DEBUNKED: 5 menstruation myths every Singapore mother tell their girls

Menses, commonly referred to as a woman’s period, is a natural physiological process that occurs in the female body.

Menstruation is often surrounded by various myths and misconceptions that have been passed down through generations of Singaporean women.

These myths not only perpetuate stereotypes and stigmas but also lead to misinformation and confusion around menstrual health.

What’s real and what’s a myth? Let’s find out!

Myth #1: See la your period so irregular! Who ask you life so shiong?

What is a normal menstrual cycle?

Normal menstruation is defined by four parameters:

1. Frequency

Most menstrual cycles (periods) occur every 24 to 38 days (as measured from the first day of one period cycle to the first day of the next cycle).
The average menstrual cycle occurs every 28 days.

2. Regularity 

Cycle length is defined as the number of days from the start (day 1) of one period until the start (day 1) of the next period. 

Variation in cycle length (the difference between the shortest to longest cycle) depends on age and is normal/regular when:

• 18 to 25 years – cycle variation ≤ 9 days
• 26 to 41 years – cycle variation ≤ 7 days
• 42 to 45 years – cycle variation ≤ 9 days

For women ages <18 and >45 years, infrequent or unpredictable ovulation happens more commonly, the definition of normal regularity would differ in these populations. 

3. Duration

The normal number of bleeding days in a single menstrual period is ≤ 8 days. 

4. Volume 

Normal volume is subjective. It is defined as blood loss volume that does not interfere with your physical, social, emotional and/or quality of life.

The research definition of normal volume is ≤ 80 mL (~5-6 tablespoons) of menstrual blood loss per cycle.

What causes sudden irregular periods? 

Sudden irregular periods can be caused by many reasons. It usually involves hormonal changes, including menopause or the use of hormonal birth control. 

Normal physiological changes

The menstrual cycle is regulated by 2 hormones: estrogen and progesterone. These hormones can be affected by natural changes in your body. 

Puberty

Your period will start during puberty. It can take up to 2 years for estrogen and progesterone levels to stabilise, and a regular period cycle to be established. 

Pregnancy

Your period will stop during pregnancy, but you might still experience some bleeding or spotting early in the pregnancy. Always check with your doctor if you are worried about bleeding during pregnancy.

Your period can take up to a year to become regular again post-pregnancy. 

Breastfeeding

Most women who are exclusively breastfeeding would not have periods. It is common to have an irregular menstrual cycle during this time depending on your breastfeeding status.

Perimenopause 

Perimenopause means “around menopause” and refers to the time during which your body makes the natural transition to menopause. It is normal for menstrual cycles to be irregular during this time due to the natural changes in hormone levels. 

Lifestyle changes

Although we hate to admit it, 大姨妈 is right on this – being too stressed and exercising too much can cause irregular periods. 

When the body does not get enough calories, it cannot create enough hormones to maintain the menstrual cycle.

This can result from exercising too much (overdoing that spin class), being very stressed, having an eating disorder or burning more calories than you take in (starting that new diet/health fad). 

Underlying health conditions

Polycystic ovary syndrome (PCOS) is the most common cause of irregular periods, where there may be a hormonal imbalance. This can disrupt monthly periods and cause excess facial hair, acne and weight problems.

Pelvic inflammatory disease, an infection of the womb, ovaries and/or fallopian tubes can cause inflammation and irregular period cycles. 

High blood sugar levels can also affect hormone levels, resulting in irregular menstrual cycles.  

Medication-related 

Some forms of birth control can cause irregular period cycles. This is the most common with those that contain only the hormone progestin. Examples include the progestin-only pill, the implant and hormone-containing IUDs. 

It can also happen with birth control pills that have a lower dose of estrogen. 

COVID-19 vaccination may affect your menstrual cycle

If you experienced a change in your menstrual cycle after a COVID-infection, or the vaccination or the booster shots, you are not alone.

A large study published involving nearly 20,000 women reported a change in their menstrual cycle after COVID-19 vaccination. These changes usually affect one cycle and are short-lived, returning to normal thereafter. 

It is also not fully understood if the temporary menstrual cycle changes are a side effect of the vaccines or due to changes in stress, weight, exercise – all of which were common during the pandemic. 

When to see a doctor?

Menstrual cycle changes occur from time to time, we may not even notice it especially if we are not into a habit of tracking our cycles. 

