Whenever a patient is on norethisterone for management of absent period that means the patient has missed her period and now to get her withdrawal bleed patient is on a progesterone hormone called norethisterone. Now after this, after you finish the tablet you need to wait one week ten days to get the withdrawal bleed. So the first thing why the patient has not bled after norethisterone maybe the waiting period is not enough. So wait for 10-12 days after finishing the tablet. The second thing maybe the hormonal imbalance is so bad that a single hormone support of progesterone may not get a withdrawal bleed and you may have to put on estrogen as well. the third possibility is pregnancy. Pregnancy may be there and hence norethisterone hasn’t caused a bleeding yet. So rule out pregnancy. Fourth can be any uterine abnormality or stenosis of the cervix or any anatomical defect which would have held the bleeding inside the uterus and clots would have collected. So that may be the reason. But if a person who has been regularly menstruating then the fourth chances are very less. So the other causes have to be ruled out.

свернуть