Irregular Periods: Causes, Treatments, and Future Implications

Irregular menstrual cycle?

I got my first period when I was in the first grade, but after that, my menstrual cycle has not been regular, and I have to rely on medication to induce my period.
I usually don't experience any abdominal pain, and aside from the first time when the flow was heavy, everything else seems normal.
I don't have a lot of stress, and I have been to the hospital for examinations, where the doctor said my uterus is fine, but it may be difficult for me to get pregnant in the future.
I would like to ask if I have to keep taking medication? What would happen if I stop taking the medication?

Jie, 10~19 year old female. Ask Date: 2017/06/13

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I got my first period in seventh grade, but after that, it has never been regular and I have to rely on medication to induce it.
I usually don't experience any pain in my abdomen, and aside from the first time when the flow was heavy, everything else has been normal.
I don't have much stress, and I have been to the hospital for examinations where the doctor said my uterus is fine, but it may be difficult for me to conceive in the future.

1.
Do I have to keep taking medication?
Answer: No, you do not need to take medication continuously.
2.
What happens if I don't take medication?
Answer: If your period does not come for more than three months, you can take medication to induce menstruation.

Reply Date: 2017/06/13

More Info

Understanding irregular periods is crucial for women’s health, as it can have implications for fertility and overall well-being. Irregular menstrual cycles can be caused by a variety of factors, including hormonal imbalances, lifestyle choices, and underlying medical conditions. In your case, it appears that you have experienced irregular periods since your first menstruation, which is not uncommon, especially in younger women.
Irregular periods can be defined as cycles that are shorter than 21 days or longer than 35 days, or if the cycle varies significantly from month to month. In your situation, since you mentioned that you rely on medication to induce menstruation, it suggests that your body may not be producing the necessary hormones to trigger a regular cycle on its own. This could be due to several reasons, including polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances.

The fact that your doctor has indicated that your uterus appears normal is a positive sign. However, the concern about potential difficulties in conceiving in the future is valid. Irregular periods can sometimes indicate that ovulation is not occurring regularly, which can affect fertility. It’s important to monitor your menstrual health and discuss any changes with your healthcare provider.

Regarding the use of medication to regulate your periods, it is common for doctors to prescribe hormonal treatments, such as birth control pills, to help establish a more regular cycle. These medications can help balance hormone levels, reduce the risk of endometrial hyperplasia (a condition where the lining of the uterus becomes too thick), and provide relief from other symptoms associated with irregular periods. However, it is understandable to be concerned about the long-term reliance on medication.

If you choose not to take medication, your body may continue to have irregular cycles. This could lead to prolonged periods without menstruation, which can increase the risk of complications such as endometrial hyperplasia or even endometrial cancer in the long run. Additionally, without regular ovulation, you may face challenges when trying to conceive later on.

It is essential to have an open dialogue with your healthcare provider about your concerns and the potential implications of both taking and not taking medication. They may suggest lifestyle modifications that could help regulate your cycle, such as maintaining a healthy weight, managing stress, and ensuring a balanced diet. Regular exercise can also play a role in hormonal balance.

In conclusion, while medication can help manage irregular periods, it is vital to understand the underlying causes and implications for your reproductive health. Regular follow-ups with your healthcare provider can help monitor your condition and adjust treatment as necessary. If you have concerns about fertility or the long-term use of medication, consider seeking a referral to a specialist, such as an endocrinologist or a reproductive health expert, who can provide more tailored advice and treatment options.

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