Although some women do not mind missing their menstrual period, certain changes should always be discussed with a doctor because they can signal underlying medical conditions and potentially have long-term health consequences. 

Dame advises you to speak to your doctor if:

• You are older than 15 and still have not had your period
• You used to get periods but missed more than three menstrual cycles (either consecutively or over the course of a year) 
• Your periods happen more than 45 days apart

Treatment of irregular periods

The goal of treatment is to address the underlying condition. 

For a woman who is trying to become pregnant, restoring fertility would be another goal. 

Possible treatments include:

Birth control pills to make periods regular.

This is usually prescribed as well in treating PCOS to re-establish normal menstrual cycles and prevent long-term complications. Birth control pills can also prevent or treat many of the symptoms and long-term consequences of menopause, such as hot flashes, vaginal dryness and osteoporosis.

Changing the way you eat and exercise, such as:

• Eating more calories
• Gaining weight if you weigh too little – seek help if you have an eating disorder
• Taking it easy on exercise, exercising frequently or excessively can lead to irregular periods
• Reducing stress

Dame advocates that women should eat well and stay at a healthy weight, being too thin or too heavy can cause irregular periods. 

Myth #2: Heavy menses flow is normal, just don’t wear white la. Avoid paiseh.

We all love our white outfits, that light-coloured cooler hue to counter the warm and humid days.

大姨妈 is right on this though, we tend to think twice when picking out those outfits to prevent those embarrassing moments. #iykyk   

Menstrual blood

In a normal menstrual cycle, a woman loses an average of 2-3 tablespoons (35 to 40 mL) of blood over four to eight days. However, some women lose a lot more blood.

If you lose more than 5-6 tablespoons (~80 mL) of blood during your period, this is called heavy or prolonged menstrual bleeding, the medical term for this is “menorrhagia”. 

This can lead to a problem called anemia (low red blood cell count), which can cause fatigue, weakness and other symptoms. 

Healthy period blood varies from bright red to dark brown or black. Blood or discharge that is orange or grey may indicate an infection. Check with your doctor if this happens. 

What are the causes of heavy menstrual bleeding?

Not ovulating every month (anovulation)

When your ovaries do not produce and release an egg once every month, it results in an imbalance in the hormones involved in menstruation like estrogen and progesterone. This can cause irregular or even absent periods.

The endometrium or lining of the uterus/womb can grow excessively and shed causing a heavier blood flow.  

Anovulation is common in adolescents soon after menstruation starts and in women who are near menopause. 

Most women with PCOS do not ovulate regularly as well. 

Abnormal growths in the uterus

Non-cancerous growths in the uterus can cause heavy menstrual bleeding. The most common non-cancerous growths are:

• Polyps (small grape-like growths of the lining of the uterus)
• Fibroids
• Adenomyosis (uterine lining tissue grows into the muscular wall of the uterus)
• Overgrowth of the uterus lining, which can be a precursor to uterine cancer

High bleeding tendency

Certain bleeding disorders or medications can cause heavy menstrual bleeding. Examples include:

• Having a low platelet count
• Blood-thinning medications such as warfarin

Should I see a doctor?

Signs that your periods are too heavy include:

• Having to change a pad or tampon every 1 or 2 hours because it is completely soaked
• Passing large lumps of blood, called clots bigger than 1 inch (about 2.5 cm) wide
• Bleeding for more than eight days
• Having to use both pads and tampons at the same time due to heavy bleeding
• Needing to change pads or tampons during the night

Dame advises a consult with a doctor to identify possible causes as treatment is available. 

Heavy bleeding can also result in anemia (low red blood cell count) due to a loss of iron. 

Signs of being low in iron include feeling weak/tired, having headaches and/or having trouble breathing when you exercise.

If you are pregnant or think you could be pregnant and have any bleeding, seek medical help right away. 

How are heavy periods treated?

If you have heavy menstrual bleeding, the best treatment for you will depend on:

• The cause of your bleeding
• Your preferences
• Whether you want to prevent pregnancy
• Whether you might want to be able to get pregnant in the future

Treatment with medications is often preferred and recommended. However, if these treatments do not reduce bleeding enough, surgical treatment might be an option. 

Hormonal birth control

If you have heavy menstrual bleeding and do not want to get pregnant, hormonal birth control might be a good option.

