Will stopping menstrual regulation medication on your own cause irregular menstruation?
Hello Doctor: Due to my menstrual period not ending normally, I have been experiencing intermittent bleeding for nearly a month.
After visiting the doctor and undergoing an ultrasound, no significant abnormalities were found.
The doctor initially prescribed a 3-day course of hemostatic medication (mefenamic acid capsules + tranexamic acid + Geloon), which effectively stopped the bleeding.
During my follow-up visit, the doctor prescribed a 12-day course of menstrual regulation medication (Domperidone + Winstop), and after completing the course, I was instructed to stop the medication for 3 days to allow my period to return to normal.
Following the doctor's advice, I was to return for a check-up during heavy menstrual flow.
The doctor also instructed me to take the same medication (Domperidone + Winstop) for 11 days starting on the 5th day after my period, and I was advised not to stop the medication on my own.
However, there was no clear indication of how long the treatment would last; it was only suggested that I follow the doctor's instructions for periodic check-ups and take the menstrual regulation medication.
I am concerned about long-term reliance on medication and would like to know if it is possible to stop taking the menstrual regulation medication and allow my body to naturally restore its physiological cycle.
Anqi, 20~29 year old female. Ask Date: 2020/06/23
Dr. Wu Xianghui reply Obstetrics and Gynecology
1.
Yes.
2.
Abnormal bleeding and irregular menstrual cycles can have many underlying causes; it is recommended to consult a gynecologist for evaluation in an outpatient setting.
Reply Date: 2020/06/23
More Info
When it comes to menstrual regulation medications, the question of whether stopping them can lead to irregular periods is quite pertinent. Medications like Domperidone and Winstop are often prescribed to help regulate menstrual cycles, especially in cases where there are irregularities or excessive bleeding. These medications work by influencing hormonal levels and uterine contractions, which can help in managing menstrual flow and timing.
When you stop taking these medications, your body may take some time to readjust to its natural hormonal rhythms. This adjustment period can lead to irregular periods, as your body may not immediately return to its baseline hormonal state. Factors such as stress, weight changes, and underlying health conditions can also contribute to menstrual irregularities during this time.
In your case, since you have been on a regimen of hormonal medications, it is not uncommon to experience some irregularities after discontinuation. The medications you were prescribed likely helped to stabilize your menstrual cycle while you were taking them. Once you stop, your body may need time to recalibrate its hormonal balance, which can result in periods that are lighter, heavier, or even delayed.
If you are concerned about the potential for irregular periods after stopping the medication, it is essential to communicate this with your healthcare provider. They can provide guidance on what to expect and may suggest alternative methods for managing your menstrual health if you prefer not to rely on medication long-term.
In terms of managing your menstrual cycle naturally, there are several lifestyle changes and practices that can support hormonal balance. Regular exercise, a balanced diet rich in whole foods, adequate hydration, and stress management techniques such as yoga or meditation can all contribute positively to menstrual health. Additionally, tracking your menstrual cycle can help you identify patterns and any irregularities that may arise after stopping medication.
If you decide to discontinue the medication, it is advisable to do so under the supervision of your healthcare provider. They can help monitor your progress and address any concerns that may arise during the transition. If you experience significant irregularities or other concerning symptoms, such as severe pain or excessive bleeding, it is crucial to seek medical attention promptly.
In summary, stopping menstrual regulation medication can indeed lead to irregular periods as your body readjusts to its natural hormonal cycle. While this can be a normal part of the process, maintaining open communication with your healthcare provider is key to ensuring that you receive the support and guidance you need during this transition. They can help you navigate any challenges and explore alternative options for managing your menstrual health without long-term reliance on medication.
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