I have been married for one month and started taking Saheli (Ormeloxifene/Centchroman 30 mg) twice weekly from the first day of my period on 18th December 2016. My cycles are usually regular every 28 days. My period in January came 2 days late. I had intercourse for the first time on 5th February 2017, and since then I have not had my period. It is now about 18 days late. A home pregnancy test was negative. Could this delay be a side effect of Saheli, or do I need further tests or consultation to rule out pregnancy or other causes?
Chandrakanta Jena
Pharm D
Saheli (Ormeloxifene/Centchroman) is a non-hormonal oral contraceptive pill, and it is known to sometimes cause changes in menstrual cycles (periods). Some women may experience delayed periods, lighter bleeding, or even missed periods while using it. So your current delay in periods may be a side effect of this medicine. However, since you are sexually active, pregnancy should always be ruled out first, even if a home urine test is negative. Early pregnancy or testing at the wrong time can sometimes give a false negative result. It is advisable to repeat the urine pregnancy test after a few days, using first morning urine, or get a blood test for beta hCG, which is more accurate. If pregnancy is ruled out and periods still do not start, then the delay is likely due to Saheli or a temporary hormonal imbalance. Stress, lifestyle changes, and the recent start of contraception may also affect the cycle. You should consult a doctor or gynaecologist if your periods do not return within 1 to 2 weeks, or if you develop any unusual symptoms.
Irregular mestruation,ovarian pain
Chandrakanta Jena
Pharm D
Irregular periods, along with pain in the lower abdomen or ovarian area, can occur for several common reasons. One of the most frequent causes is hormonal imbalance, especially in conditions like polycystic ovary syndrome, where ovulation (the release of the mature egg) does not occur regularly. Ovarian cysts may also cause pain and changes in menstrual cycles (periods). Sometimes thyroid problems, significant weight changes, stress, or excessive exercise can disturb the menstrual pattern. Infections of the pelvic organs may cause pain and be associated with fever or unusual discharge. Another possible cause is endometriosis, where tissue similar to the lining of the womb grows outside it and causes painful periods. It is important not to ignore these symptoms, especially if the pain is persistent or worsening. A doctor may advise an ultrasound scan and basic blood tests to identify the exact cause and recommend appropriate treatment.
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Country of origin
India
Manufacturer/Marketer address
Off. Ashram Road, Ahmedabad - 380 009., Gujarat, India