Primolut Nor just in case?
12 December, 2017
I am teaching a kallah now. She is getting married iy"H in about two months. She has a regular cycle and should get her period about ten days after the wedding, so it looks as though we don't need to worry about a chupat nidda. However, she is concerned that, because of excitement, maybe she will get her period early and end up with a chupat nidda. She therefore wants to take primolut nor as an extra precaution. I was unsure of how to advise her. What should I tell her? Is it advisable to take primolut nor in this situation? Thank you so much for this incredible site:
It is important for the kallah to understand that a chuppat niddah can happen to anyone, even on medication. It is unfortunate but can be dealt with, and you can provide her with guidance so she has a better sense of it. The ultimate decision whether or not to take medication is a personal one.
In general, if a woman cycles regularly and other stresses have not changed her cycle in the past, then not intervening is a perfectly reasonable approach.
The percentage of women whose cycle is affected by their wedding is unknown, but is probably in the range of 5-10%.
Hormonal medications can cause staining. With combination pills, the risk of breakthrough bleeding during the first month of use is 15-70%. (The higher the estrogen level of the pill, the lower the likelihood of bleeding.) Such bleeding tends to abate over two to three cycles of use. There are no comparable statistics available for progesterone formulations like Primolut Nor, but the incidence of breakthrough bleeding is probably lower.
If the kallah still wants to consider taking medication after hearing this information, she should turn to a physician for a prescription, so that he can take her personal health history into account. Since Primolut Nor is used the month of the wedding, she has time to decide if she will use it. She can also revisit the issue should her cycle change in the near future.
Please write back with any further questions.
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