the Risks of 21-Day Menstrual Regulation Pills - Obstetrics and Gynecology

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I have been experiencing delayed menstruation every month, and the doctor prescribed a 21-day menstrual regulation medication?


Hello! I have been experiencing delayed menstruation every month, and my doctor prescribed a 21-day menstrual regulation medication (Aisilian coated tablets).
I would like to inquire about the risks associated with taking this medication.
Will it cause my menstrual cycle to become irregular in the future if I stop taking it? Additionally, will taking this medication make it more difficult for me to conceive? How long should I take this medication?

Xiao Meng, 20~29 year old female. Ask Date: 2018/09/28

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the oral contraceptive pill (COC) not only effectively prevents pregnancy but also helps regulate menstrual cycles, reduce menstrual flow, and shorten the duration of menstrual bleeding, all of which contribute positively to women's health.
Due to these benefits, some clinicians also use combined oral contraceptives to treat and improve menstrual issues caused by uterine fibroids or endometriosis, as well as to address endocrine disorders.
Common side effects of contraceptive pills include headaches, dizziness, heavy or irregular menstrual bleeding, nausea, vomiting, edema, increased cervical mucus, cervical hypertrophy, increased appetite, weight gain, skin itching, acne, fatigue, depression, flushing, feelings of weakness, breast tenderness, and increased risk of yeast infections, among others.
The duration of use should be discussed with the prescribing physician, taking into account the improvement of symptoms thereafter.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2018/09/28

More Info


When considering the use of 21-day menstrual regulation pills, such as the ones you mentioned (likely a form of hormonal contraceptive), it's essential to understand both the benefits and potential risks associated with their use. These medications are often prescribed to help regulate menstrual cycles, alleviate symptoms of premenstrual syndrome (PMS), and can also serve as a form of contraception.


Risks and Side Effects
1. Hormonal Side Effects: The primary active ingredients in these pills are hormones, which can lead to side effects such as nausea, headaches, breast tenderness, mood swings, and changes in libido. Some women may also experience breakthrough bleeding or spotting, especially during the first few months of use.

2. Blood Clots: There is a slightly increased risk of developing blood clots, particularly in women who smoke, are over 35, or have a history of clotting disorders. It's crucial to discuss your personal and family medical history with your healthcare provider to assess your risk.

3. Impact on Future Fertility: Generally, using hormonal contraceptives does not have a long-term negative effect on fertility. Most women can conceive shortly after discontinuing the pills. However, it may take a few cycles for your menstrual cycle to return to its natural rhythm after stopping the medication.

4. Menstrual Irregularities: While these pills are designed to regulate your menstrual cycle, some women may experience irregularities, especially during the initial months of use. It is not uncommon for your body to take some time to adjust to the hormonal changes.


Duration of Use
The duration for which you should take these pills can vary based on your specific health needs and the recommendation of your healthcare provider. Some women may take them for a few months to regulate their cycle, while others may use them for longer periods as a contraceptive method. It's essential to have regular follow-ups with your doctor to monitor your health and any side effects you may experience.


Future Menstrual Health
Using menstrual regulation pills should not permanently disrupt your menstrual cycle. However, if you have concerns about your menstrual regularity after stopping the medication, it is advisable to consult with your healthcare provider. They can help determine if there are underlying issues that need to be addressed.


Conclusion
In summary, while 21-day menstrual regulation pills can be effective for managing irregular menstrual cycles, they come with potential risks and side effects that should be carefully considered. It's important to have an open dialogue with your healthcare provider about your concerns, including the impact on future fertility and menstrual health. They can provide personalized advice based on your medical history and current health status. Always follow your doctor's instructions regarding the duration and usage of any medication, and report any unusual symptoms or side effects you may experience while taking these pills.

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