Menstrual Issues: Insights on Irregular Cycles and Symptoms

Menstrual issues?

Hello doctor, I took emergency contraception in August and experienced bleeding for 16 days.
I visited a gynecologist who performed an ultrasound, a transvaginal ultrasound, and a pelvic exam.
The doctor administered a uterine contraction injection.
My period was due on September 3, but the doctor mentioned that I have hormonal imbalance.
He said that after the injection, my period would likely come in about ten days.
However, I am currently experiencing tenderness when I pinch my nipples, which I used to feel before my period, but I haven't noticed any breast engorgement yet, which I usually experience before my period.
I took a pregnancy test, and it showed one line.
Now I am feeling dizzy, as if I have a cold, and sometimes I experience dull pain in my abdomen.
My stomach occasionally feels like it is moving, and I am unsure if I am overthinking things.
Doctor, will my period come?

Cindy, 20~29 year old female. Ask Date: 2019/09/12

Dr. Huang Jianzhong reply Obstetrics and Gynecology

In August, I took emergency contraception and experienced bleeding for 16 days.
I visited a gynecologist who performed an ultrasound, a transvaginal ultrasound, and a pelvic exam.
The doctor administered a uterine contraction injection.
My period was originally expected on September 3, but the doctor mentioned that I have hormonal imbalance.
He said that my period would likely come in about ten days after the injection.
Currently, when I pinch my nipples, I feel a dull pain, which I used to experience before my period, but I haven't noticed any breast engorgement yet, which I typically had before my period.
I took a pregnancy test, and it showed one line.
Now, I am feeling dizzy, as if I have a cold, and sometimes I experience a dull pain in my abdomen.
My stomach occasionally feels like it is moving, and I wonder if I'm overthinking things.
Doctor, will my period come? Answer: Yes, your period will come.

Reply Date: 2019/09/12

More Info

It sounds like you're experiencing a complex situation with your menstrual cycle and related symptoms. Based on your description, it appears that you have taken emergency contraception, which can sometimes lead to irregular bleeding or changes in your menstrual cycle. The fact that you experienced prolonged bleeding for 16 days after taking the emergency contraceptive pill is not uncommon, as these medications can disrupt the normal hormonal balance in your body.

The symptoms you are experiencing, such as breast tenderness (soreness when you pinch your nipples), abdominal discomfort, and dizziness, can be associated with hormonal fluctuations. After taking emergency contraception, your body may take some time to readjust, which can lead to symptoms similar to those experienced before menstruation. The injection you received to stimulate uterine contractions was likely intended to help regulate your menstrual cycle, but it may take some time for your body to respond fully.

Regarding your concerns about whether your period will come, it's important to understand that hormonal imbalances can lead to delayed menstruation. Since your doctor indicated that your menstrual cycle might be delayed due to hormonal issues, it is possible that your period may not arrive exactly when you expect it. The fact that you have taken a pregnancy test and received a negative result is reassuring, but if your period does not arrive within a reasonable timeframe, it may be worth consulting your healthcare provider again.

Dizziness and feelings of abdominal discomfort can sometimes be attributed to stress or anxiety, especially if you are worried about your menstrual cycle or potential pregnancy. It's also possible that these symptoms could be related to other factors, such as changes in diet, hydration, or overall health.

In terms of your menstrual health, it is crucial to maintain open communication with your healthcare provider. If your symptoms persist or worsen, or if you have any new concerns, such as severe pain or unusual discharge, you should seek medical attention promptly. Your healthcare provider may recommend further evaluation, such as blood tests to check hormone levels or additional imaging studies, to ensure that there are no underlying issues that need to be addressed.

In summary, while it is understandable to feel anxious about your menstrual cycle and related symptoms, it is essential to give your body some time to adjust after taking emergency contraception. If your period does not arrive soon or if you have any concerning symptoms, do not hesitate to reach out to your healthcare provider for further guidance and support. They can help you navigate this situation and provide the necessary care to address your concerns.

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