How do I use Norcolut (norethisterone) to delay menstruation during Umrah/Hajj?

How to Use Norcolut (Norethisterone) to Delay Menstruation During Umrah/Hajj

Take Norcolut 5 mg orally two to three times daily, starting 3 days before your expected period, and continue taking it until you want menstruation to occur. 1

Dosing Protocol

• Start timing: Begin norethisterone 3 days before the expected onset of menstruation 1
• Dose: 5 mg taken 2-3 times daily (total daily dose: 10-15 mg) 1
• Duration: Continue taking the medication throughout the entire period you wish to delay menstruation (e.g., throughout your Umrah/Hajj journey) 1
• Stopping: Menstruation typically occurs 2-3 days after discontinuing the medication 2

Critical Safety Considerations Before Use

Do not use Norcolut if you have any of the following conditions:

• Pregnancy or suspected pregnancy 1
• History of blood clots (thromboembolism or deep vein thrombosis) 1
• Undiagnosed vaginal bleeding 1
• Active liver disease 1
• Breast cancer or other hormone-sensitive cancers 1
• Uncontrolled high blood pressure 1
• Cerebrovascular disease or coronary artery disease 1
• Known hypercoagulopathies (blood clotting disorders) 1

Essential Counseling Points

Norcolut is NOT a contraceptive method - you must use additional contraception if sexually active during this time. 1 This is a critical point that many women misunderstand.

Common side effects to expect:

• Breakthrough bleeding or spotting may still occur despite taking the medication 3
• Mild weight changes 4
• Breast tenderness 3
• Headache 3
• Nausea 3

Important Caveats and Pitfalls

The full 5 mg dose 2-3 times daily is necessary for reliable menstrual suppression - lower doses may not effectively delay menstruation. 1 Do not reduce the dose thinking it will minimize side effects, as this compromises efficacy.

This method should not be used repeatedly or for prolonged periods - if you need menstrual suppression regularly, discuss alternative hormonal management options with your healthcare provider. 1

Plan ahead - the 3-day lead time before expected menstruation is crucial for effectiveness. 1 Starting too late may result in breakthrough bleeding.

Practical Implementation for Umrah/Hajj

• Calculate your expected menstrual period date during your trip
• Start Norcolut 3 days before that expected date 1
• Continue taking it throughout your religious observances
• Stop taking it when you return home or when menstruation is acceptable 1
• Expect menstruation to begin 2-3 days after stopping 2