Delayed Menstruation: When to Seek Treatment and Medication - Obstetrics and Gynecology

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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.

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