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Bleeding with Primolut N (norethisterone 5 mg) often settles within a few days to a couple of weeks, but persistent or heavy bleeding should be reviewed by a gynecologist.
⚕️ Likely causes
- Hormonal adjustment/withdrawal from starting or stopping norethisterone — common and often settles within days–2 weeks.
- Breakthrough bleeding while on progestogen treatment (Primolut N) — may be irregular or prolonged.
- Other causes (e.g., pregnancy, infection, fibroids) could be present and need evaluation.
🏥 What to do now
- Continue the tablet exactly as prescribed unless bleeding is very heavy or your prescriber advised stopping.
- Track bleeding: start/stop dates, pad/tampon count, clots, and any pain or dizziness.
- Use sanitary protection, rest, and stay hydrated; discuss iron supplements if bleeding is prolonged.
- Contact a gynecologist promptly if you feel unwell.
⚠️ Warning signs — seek urgent care
- Soaking a pad or tampon every hour for 2 hours or more.
- Fainting, severe dizziness, or breathlessness.
- Very severe lower abdominal pain or fever.
🩺 When to see a doctor
- See a gynecologist if bleeding continues beyond 7–14 days, becomes heavier, or you have any warning signs.
- The doctor may do a pregnancy test, pelvic exam, ultrasound and blood tests including hemoglobin (Hb).
🩺 Follow-up questions
- How many days has the bleeding been ongoing?
- When did you start Primolut N and for what reason (delay period, irregular bleeding, etc.)?
- Are you passing large clots or soaking pads—how many per hour?
If you want, I can explain likely tests or treatments your gynecologist may offer.