Various forms of hormonal birth control include:

1. Long-acting reversible contraception: implants and IUDs
2. Short-acting hormonal methods: injectable birth controls and progestin-only pills
3. Combined hormonal methods: birth control pills, contraceptive patch and vaginal ring

Hormonal birth control reduces bleeding during your menstrual period. It can also reduce cramps and pain during your period. However, it might take three months for bleeding to improve after you start taking hormonal birth control. 

Anti-fibrinolytic medications

Anti-fibrinolytic medications such as tranexamic acid can help to reduce menstrual bleeding quickly. They work by helping the blood clotting system. 

The advantages of anti-fibrinolytic medications over other medical treatments are:

• Fast action, bleeding is reduced quickly within two to three hours
• Only required to take this medicine a few days each month (when heavy bleeding is expected/experienced)
• No effect on fertility/chances of becoming pregnant

Side effects may include headache, muscle cramps or pain.

Anti-fibrinolytic medications should not be taken together with hormonal birth control unless advised by a doctor. There may be a possible increased risk of blood clots, stroke and heart attack when taken together. 

You would require a prescription from a doctor to purchase this medication in Singapore. 

Non-steroidal anti-inflammatory drugs (NSAIDs)

NSAIDs such as ibuprofen, naproxen and mefenamic acid can reduce menstrual bleeding and menstrual cramps. 

These medications are available in Singapore and can be purchased in your neighbourhood retail pharmacies like Guardian, Watsons or Unity without a prescription.

NSAIDs are inexpensive, have few side effects and can help reduce both pain and bleeding. It is also taken only during your menstrual period and can be taken together with hormonal birth control or anti-fibrinolytic medications. 

However, NSAIDs are not as effective in reducing bleeding compared to hormonal birth control or anti-fibrinolytic medications. 

Gonadotropin-releasing hormone (GnRH) agonists

GnRH agonists are a type of medicine that can be used to temporarily reduce menstrual bleeding. They may be recommended for women who are waiting to have surgical treatment. 

GnRH agonists work by “turning off” the ovaries, causing a temporary menopause. Side effects include common symptoms of natural menopause like hot flashes and vaginal dryness.

GnRH agonists come in the form of a subcutaneous injection, injected every 4 weeks. Goserelin (brand name: Zoladex) is available in Singapore with a prescription. 

Treatment with GnRH agonists is usually not recommended for longer than six months due to the risk of bone loss.

In some cases, GnRH agonists can be prescribed with a birth control pill. This combination reduces the menopausal symptoms experienced with GnRH agonists while also reducing heavy bleeding. 

Surgery 

If you have growths in your uterus or if medications do not help with your heavy periods, your doctor may suggest surgery. Your options will depend on whether or not you would want to get pregnant in the future. 

Surgical options include:

• Removal of fibroids or other growths like polyps
• Endometrial ablation: a procedure that causes scarring in the inner lining of the uterus
• Uterine artery embolisation: a procedure to block the blood vessels that supply blood to the uterus
• Hysterectomy: removal of the uterus

Myth #3: PMS is not real! It is all in your mind!

PMS exists – it is not simply a made-up excuse for mood swings and irritability experienced by women. 

(PMS stands for premenstrual syndrome)

At Dame, we take women’s health problems seriously, PMS is a medical reality. 

PMS as defined medically

PMS refers to a group of physical and behavioural symptoms that occur in a cyclic pattern typically during the second half of the menstrual cycle (between ovulation and the beginning of your period or two weeks before menstruation).

PMS symptoms include:

1. Physical symptoms: fluid retention, abdominal discomfort and bloating, headaches, backache, muscle ache and joint pain, breast tenderness, insomnia, lethargy or fatigue, nausea
2. Psychological symptoms: mood swings, feeling upset or emotional, feeling irritable or angry, sensitivity to rejection, social withdrawal, depression, anxiety, sense of being overwhelmed, difficulty concentrating, confusion and forgetfulness
3. Behavioural symptoms: loss of interest in sex, changes in appetite (typically increased), food cravings

(Underlined symptoms are common symptoms as reported in studies.) 

Mild PMS is common and tolerable, affecting up to 75% of women with regular menstrual cycles. 

However, for a small group of women, these symptoms may be debilitating and may cause significant disruptions in their daily lives.

