Missed Menstrual Regulation Pills: Should You See a Doctor? - Obstetrics and Gynecology

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Missed a dose of menstrual regulation medication?


Hello doctor, last month I went to see a doctor because my period didn't come, and I took medication to induce menstruation.
After that, the doctor advised me to take menstrual regulation medication, which consists of two types: a white pill and a blue pill.
However, I forgot to take the blue pill for two days, and as a result, my period started, which was 23 days later than the first day of my last period.
The flow is also a bit heavy.
Should I see a doctor?

Mei Er, 10~19 year old female. Ask Date: 2016/09/12

Dr. Cai Yonglong reply Obstetrics and Gynecology


Hello: If you forget to take your menstrual regulation medication and experience bleeding, it is considered withdrawal bleeding, not menstruation.
Please continue taking the medication for another 2-3 days, and the bleeding should stop.
If it does not stop, please consult a gynecologist.

Reply Date: 2016/09/12

More Info


When it comes to missed menstrual regulation pills and changes in your menstrual cycle, it's important to understand the implications and when to seek medical advice. Based on your situation, it seems that you have experienced a delay in your menstrual cycle, which prompted you to see a doctor and start taking medication to regulate it. However, you missed two doses of the blue pills, and now your period has arrived, albeit later than expected and with heavier flow than usual.

First, it’s crucial to recognize that hormonal medications, including those used for menstrual regulation, can affect your cycle in various ways. Missing doses can lead to fluctuations in hormone levels, which may cause irregularities in your menstrual cycle, such as delayed periods or changes in flow. The fact that your period came 23 days later than your last one could be a result of the hormonal adjustments your body is undergoing due to the medication and the missed doses.

In general, if you experience a significant change in your menstrual cycle, such as a heavy flow or prolonged bleeding, it is advisable to consult with your healthcare provider. Heavy menstrual bleeding (menorrhagia) can have several causes, including hormonal imbalances, uterine abnormalities, or other underlying health issues. Since you mentioned that the flow is heavier than usual, it would be prudent to seek medical attention to rule out any complications and ensure that everything is functioning as it should.

Additionally, if you have any other symptoms accompanying your heavy flow, such as severe pain, dizziness, or fatigue, these could indicate a more serious issue that requires immediate medical evaluation. It’s also important to discuss your missed doses with your doctor, as they may need to adjust your treatment plan or provide guidance on how to manage missed pills in the future.

In summary, while it is not uncommon for menstrual cycles to be irregular after starting or adjusting hormonal medications, the combination of missed doses and a significant change in your menstrual flow warrants a visit to your healthcare provider. They can provide a thorough evaluation, address any concerns you may have, and help you navigate your treatment options moving forward. Remember, your health is paramount, and it’s always better to err on the side of caution when it comes to changes in your menstrual health.

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