Irregular Bleeding After Menstrual Induction Medication - Obstetrics and Gynecology

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Is my period about to start?


Hello doctor, I took a three-day course of menstrual induction medication from the obstetrics and gynecology department on July 18, as I want to avoid my period during my trip in early August.
After finishing the medication, I noticed light brown discharge when I went to the bathroom on July 23.
At that moment, I thought my period was about to start, but it didn't come throughout the day.
On July 24, I noticed a slightly darker discharge than the previous day, and as of today, I still haven't seen the normal color and flow of my period.
However, the color has changed to dark red, but the amount is very minimal.
I would like to ask: 1.
Does this light bleeding count as my period for July? 2.
Is the light flow due to the menstrual induction medication? 3.
Am I going to have just a drop or two every day for about ten days? 4.
Does an increase in flow indicate that my period is coming soon?

CHIA CHIA, 20~29 year old female. Ask Date: 2017/07/25

Dr. Huang Jianzhong reply Obstetrics and Gynecology


On July 18, I visited the obstetrics and gynecology department and received a three-day supply of medication to induce menstruation (because I want to avoid my period during my trip in early August).
After finishing the medication, I noticed light brown discharge when I went to the bathroom on July 23.
At that moment, I thought my period was about to start, but I didn't have any bleeding for the rest of the day.
On July 24, I noticed a slightly darker discharge than the previous day, and as of today, I still haven't experienced the normal color and flow of my period.
However, the color has changed to dark red, but the amount is still very minimal.
I would like to ask: 1.
Does this light bleeding count as my period for July? Answer: Yes.
2.
Is this light flow due to the medication I took to induce menstruation? Answer: Yes.
3.
Is it possible that I will have just a drop or two every day for about ten days? Answer: Not necessarily.
4.
Does an increase in flow indicate that my period is coming soon? Answer: If the flow increases, it indicates that your period has started.

Reply Date: 2017/07/25

More Info


Irregular bleeding after taking menstrual induction medication can be a common occurrence, and it’s important to understand the underlying mechanisms and what to expect. Here’s a comprehensive response to your questions based on medical knowledge.

1. Is this light bleeding considered my July period?
The light bleeding you are experiencing could be a result of the menstrual induction medication. When you take such medications, they can cause a withdrawal bleed, which may not resemble your typical menstrual flow. If the bleeding is light and not accompanied by the usual symptoms of menstruation (like cramping or heavier flow), it may not be considered a full menstrual period. However, it can still be counted as a menstrual cycle, especially if it is the only bleeding you experience in July.

2. Is the light bleeding due to the menstrual induction medication?
Yes, the light bleeding you are experiencing is likely a side effect of the menstrual induction medication. These medications work by altering hormone levels to trigger a menstrual-like response. This can lead to irregular bleeding patterns, including light spotting or a lighter flow than usual. It’s not uncommon for women to experience variations in their menstrual cycle after taking such medications.

3. Will I continue to have light spotting for an extended period?
It is possible to experience light spotting for several days after taking menstrual induction medication. Some women may have spotting that lasts a few days to a week. If the bleeding remains light and does not progress to a heavier flow, it may simply be a result of the hormonal changes induced by the medication. However, if you find that the spotting persists for an unusually long time (more than a week) or if it becomes heavier, it would be advisable to consult your healthcare provider.

4. Does increasing bleeding indicate that my period is approaching?
If the bleeding starts to increase in volume and changes in color, it may indicate that your menstrual flow is beginning. Typically, menstrual bleeding starts light, becomes heavier, and then tapers off. However, since you are experiencing irregularities due to the medication, it’s hard to predict exactly how your body will respond. If the bleeding becomes heavier and is accompanied by typical menstrual symptoms, it could signify the onset of your period.

Additional Considerations:
- Monitoring Symptoms: Keep track of your symptoms, including the amount and color of the bleeding, any associated pain, and the duration of the bleeding. This information can be helpful for your healthcare provider if you need to seek further advice.

- Consulting a Healthcare Provider: If you experience any concerning symptoms, such as heavy bleeding (soaking through a pad in an hour), severe pain, or if the irregular bleeding continues beyond what you consider normal, it’s important to consult your healthcare provider. They can perform an evaluation to rule out any underlying issues.

- Future Cycles: After taking menstrual induction medication, your subsequent cycles may also be affected. It may take a few months for your menstrual cycle to return to its regular pattern. Hormonal fluctuations can lead to variations in cycle length, flow, and symptoms.

In conclusion, while irregular bleeding after taking menstrual induction medication can be concerning, it is often a temporary side effect. Monitoring your symptoms and maintaining open communication with your healthcare provider will help ensure that any potential issues are addressed promptly.

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