Should You Continue or Stop Taking Menstrual Induction Medication? - Obstetrics and Gynecology

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Taking menstrual induction medication?


If your period is 9 days late and after seeing a doctor on the 9th day, an ultrasound showed a thickened endometrium and pregnancy was ruled out, and you were prescribed medication to induce menstruation, it is common to experience brown discharge after taking the medication.
This brown discharge may indicate the beginning of your period.
However, if you have concerns about whether to continue or stop the medication, it is best to consult your healthcare provider for personalized advice based on your specific situation.

denddys, 40~49 year old female. Ask Date: 2019/04/10

Dr. Huang Jianzhong reply Obstetrics and Gynecology


After a delay of 9 days in menstruation, a doctor was consulted on the evening of the 9th day.
An ultrasound revealed a thickened endometrium, and pregnancy was ruled out.
The doctor prescribed medication to induce menstruation.
After taking the medication for two meals, brown discharge was observed the following day at noon, but no red blood was seen.
Should the medication be stopped or continued? Answer: The medication should be stopped.

Reply Date: 2019/04/10

More Info


When it comes to menstrual induction medication, it is essential to understand the purpose of the medication and the body's response to it. In your case, you have been prescribed medication to induce menstruation after a delay of nine days, and you have started noticing some changes, such as brown discharge, which can be a sign that your body is responding to the medication.

Firstly, brown discharge often indicates old blood that is being expelled from the uterus, which can occur as the body prepares for menstruation. This is not uncommon and can happen when the uterine lining is shedding. It is a positive sign that the medication may be working. However, the absence of bright red menstrual flow can lead to uncertainty about whether to continue or stop the medication.

Here are some considerations to help you decide whether to continue or stop the medication:
1. Follow Medical Advice: It is crucial to adhere to the instructions provided by your healthcare provider. If the doctor prescribed the medication for a specific duration, it is generally advisable to complete the course unless you experience adverse effects or have specific concerns.

2. Monitor Symptoms: Keep track of any changes in your symptoms. If the brown discharge continues and eventually turns into a regular menstrual flow, this indicates that the medication is likely effective. However, if you experience severe pain, heavy bleeding, or any other concerning symptoms, you should contact your healthcare provider immediately.

3. Consult Your Doctor: Since you have already seen a doctor, it is wise to reach out to them again if you have any doubts about continuing the medication. They can provide personalized advice based on your medical history and current condition. If you are unsure about the brown discharge or if it persists without progressing to a full menstrual flow, your doctor may want to reassess your situation.

4. Potential Side Effects: Be aware of any side effects from the medication. Common side effects can include nausea, headaches, or changes in mood. If you experience any severe side effects, it may be necessary to stop the medication and consult your healthcare provider.

5. Timing of Medication: If you have only taken the medication for a short period, it may be too early to determine its effectiveness fully. Some medications may take a few days to show results, so patience is essential.

In summary, if you are experiencing brown discharge after starting the menstrual induction medication, it is generally a sign that your body is responding. However, it is crucial to follow your doctor's advice, monitor your symptoms, and consult with them if you have any concerns. If the discharge does not progress to a full menstrual flow or if you experience any adverse effects, do not hesitate to seek medical advice. Your health and well-being should always come first, and your healthcare provider is the best resource for guidance in this situation.

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