September 15th, 2019

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A Safe and Reliable Method to Postpone Menstruation for Occasional Convenience
Authors:  Martin M. Grajower, M.D., FACP, FACE
  OBJECTIVE: To describe a simple, relatively short-lasting, guaranteed, and safe method for postponing the onset of menses until a more convenient time.

STUDY DESIGN: Patients in my private practice who requested delay of menses for a special occasion were prescribed norethindrone acetate 5 mg, 3 times a day. The women were Orthodox Jewish brides (n=502) desiring to delay their expected menses until after their wedding date.

RESULTS: This treatment, lasting from several days to up to 6 weeks, prevented any menstrual bleeding in 100% of the women. In no patient was the treatment discontinued due to side effects. The most common side effect, occurring in 18% of the women, was related to water retention (bloating, swollen feet, etc.) and responded to diuretic therapy. Nausea or abdominal cramping occurred in 2–3% of patients and were self-limiting.

CONCLUSION: Norethindrone acetate 5 mg given 3 times a day offers a guaranteed, safe, and short-lasting method for postponing menses for occasional convenience.
Keywords:  Aygestin, Jewish bride, lifestyle, menstrual cycle, menstrual suppression, menstruation, norethindrone, norethindrone acetate, norethisterone, quality of life
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