Why are my periods delayed after stopping Krimson 35?

Question

Hello doctor,

I have hypothyroidism and PCOS/PMOS. My doctor prescribed Krimson 35, and I have been taking it for several months. My last period lasted for only three days with medium bleeding. I started taking Krimson after my period and stopped it later in the cycle. I still have not gotten my period after stopping the medication. I am not sexually active.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

Thanks for providing the details. I will help clarify what's going on. You have hypothyroidism and polycystic ovary syndrome (PCOS), now known as polyendocrine metabolic ovarian syndrome (PMOS), both of which can affect menstrual cycles. You have been taking a combined oral contraceptive containing Ethinylestradiol and Cyproterone acetate for about six months.

Your last period lasted three days with medium flow. You resumed the contraceptive after your period and stopped it later in the cycle. You are not sexually active, so pregnancy is not a factor. You have not gotten your period after stopping the medication.

Withdrawal bleeding after stopping a combined oral contraceptive usually occurs within two to seven days, but delays are not uncommon. Both PCOS/PMOS and hypothyroidism can cause irregular or missed periods, even with hormonal treatment. Since your earlier period was shorter than usual, your uterine lining might not have built up much, leading to light or absent withdrawal bleeding.

If the pills were taken irregularly, this might also impact how your body responds during the pill-free interval. If your period does not come within seven days of stopping the pill, it is still considered normal. However, if no bleeding occurs within 10 to 14 days, or if you experience unusual pain, spotting, or other symptoms, it is advisable to contact your doctor.

Keep tracking your cycle, and if this pattern continues, your doctor might consider adjusting your medication or exploring alternative options.

I hope this helps.

Take care.

Regards.