Irregular Menstruation: When to Continue Hormonal Medication

Menstrual irregularities / Confirm non-pregnancy

I have irregular menstrual cycles; my period was over ten days late in January, two days late in February, and this month I noticed light brown transparent discharge when my period was due.
Sometimes there are slight traces of blood when I wipe, but it doesn't resemble menstrual clots or blood.
Yesterday, I visited a gynecologist for a pregnancy test, which came back negative.
The doctor prescribed me medication to induce my period for three days.
I took the first pill after dinner last night, and this morning I noticed significantly more brown discharge with a little bit of blood when I wiped.
Should I continue taking the medication? If my period starts within three days, should I keep taking it? Thank you.

Niming, 20~29 year old female. Ask Date: 2016/03/28

Dr. Lin Manying reply Obstetrics and Gynecology

It is recommended to complete the course of the menstrual induction medication, as it contains progesterone, which can facilitate a more complete shedding of the endometrial lining.

Reply Date: 2016/03/28

More Info

Irregular menstruation can be a source of concern for many women, and understanding when to continue hormonal medication, such as progestin to induce menstruation, is crucial for managing your menstrual health. Based on your description, it appears that you have experienced irregular menstrual cycles, with delays and atypical discharge, including brown spotting and light bleeding. You have also taken a progestin medication to help induce your period.

When it comes to hormonal medications, the general guideline is to follow your healthcare provider's instructions. In your case, since you have already started the medication, it is important to consider the following points:
1. Understanding the Purpose of the Medication: The progestin you were prescribed is intended to help regulate your menstrual cycle and induce a period. It works by mimicking the natural hormone progesterone, which prepares the lining of the uterus for menstruation. If your period does not start within a few days of completing the medication, your doctor may want to evaluate further.

2. Monitoring Your Symptoms: Since you have noticed an increase in the amount of brown discharge and some light bleeding after taking the medication, this could indicate that your body is responding to the hormonal treatment. It is not uncommon for women to experience spotting or brown discharge as their period approaches, especially when taking hormonal medications.
3. When to Continue or Stop the Medication: If you experience a full menstrual flow (bright red blood, similar to your typical period) within the three days of taking the medication, you may not need to continue taking it. However, if the bleeding remains light or if you do not have a full period after completing the medication, it is advisable to consult your healthcare provider. They may recommend continuing the medication or exploring other options based on your individual health needs.

4. Potential Side Effects: Hormonal medications can have side effects, including changes in mood, breast tenderness, and changes in bleeding patterns. If you experience any severe side effects or if your symptoms worsen, it is essential to contact your healthcare provider.

5. Follow-Up Care: Irregular menstruation can sometimes be a sign of underlying health issues, such as hormonal imbalances, polycystic ovary syndrome (PCOS), or thyroid disorders. If your irregular cycles persist, it is important to have a thorough evaluation by your healthcare provider. They may recommend blood tests or imaging studies to assess your hormonal levels and overall reproductive health.

In summary, it is important to follow your doctor's instructions regarding the use of hormonal medication. If you notice significant changes in your bleeding pattern or if you have concerns about your menstrual health, do not hesitate to reach out to your healthcare provider for further guidance. They can provide personalized advice based on your medical history and current symptoms.

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