dysmenorrhea are unlikely. Occasional short-term use is generally well tolerated, but long-term or repeated administration is not recommended.

During menstruation, maintain good menstrual hygiene—change sanitary pads frequently to prevent infection. Avoid catching colds; stay warm. Consume mild, easily digestible foods, and limit intake of spicy, stimulating, cold, or hard foods. We hope this information is helpful!


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