What should I do if my period hasn't come ten days after stopping progesterone?

Generally, if menstruation has not occurred within ten days after stopping progesterone, it may be due to insufficient dosage or short duration of medication, excessive mental stress, polycystic ovary syndrome (PCOS), hyperprolactinemia, thin endometrium, or other causes. It is recommended to seek medical attention promptly, identify the underlying cause, and improve the condition under a doctor's guidance through general management, medication, and other treatments. Specific analyses are as follows:

1. Insufficient dosage or short duration of medication: If the dose of progesterone is too low or taken for too few days, the endometrium may not be sufficiently stimulated to shed. Follow your doctor’s instructions to adjust the treatment plan, take progesterone capsules at the correct dosage, ensure adequate duration of use, and do not change the dose or discontinue medication on your own.

2. Excessive mental stress: Prolonged anxiety and tension can lead to endocrine disorders, affect hormonal recovery, and delay menstruation. Engage in 30 minutes of aerobic exercise daily, such as brisk walking or yoga. Relieve stress before bedtime by soaking feet or listening to soft music, and maintain a regular sleep schedule avoiding late nights.

3. Polycystic ovary syndrome (PCOS): Hormonal imbalance leads to elevated androgen levels and abnormal ovulation, making it difficult for menstruation to resume normally after stopping medication. Follow your doctor’s advice to take medications such as dydrogesterone tablets, ethinylestradiol cyproterone acetate tablets, or spironolactone tablets to regulate hormone levels. At the same time, manage body weight and reduce intake of high-fat and high-sugar foods.

4. Hyperprolactinemia: Elevated prolactin levels suppress ovulation, leading to delayed menstruation or amenorrhea, possibly accompanied by galactorrhea (milk discharge from breasts). Take medications such as bromocriptine mesylate tablets, vitamin B6 tablets, or cabergoline tablets as prescribed to reduce prolactin secretion, and have hormone levels regularly rechecked.

5. Thin endometrium: Repeated intrauterine procedures or inadequate estrogen can impair endometrial growth, resulting in poor response to progesterone. Follow medical advice to take medications such as estradiol valerate tablets, conjugated estrogens tablets, or diethylstilbestrol tablets to promote endometrial repair. In severe cases, hysteroscopic adhesiolysis may be required to restore normal uterine cavity structure.

Maintain a balanced diet, and consume more foods rich in phytoestrogens such as soy products and nuts. Avoid extreme dieting for weight loss and keep emotions stable. Track your menstrual cycle and response to medications, providing detailed information for doctors to adjust treatment plans and help restore regular menstrual cycles.