Estrogen Therapy: Is It Right for Your Irregular Periods?

Estrogen (Esterified Estrogens)

Hello Doctor, I have been experiencing irregular menstrual cycles.
On August 25th, I had intercourse with my boyfriend using a condom, and he did not ejaculate.
I checked the condom afterward, and it was intact.
The next day, on the 26th, I had some light bleeding that lasted until the 28th, when it turned brown.
Six months ago, I also experienced some post-coital bleeding, which was minimal and resolved within a few days before my period started, so I didn't think much of it at that time.
Last month, my period started on July 30th and ended on August 5th, so I expected my next period around September 3rd.
Could the bleeding on the 26th be due to hormonal imbalance or ovulation bleeding? I visited a clinic on August 28th and explained my situation to the doctor.
After a pelvic exam, he told me it was due to hormonal imbalance and instability, which is why I experienced the bleeding.
He also mentioned that it seemed like I would ovulate later this month, and my period might not arrive until around September 11th.
He prescribed "Yisde," which I should take for four days and then return for a follow-up to check on the bleeding.
Is Yisde a medication for regulating menstruation or stabilizing hormones? Will taking this medication increase my risk of breast cancer or endometrial cancer? Can I stop taking Yisde on my own after four days? If I stop taking the medication, will my period still come? Thank you, Doctor.

Ms. Lin, 20~29 year old female. Ask Date: 2020/08/30

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
Regulating menstruation = stabilizing hormones.
2.
Short-term use as prescribed does not affect the risk of breast cancer or endometrial cancer.
3.
If there is no bleeding, you may discontinue the medication on your own.
4.
Menstruation will occur, but it may not be on a regular schedule.

Reply Date: 2020/08/30

More Info

When considering estrogen therapy for irregular periods, it is essential to understand the underlying causes of your menstrual irregularities and how hormonal treatments can help. Based on your description, it seems that you have experienced some unusual bleeding patterns, which could be attributed to hormonal imbalances or possibly ovulation-related bleeding.
The medication "益斯得" (likely referring to a form of estrogen or a combination of estrogen and progestin) is typically prescribed to help regulate menstrual cycles and stabilize hormone levels. This type of medication can be beneficial in cases of hormonal imbalance, which may lead to irregular periods or unexpected bleeding.

Understanding Hormonal Imbalances
Hormonal imbalances can occur due to various factors, including stress, weight changes, lifestyle factors, or underlying medical conditions. In your case, the slight bleeding you experienced after intercourse could be related to hormonal fluctuations, particularly if you have a history of irregular cycles. The fact that your doctor indicated you might be experiencing delayed ovulation suggests that your hormonal levels may not be consistent, which can lead to unpredictable menstrual cycles.

The Role of Estrogen Therapy
Estrogen therapy, such as the one prescribed to you, can help in several ways:
1. Regulating Menstrual Cycles: Estrogen can help stabilize the endometrial lining, reducing the likelihood of irregular bleeding and helping to establish a more regular menstrual cycle.

2. Reducing Symptoms: If you experience symptoms associated with hormonal fluctuations, such as mood swings or physical discomfort, estrogen therapy may alleviate these symptoms.

3. Long-term Effects: Concerns about the risk of breast or endometrial cancer with estrogen therapy are valid. However, the risk is generally associated with long-term use, high doses, or specific individual risk factors (like family history). Short-term use, especially under medical supervision, is often considered safe for many women.

Duration and Discontinuation of Therapy
Regarding your question about whether you can stop the medication after four days: it is crucial to follow your doctor's instructions. If your doctor prescribed the medication for four days, it is likely intended to help regulate your cycle or address a specific issue. Stopping the medication prematurely may not yield the desired effects.
After completing the prescribed course, your menstrual cycle may still be influenced by your hormonal levels. It is possible that your period will come as expected, but individual responses can vary. If you have concerns about stopping the medication or if your symptoms persist, it is essential to communicate with your healthcare provider for further guidance.

Conclusion
In summary, estrogen therapy can be an effective treatment for irregular periods caused by hormonal imbalances. It is designed to help stabilize your menstrual cycle and alleviate symptoms associated with hormonal fluctuations. While there are risks associated with long-term use, short-term therapy under medical supervision is generally safe. Always consult your healthcare provider regarding any concerns about medication, potential side effects, and the best course of action for your specific situation. Regular follow-ups will help monitor your progress and adjust treatment as necessary.

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