Premenstrual dysphoric disorder (PMDD) is the severe form of PMS. PMDD affects only 3-8% of women. PMDD is usually a chronic condition and can have a serious impact on a woman’s quality of life. 

Causes of PMS and PMDD

It is not clear why some women develop PMS or PMDD and others do not. 

Studies suggest that rising and falling levels of hormones (like estrogen and progesterone) throughout a woman’s menstrual cycle may influence chemicals in the brain, including a substance called serotonin, which affects mood. 

Several studies have shown that women who develop PMDD are highly sensitive to normal changes in hormone levels. 

Here at Dame, PMS and PMDD is not a myth or a social and cultural construct. Medical treatments and self-care measures are available that can effectively control these symptoms in most women

Is there a test for PMS or PMDD?

There is no single test that can diagnose PMS or PMDD. 

Most women who menstruate have at least a few symptoms of PMS, however, these symptoms may not always occur every month or interfere with daily living. 

The International Society for Premenstrual Disorders (ISPMD) defines clinically significant PMS to include at least one symptom that is either psychological or behavioural. The symptom(s) must impair functioning in some way and the symptom should diminish just before menstruation. 

At Dame, we recommend keeping a “PMS diary” to record your symptoms each day for 2 monthly cycles if you suspect PMS or PMDD may be affecting your life.

Sometimes, people with PMDD think of hurting or killing themselves. If you ever feel like you might hurt yourself, help is available. Please get in touch with one of Singapore’s dedicated helplines, which will remain anonymous.

• Samaritans of Singapore:
  1-767 (24-hour Hotline), +65 91511767 (24-hour CareText via WhatsApp)
• Institute of Mental Health’s Helpline: +65 6389 2222 (24 hours)

How can I help myself feel better?

To help you feel better, Dame recommends lifestyle adjustments first. They are often helpful to relieve mild symptoms:

• Get regular exercise! 

Exercise usually helps people feel less sad and worried. Even gentle forms of exercise, like walking, can help.

• Find ways to lower stress

You can try yoga or relaxation exercises like meditation, tai chi 

• Avoid salty foods and eating large meals to prevent feeling bloated
  
• Avoid alcohol and smoking
  
  They can worsen PMS symptoms such as breast tenderness, food cravings, mood swings and depression

An NSAID (e.g. ibuprofen, naproxen) to treat pain or headaches can be taken to relieve symptoms. They are available in Singapore without a prescription and can be obtained easily from your neighbourhood pharmacies.

Chasteberry (vitex agnus castus or agnus castus fruit extract) is a herbal remedy that appears to be an effective option for women with mild PMS symptoms. It is always advised to speak to your doctor or pharmacist before starting a new herbal remedy especially if you are on other long-term medications. 

A number of vitamins and dietary supplements including evening primrose oil, vitamin B6, vitamin E, gingko, calcium and magnesium have been studied for the treatment of PMS. However, results from these studies have been inconsistent.

Can doctors treat PMS and PMDD with medications?

Yes! PMS and PMDD can be treated with medications. These include:

• Selective serotonin reuptake inhibitors (SSRIs)

SSRIs are a highly effective treatment for the symptoms of PMS and PMDD.

Examples of SSRIs include fluoxetine, sertraline, escitalopram and paroxetine.

It may not be necessary to take the medication every day, taking the SSRI only during the second half of the menstrual cycle may be sufficient. 

• Birth control pills (BCPs)

Some women find that their PMS and PMDD improve after they start taking BCPs. There are different types of BCPs. Some relieve symptoms better than others. If you want to prevent pregnancy, our doctors at Dame can talk to you about your options. 

In addition to medication, some women with PMDD find “cognitive behavioural therapy” (CBT) helpful. In this type of therapy, you speak with a psychologist or counsellor about the things that you think and do. Then, techniques are taught to help you cope better with your PMDD.

At Dame, PMS and PMDD do not control your life. From effective medications prescribed by doctors to lifestyle adjustments and counselling sessions with licensed therapists, Dame empowers you. 

Myth #4: Always drink bubble tea! No wonder your period so painful!

“No ice, please”, “I’ll pass on that iced frappe today”.

大姨妈 constantly reminds us to avoid cold food and drinks during that time of the month. She is probably right. 

According to Chinese medicine experts, cold food and drinks worsen menstrual cramps by causing the muscles in the vaginal walls to tense up leading to discomfort. 

