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No withdrawal bleeding
Since March 2025, I have not been getting my periods naturally. In April 2025, I consulted a gynecologist. My prolactin was elevated (it had been 24 in December 2024), and I was started on cabergoline. After treatment, my prolactin normalized to 9 (tested in early July), and my last period was on 29 May.
After that, I did not get another period. My gynecologist prescribed Modus (medroxyprogesterone) twice daily for 5 days, with the last dose on 26 July. Today (2 August), I still have no withdrawal bleeding but have heavy, sore breasts and intermittent lower abdominal cramps. There is no chance of pregnancy, I do not have PCOS, and my TVS was done in April.
My questions:
1. What could be causing the delay despite my prolactin being normal?
2. Could this indicate premature menopause , or is that unlikely based on my history?
Had tests in dec 2025 , april 2026. images please check.
July snapshot - TSH: 3.150 µIU/mL
* FSH: 7.90 mIU/mL
* LH: 12.60 mIU/mL
* Prolactin: 7.28 ng/mL
Answers (5)
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A missed withdrawal bleed after a progesterone course has several possible causes, including how your uterine lining responded that cycle, and needs an in-person review rather than an assessment from reports alone.
Next Steps
Please share this timeline and your symptoms with the gynaecologist managing your prolactin treatment, since they have your complete records.
Health Tips
At 25, premature menopause is uncommon, but your ongoing symptoms are worth an in-person evaluation rather than a report-only opinion.
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