Menstrual irregularities after a delayed period?
On March 25, I visited the doctor due to a delayed menstrual period and was prescribed progesterone, which was ineffective.
During a follow-up appointment on April 1, I received another prescription.
My period started on April 7, and it was heavy because I didn't have it in March.
On April 8, during another follow-up, the doctor prescribed progesterone and gastric medication again.
Since my period has already started, is it necessary to continue taking medication? The doctor also asked me to return for another check-up on April 11-12 to assess my condition, and I have another appointment in two weeks to adjust my medication.
My last visit was on February 12, with a cycle of about 27 days, and my period on April 7 fell right in the second week of my cycle.
I have already taken medication three times, and I'm worried that on the 11th, the doctor will prescribe more medication.
Is it really necessary to adjust my medication again, or is the doctor just trying to make money?
Ni Ming, 30~39 year old female. Ask Date: 2016/04/08
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is difficult to make a determination.
I recommend discussing your concerns with your physician.
Thank you! Wishing you peace and health.
Dr.
Chang.
Reply Date: 2016/04/08
More Info
Delayed menstruation can be a source of concern for many women, and understanding when to seek treatment and the role of medication is crucial. In your case, it appears that you have experienced a delay in your menstrual cycle and have been prescribed progesterone (黄体素) to induce menstruation. Let's break down your situation and address your concerns.
Firstly, it's important to understand that menstrual cycles can vary significantly from one individual to another and can be influenced by various factors including stress, hormonal imbalances, weight changes, and underlying medical conditions. A typical menstrual cycle ranges from 21 to 35 days, and variations can occur without necessarily indicating a serious health issue.
In your case, you mentioned that your last menstrual period was on February 12, and you experienced a delay until April 7, which resulted in a heavier flow due to the missed period. The use of progesterone is a common approach to induce menstruation when there is a delay, as it helps to regulate the hormonal balance and trigger the shedding of the uterine lining.
Regarding your concern about the necessity of continuing medication after your period has started, it is generally not required to take progesterone if menstruation has already occurred. The purpose of the medication is to induce menstruation, and once it has started, the body typically resumes its natural cycle. However, your doctor may have specific reasons for prescribing additional medication, such as to regulate your cycle further or to address any underlying hormonal issues. It is not uncommon for doctors to monitor patients closely after a significant delay in menstruation, especially if there are concerns about the regularity of future cycles.
You also expressed concern about the possibility of your doctor prescribing medication for financial gain. While it is essential to be cautious and informed about your healthcare, it is also important to trust your healthcare provider's expertise. If you feel uncertain about the necessity of the prescribed medications, it is perfectly reasonable to seek a second opinion or to have an open discussion with your doctor about your concerns. You can ask questions such as:
1. Why is it necessary to continue medication after my period has started?
2. What are the potential benefits and risks of taking additional medication?
3. Are there lifestyle changes or non-medical interventions that could help regulate my cycle?
In addition, if your menstrual cycle continues to be irregular or if you experience other symptoms such as severe pain, excessive bleeding, or significant mood changes, it is important to follow up with your healthcare provider. They may recommend further evaluation, including blood tests to check hormone levels or imaging studies to rule out any anatomical issues.
In summary, while it is understandable to be concerned about the necessity of ongoing medication after your period has started, it is essential to communicate openly with your healthcare provider. They can provide clarity on the treatment plan and help you make informed decisions about your health. If you feel uncomfortable with the prescribed treatment, seeking a second opinion can also be a valuable step in ensuring that you receive the best care for your situation.
Similar Q&A
Understanding Delayed Menstruation: When to Seek Medical Advice
Hello Doctor: My last menstrual period was at the end of August last year, and I haven't had one since. I am certain that I am not pregnant, as I have never engaged in sexual intercourse. I am a student and for the past week, I have had to go directly to work or attend tutor...
Dr. Liu Yuhong reply Obstetrics and Gynecology
If menstruation has not occurred for more than three months and pregnancy has been ruled out, it is advisable to seek medical evaluation. There may be hormonal issues involved. Blood tests can help identify the underlying causes of menstrual irregularities.[Read More] Understanding Delayed Menstruation: When to Seek Medical Advice
Important Considerations When Taking Menstrual Delay Medication
If a patient has irregular menstrual cycles, typically ranging from 30 to 35 days, and is experiencing a delay of 42 days due to stress (with the last period starting on March 21), and is considering taking medication to delay menstruation for a trip from May 5 to 7, there are se...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
It is recommended to consult with an obstetrician-gynecologist to assess the appropriateness of medication use and the duration of treatment. Thank you.[Read More] Important Considerations When Taking Menstrual Delay Medication
Understanding Delayed Menstruation: When to Seek Treatment?
About three to four months ago, I experienced a delayed menstrual period. At that time, I went for an examination and received a medication to induce menstruation, after which my period returned. For the following two to three months, my menstrual cycle was regular (approximately...
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, your period can be delayed for 1 to 2 weeks. If your period does not arrive, it is recommended to see a gynecologist. Wishing you good health.[Read More] Understanding Delayed Menstruation: When to Seek Treatment?
Delayed Menstruation: When to Wait and When to Seek Medical Advice
Hello doctor, my last menstrual period started on June 19, with a cycle of about 28-30 days. I had sexual intercourse in mid-July (with a condom the entire time), and my period has not arrived yet. I took a pregnancy test on July 21 and got one line, and the same result on July 2...
Dr. Huang Jianzhong reply Obstetrics and Gynecology
Last month's menstruation started on June 19, with a cycle of approximately 28-30 days. There was sexual intercourse in mid-July (with condom use throughout). Currently, menstruation has not yet arrived. A pregnancy test on July 21 showed one line, and another test on July 2...[Read More] Delayed Menstruation: When to Wait and When to Seek Medical Advice
Related FAQ
(Obstetrics and Gynecology)
Delayed Menstruation(Obstetrics and Gynecology)
Medication To Induce Menstruation(Obstetrics and Gynecology)
Menstrual Abnormalities(Obstetrics and Gynecology)
Premenstrual Syndrome(Obstetrics and Gynecology)
First Menstruation(Obstetrics and Gynecology)
Menstrual Regulation(Obstetrics and Gynecology)
Due Date(Obstetrics and Gynecology)
Ovulation Medication(Obstetrics and Gynecology)
Ovulation Period(Obstetrics and Gynecology)