*For healthcare professionals only*
For many women, learning how to delay menses for Umrah or Hajj can make their ibadah easier and smoother. Fortunately, there are safe and effective medical options to temporarily delay menstruation — but they must be used correctly.
This guide explains how Norethisterone works, when to start it, duration, and what to expect when stopping it.
What Medication Is Commonly Used?
Norethisterone 5 mg
Brand names include:
- Norcolut®
- Sunolut®
- Primolut N®
This is a type of progesterone tablet that helps prevent the menstrual lining from shedding, therefore delaying period.
Recommended Dose
Take 1 tablet (5 mg) three times daily (TDS)
Start 3 days before expected period.
For best results, take it at the same time every day.
Duration
You may continue Norethisterone for up to 10–14 days.
Avoid using it for more than 14 days because:
The chance of break-through bleeding increases
Spotting may occur if taken too long
Prolonged hormonal use may cause side effects for some women
What Happens When You Stop the Tablets?
Period usually comes back within 2 to 3 days after stopping Norethisterone.
This timing is helpful because women can plan when they prefer to have their menses.
Who Should Avoid Norethisterone?
Do not take Norethisterone if you have:
- A history of blood clots
- Liver disease
- Unexplained vaginal bleeding
- Allergy to the medication
- Unsure of pregnancy status
Possible Side Effects
- Most people tolerate it well, but some may experience:
- Mild nausea
- Bloating
- Breast tenderness
- Mood changes
- Spotting
These effects are temporary and stop after stopping the tablets.
Key Tips for Umrah or Hajj
- Start early — do not wait until period has already started.
- Do not exceed 14 days unless.
- Carry extra tablets in case you misplace or drop them.
- Don’t share medication — response varies between individuals.
Conclusion
Delaying menstruation for Umrah or Hajj using Norethisterone is safe and effective when used correctly.
Start 3 days before expected period, take 1 tablet three times a day, and stop when preferring menses to return.
If you need personalised advice or alternative options, always speak to a healthcare provider.
Source: UKM Pharmacy Bulletin
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