Medical experts also found that the application of local heat can reduce muscle tension and relax abdominal muscles to reduce pain caused by muscle spasms. 

The application of heat to the lower abdomen is often recommended as an effective treatment for the relief of period pains. 

In Singapore, a local survey among 1000 women revealed that almost one out of three women resigned themselves to the fact that “a painful menstrual cycle is just part of being a woman”.

Furthermore, 7 out of 10 women would choose to “suffer in silence” and continue to work despite intense period pains as they fear being judged. 

At Dame, we empower women with knowledge and solutions. Painful periods are not uncommon, effective treatments are available – women should not endure period pains in silence.   

Why are periods painful?

During menstruation, the body makes chemicals called “prostaglandins”. These chemicals cause the uterus to contract or tighten. These contractions also happen during labour and childbirth. 

Contractions during menstruation are normal. But, they can be painful. The medical name for painful periods is “dysmenorrhea”. 

You are definitely not alone. In surveys, 50-90% of reproductive-age women worldwide describe experiencing painful periods. 

Some medical conditions can make the pain during menstruation worse. The most common one is called “endometriosis”. In this condition, cells that should grow only in the uterus grow outside the uterus. 

What do painful periods feel like?

Period pains are crampy and usually located in the lower abdomen. Some women may also experience severe pain in the back or thighs. 

The pain usually begins just before or as menstrual bleeding begins, and gradually diminishes over one to three days. 

Pain usually occurs intermittently, ranging from mild to severe.

Other symptoms that may accompany cramping include nausea, diarrhea, dizziness, fatigue, headache or a flu-like feeling.

How are painful periods treated?

Depending on the cause of your painful periods, effective treatment is available. 

Nonsteroidal anti-inflammatory drugs (NSAIDs)

NSAIDs are a class of medications that are very effective in reducing pain associated with menstruation. 

In Singapore, NSAIDs like ibuprofen and naproxen can be easily obtained without a prescription at your neighbourhood pharmacies. 

NSAIDs are most effective if they are taken as soon as bleeding or other menstrual symptoms begin. 

At Dame, we recommend taking them on a regular schedule for two to three days, at the earliest onset of pain. 

If NSAIDs are not tolerated, paracetamol is an alternative pain relief option.

Hormonal birth control

Hormonal birth control is an effective treatment option for painful periods. They come in many forms: pills, patches, vaginal rings, injections, IUDs and implants. 

They work by thinning the uterus lining where prostaglandins are formed. This reduces contractions and menstrual bleeding that contribute to pain and cramping. 

NSAIDs and hormonal birth control options can be used together to control painful periods. 

Non-medication treatments

Treatments that do not require the use of a medication can also help to reduce painful periods. These treatments may not be as effective as medications, however, they can be used in combination with medications to increase the pain-relief benefit.

• Heat

Applying heat to the lower abdomen with a heating pad, hot water bottle or self-heating patch can significantly reduce pain, often as well as treatment with an NSAID. 

A temperature of 40℃ is recommended – it is important to avoid burning the skin with a heating pad or hot water bottle that is too hot. The heat can be applied as often as it is needed. 

Using heat in addition to ibuprofen can result in a quicker pain relief. 

• Exercise 

Studies have shown that exercising can reduce menstrual symptoms, including pain. 

Read helpful tips by our local female athletes on exercising during your periods. 

Period pains are not normal. Be empowered

The most effective treatments for painful periods include NSAIDs and/or hormonal birth control treatments. 

If neither NSAIDs nor a hormonal birth control treatment adequately improve pain after three to six months, a detailed evaluation should be done to identify if there are other underlying conditions that can be causing the pain.

Period pain can be due to endometriosis, this affects 1 in 10 Singaporean females in their child-bearing years. Endometriosis can affect fertility and the period pains associated with this condition can be managed earlier if an early diagnosis is made. 

Period pains need to be talked about and not be endured in silence. Take the endometriosis symptom questionnaire here – created by doctors from KKH, NUH and SGH. 

Myth #5: How to delay period? Cannot la, just don’t go swimming OK

Looking forward to that beach vacation, camping trip but unable to time it with your menstrual cycle?

Planning can be easy if your period cycle is regular. But what if the vacation dates are fixed and you can do nothing about it? 

Having periods is a downer.

