Managing Irregular Periods: Insights on Treatment and Concerns

Irregular menstrual cycle?

Hello Doctor: I originally had severe menstrual pain, and I tried traditional Chinese medicine for treatment at the end of last year, which helped a bit.
However, after the treatment, my menstrual cycle became irregular, and for the past six months, I have only been able to menstruate with medication.
An ultrasound examination revealed a slight issue with endometriosis.
My ovaries have also undergone two surgeries due to teratomas and chocolate cysts, so the prescribing physician believes my ovarian function is relatively weak and that I shouldn't be too anxious.
However, it seems that this month may replicate the same situation.
Should I continue taking medication and wait for my cycle to return to normal, or should I go to a larger hospital for further examination? (Pregnancy can be ruled out this month.) Additionally, I am concerned about the continuous use of medication and whether it might burden my body.
I am also worried that my body might become accustomed to the medication, and I wonder if this is an overreaction.
I hope you can provide me with some advice.
Thank you.

Joyce, 20~29 year old female. Ask Date: 2016/06/13

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the factors that can affect the menstrual cycle or cause bleeding outside of menstruation are numerous, including environmental factors, lifestyle, stress, emotional instability, diet, age, lesions in the uterus or cervix, and pregnancy, among others.
It is advisable to consult a gynecologist if the symptoms persist or worsen to determine if there is a hormonal imbalance or other underlying causes.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2016/06/13

More Info

Managing irregular periods can be a complex issue, especially when there are underlying conditions such as endometriosis, previous surgeries, and hormonal imbalances. Your situation, as described, involves a history of severe menstrual pain, endometriosis, and ovarian surgeries, which can all contribute to irregular menstrual cycles.
First, it's important to understand that irregular periods can be influenced by a variety of factors, including hormonal fluctuations, stress, lifestyle changes, and underlying medical conditions. In your case, the presence of endometriosis and previous surgeries on your ovaries may have disrupted your hormonal balance, leading to irregular cycles.
You mentioned that you have been taking medication to induce your period, which is a common approach for managing irregular cycles. Medications such as hormonal contraceptives or progestins can help regulate your menstrual cycle by providing the hormones your body may not be producing adequately. However, it's crucial to monitor how your body responds to these medications. If you find that you are reliant on medication to induce your period each month, it may be worth discussing with your healthcare provider the possibility of further evaluation or alternative treatments.

Regarding your concern about the long-term use of medication, it's valid to be cautious. While many women use hormonal treatments for extended periods without significant issues, there can be side effects, and the body can sometimes adapt to these medications. It's essential to have regular follow-ups with your healthcare provider to assess the effectiveness of the treatment and to make any necessary adjustments. They can also help monitor for any potential side effects or complications that may arise from long-term medication use.

If you are considering further evaluation, it may be beneficial to consult with a specialist, such as a reproductive endocrinologist or a gynecologist with experience in managing endometriosis and irregular menstrual cycles. They can perform more comprehensive assessments, including blood tests to evaluate hormone levels, imaging studies to assess the status of your endometriosis, and possibly a hysteroscopy if there are concerns about the uterine lining.

In addition to medical management, lifestyle factors can also play a significant role in regulating menstrual cycles. Regular exercise, a balanced diet, stress management techniques, and adequate sleep can all contribute to hormonal balance and overall well-being. Some women find that complementary therapies, such as acupuncture or herbal supplements, can also help manage symptoms, although these should be approached with caution and discussed with your healthcare provider.

In summary, it is essential to maintain open communication with your healthcare provider about your symptoms and treatment options. If you feel that your current treatment plan is not adequately addressing your concerns or if you have ongoing worries about your health, seeking a second opinion or further evaluation may provide you with the reassurance and guidance you need. Remember, managing irregular periods is often a multifaceted approach that may require adjustments over time to find the best solution for your individual needs.

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