Mid-Cycle Bleeding: Should You Continue Hormonal Treatment? - Obstetrics and Gynecology

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Bleeding on the 17th day of the menstrual cycle?


Hello Doctor: My menstrual period started on August 21, but I experienced some bleeding on September 6 (I have been taking ovulation medication, hormones, and progesterone in preparation for pregnancy).
I went to the hospital yesterday, and the doctor (A) believed it was ovulatory bleeding and advised me to stop taking progesterone and hormones.
However, the doctor (B) who originally prescribed the medication told me to continue taking them.
Should I take the progesterone or not? I am concerned that having intercourse after the bleeding might lead to an infection, and I am also worried that the bleeding might worsen.
Is it safe for me to have intercourse (as I want to conceive)?

ting, 20~29 year old female. Ask Date: 2016/09/07

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, ovulatory bleeding should not be related to progesterone.
If you are trying to conceive, it is still possible to take progesterone.
Wishing you good health.

Reply Date: 2016/09/07

More Info


Mid-cycle bleeding, also known as ovulatory bleeding, can occur in some women and is often considered a normal physiological response to hormonal fluctuations during the menstrual cycle. It typically happens around the time of ovulation, which is when an egg is released from the ovary. This bleeding can be light and may last for a few hours to a couple of days. However, it can also be concerning, especially for women who are trying to conceive or those who are on hormonal treatments.

In your case, you mentioned that you experienced mid-cycle bleeding on September 6 after your period started on August 21. You are currently taking ovulation medications and hormonal treatments, including progesterone (which you referred to as "黄体素"). You received conflicting advice from two different doctors regarding whether to continue your hormonal treatment.

Doctor A suggested that the bleeding is ovulatory and advised you to stop taking progesterone and other hormonal medications. On the other hand, Doctor B recommended that you continue with the hormonal treatment. This discrepancy can understandably lead to confusion and concern about how to proceed.

When considering whether to continue hormonal treatment, it is essential to weigh the potential benefits and risks. Hormonal treatments, such as progesterone, are often prescribed to help regulate the menstrual cycle, support the luteal phase after ovulation, and prepare the endometrium for potential implantation of a fertilized egg. Stopping these medications abruptly could potentially disrupt your cycle further, especially if you are trying to conceive.

If the bleeding is indeed ovulatory, it may not pose a significant risk to your health or your ability to conceive. However, if the bleeding is heavier than expected or accompanied by pain, it may indicate an underlying issue that requires further investigation. It is crucial to monitor the bleeding and any associated symptoms closely.

Regarding your concerns about engaging in sexual intercourse while experiencing mid-cycle bleeding, it is generally safe to have intercourse unless you are experiencing heavy bleeding or significant discomfort. However, if you are worried about the risk of infection or exacerbating the bleeding, it may be wise to wait until the bleeding resolves and you have a clearer understanding of your situation.

Given the conflicting advice from your doctors, it would be beneficial to seek a third opinion or return to one of the doctors for clarification. Bring any questions or concerns you have about the bleeding, the hormonal treatment, and your desire to conceive. It may also be helpful to ask about the potential causes of the bleeding and whether any further tests are needed to rule out other conditions, such as polyps, fibroids, or hormonal imbalances.

In summary, mid-cycle bleeding can be a normal occurrence, but it is essential to monitor your symptoms and seek clarity from your healthcare providers. Continuing hormonal treatment may be beneficial, but it is crucial to make an informed decision based on your specific circumstances and the advice of your healthcare team. Always prioritize open communication with your doctors to ensure you receive the best care tailored to your needs.

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