Other than the physical discomfort, the inconvenience it can bring and the need to keep up with menstrual products – you are not alone in navigating through each cycle. 

Studies worldwide have consistently reported that among women informed that monthly bleeding is not necessary for their health, most women would favour a bleeding frequency less often than monthly – or not at all.

Safety of period delay (menstrual suppression)

Period delay or menstrual suppression involves the use of hormonal birth control to reduce the frequency and volume of normal menstruation or to suppress period altogether (in medical terms – to achieve amenorrhea)

In women who do not wish to conceive, menstruation is in fact not physiologically necessary. 

Most modern females experience many more menstrual cycles in their lifetimes than those in their previous generations due to earlier puberty onset, fewer pregnancies, reduced duration of breastfeeding and later menopause. 

This frequent, regular ovulation may actually increase a woman’s risk of some diseases, such as endometriosis and ovarian cancer. 

Impact on fertility

Once hormonal birth control is stopped, women who have been using it continuously or long-term do not appear to have reduced fertility compared with women who used non-hormonal birth control. 

While there may be a brief delay in conception for women who stop hormonal birth control compared with non-hormonal birth control, the reported 12-month conception rates are similar. 

The only hormonal birth control associated with an extended impact on fertility is depot medroxyprogesterone injection (Provera).

Common reasons for period delay

Suppression of menstruation has medical and personal benefits for many women and it is cost-effective. 

Medical reasons 

Menstrual suppression involves the reduction in the volume and frequency of bleeding and/or a reduction in hormonal fluctuations. This is helpful for a range of gynecologic disorders:

• Relief of menstrual pains
• Management of PMS/PMDD symptoms
• Heavy menstrual bleeding
• Treatment of endometriosis-related pain
• Reduction in risk of ovarian and endometrial cancers

Women with bleeding disorders like severe anemia are less able to tolerate blood loss and can benefit from suppression of menstruation. 

Personal reasons

• Young teenagers may benefit from period delay when menstrual inconvenience during a school day or field trips make it difficult to access pain relievers, sanitary pads or tampons or even a change of clothes. 
• Women with cognitive and/or physical disability like cerebral palsy or arthritis may find menstrual bleeding emotionally upsetting or have difficulties with the use of menstrual hygiene products – period delay would be beneficial. 
• Women who are deployed for military duties or space flight, highly competitive athletes or pursuing extended travel where access to basic hygiene standards are limited may find period delay to be beneficial. 
• Avoidance of menstrual bleeding and symptoms can also be particularly desirable during vacations, business travel, camping/wilderness experiences, special events and academic examinations. 

Whatever your reasons, at Dame – we empower women to achieve their every goal. 

Period delay is possible with birth control pills

If you are currently on birth control pills, delaying your period is possible by taking the medication packets back-to-back. 

For example, if you are taking Microgynon – start a new packet of pills straight after you finish the last pill (21st day) and miss out the 7-day break. 

Taking your birth control pills as described above should not affect how they work as contraceptives. Always check with your doctor how this works as it depends on the type and brand of pill you take. 

If you are currently taking a progestin-only birth control pill, you cannot delay your period by taking packets back-to-back.

Instead, you may be able to switch to other birth control pills that contain both an estrogen and progestin or take another medication to delay your period. Speak to your doctor for advice. 

If you are currently not on birth control pills and would like to delay your period, a medication called norethisterone can be prescribed to delay your period. 

Norethisterone is available in Singapore as a prescription-only medication. It is taken 3 to 4 days before you expect your period to begin. Your period should arrive 2 to 3 days after medication is stopped. 

Norethisterone does not act as a contraceptive when used in this way, so you could still get pregnant. Additional contraceptives such as a condom should be considered to prevent pregnancy.

Depending on how long a period delay is intended, norethisterone may not be suitable for everyone. 

If your goal is to achieve amenorrhea (suppress period for good), long-acting progestin injections like Provera, IUD and combined estrogen-progestin birth control pills may be a better option.

Dame – we bring you “period safe” advice

Be aware that there are no natural ways to delay your period. 

A quick search online brings many suggestions like consuming gram lentils, apple cider vinegar, lemon juice etc – eating or drinking special foods does not affect the hormones involved in menstruation. None of these methods are scientifically proven.

At thedame.sg, if you are looking to delay your period – from birth control pills to norethisterone, we help you achieve your every goal, in a safe and effective way.