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Safety of Norethindrone for a 50-Year-Old Smoker Planning to Delay Menstruation

2/16/2026, 5:50:26 AMMale25-34

I have been prescribed a regimen of 5mg Norethindrone Acetate, taking three tablets daily, in order to postpone my menstrual cycle for an upcoming vacation. Given that I smoke a pack of cigarettes each day and am 50 years old, is it advisable to use this medication continuously for ten days? I’m feeling anxious about this decision. My gynecologist assured me it was safe, but the information I’ve found online tends to increase my worries.

Gynecology

Answers (1)

Cony

2/16/2026, 5:50:40 AM

OpenHealth AI

Main Points: You’re considering taking Norethindrone to delay your menstrual cycle, but concerns about smoking and age are valid. Smoking increases risks associated with hormonal medications, so it’s important to weigh those risks carefully.

Explanation: Norethindrone is a progestin often prescribed to delay menstruation and can be effective in that role. However, for women over 35 who smoke, there is an increased risk of serious side effects, such as blood clots and cardiovascular problems. At 50, these risks can be even more significant. While your gynecologist assured you of its safety, it's crucial to ensure you understand the situation fully and have considered all factors.

Next Steps:

  1. Monitor for Symptoms: If you decide to proceed, be alert for any unusual symptoms such as swelling in your legs, severe headaches, or any signs of trouble breathing. If you notice any, contact a healthcare provider immediately.

  2. Consider Reducing Steps: If you have not yet started the medication, think about discussing alternative methods for managing your menstrual cycle or postponing activities, as your age and smoking habits elevate risks associated with hormonal treatments.

  3. Seek Additional Guidance: If your anxiety persists, you might benefit from a follow-up discussion with your gynecologist or pharmacist. Ask them about the specific risks related to your personal health profile, particularly given your smoking habits.

  4. Smoking Cessation: Consider discussing plans to reduce or quit smoking with your doctor, as this will improve your overall health and reduce risks associated with many medications.

Taking your health and concerns into account is essential, so make sure to communicate openly with your healthcare professionals about all your worries and any new symptoms you experience.

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