Should I Return to the Hospital for My Irregular Period Concerns?

Do I need to go to the hospital again?

Hello doctor, my menstrual cycle is generally regular, ranging from 29 to 31 days.
My last period started on April 17, and on April 18, I had unprotected intercourse with my boyfriend, but we used a condom throughout.
My period was due on May 16, but it hasn't arrived yet.
I took a pregnancy test, and the result was negative (one line), so I continued to wait for my period.
On May 26, I visited a gynecologist, but I didn't take a pregnancy test at that time; I just told the doctor about my irregular period.
An ultrasound was performed, and they found a 13 cm hematoma in my right ovary, but the left side wasn't specifically examined.
The doctor prescribed me medication to induce menstruation, and today is the third day of taking it, but I still haven't seen any signs.
Is it possible that I could be pregnant? If my period doesn't come after finishing the medication, how many days should I wait before returning for a follow-up? Thank you!

Niming, 20~29 year old female. Ask Date: 2020/05/29

Dr. Wu Xianghui reply Obstetrics and Gynecology

A 13 cm ovarian hematoma is an uncommon phenomenon, and it is recommended to actively follow up with medical appointments.

Reply Date: 2020/05/29

More Info

It sounds like you're experiencing some concerning symptoms related to your menstrual cycle, and it's understandable to feel anxious about it. Based on the information you've provided, it seems that your menstrual cycle has been regular until recently, and you have had a delay in your period after a potential risk of pregnancy. You also mentioned that you took a pregnancy test that came back negative, and you have been prescribed medication to induce your period.

Given these circumstances, here are some important points to consider:
1. Negative Pregnancy Test: A negative pregnancy test, especially if taken after a missed period, generally indicates that you are not pregnant. However, it is important to note that some women may still experience a missed period even if they are pregnant, particularly if the test is taken too early. If you have any doubts, you may want to repeat the test a few days after your missed period or consult with your healthcare provider for a blood test, which can detect pregnancy earlier and more accurately.

2. Hormonal Imbalance: Irregular periods can often be attributed to hormonal imbalances. Stress, changes in weight, exercise habits, and other lifestyle factors can all impact your menstrual cycle. The presence of a hematoma (blood accumulation) in your right ovary, as noted in your ultrasound, could also be contributing to your irregular cycle. This condition may require monitoring, and your doctor may want to evaluate it further if it does not resolve.

3. Medication for Inducing Menstruation: The medication you were prescribed is intended to help regulate your cycle and induce menstruation. It is not uncommon for it to take a few days for your period to start after beginning this medication. If you do not see any signs of menstruation after completing the course of medication, it is advisable to follow up with your healthcare provider.

4. When to Return to the Doctor: If you finish the medication and your period still does not arrive within a week, or if you experience any unusual symptoms (such as severe pain, heavy bleeding, or other concerning signs), you should definitely return to your doctor. It is important to keep an open line of communication with your healthcare provider regarding any changes or concerns you have.

5. Monitoring Symptoms: Keep track of any additional symptoms you may experience, such as changes in mood, weight fluctuations, or any physical discomfort. This information can be helpful for your doctor in determining the underlying cause of your irregular periods.

In conclusion, while it is possible that your irregular period is due to hormonal fluctuations or the effects of the medication, it is essential to stay vigilant. If your period does not return after completing the medication, or if you have any other concerns, do not hesitate to reach out to your healthcare provider for further evaluation. Your health and peace of mind are paramount, and your doctor can provide the necessary guidance and support.

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