Managing Irregular Periods: Insights on Hormonal Treatments and Alternatives

Menstrual period / Menstruation induction injection

Hello Doctor, I have had irregular menstrual cycles since my student days.
Excluding the possibility of pregnancy, I visited a gynecology clinic at the end of 2018, where the doctor prescribed medication to regulate my menstrual cycle.
After three months of treatment with Western medicine, my menstrual cycle became regular without medication.
However, at the beginning of last year, I experienced menstrual irregularities again.
Therefore, in June 2020, I went to the hospital for blood tests and an abdominal ultrasound.
On that day, I also received an injection to induce menstruation as per the doctor's instructions.
The results of my menstrual examination were PRL: 20.7 ng/ml; TEST: 0.48 ng/ml; FSH: 7.2 mIU/ml; LH: 8.9 mIU/ml, but my menstrual cycle remained abnormal afterward.
My most recent menstrual period was in October 2020.
Recently, I was referred to a traditional Chinese medicine practitioner for treatment and have been taking herbal powder for three weeks.
Currently, I am experiencing breast tenderness, but it is not uncomfortable, and I have some light brown discharge.
I would like to ask: 1.
Should I seek a diagnosis from a Western medicine doctor? Should I wait for my period to start and use traditional Chinese medicine to help regulate my body? Or do you have other suggestions? 2.
Can the injection to induce menstruation affect my menstrual cycle or ovulation? 3.
Does this indicate an abnormality in the endometrium or polycystic ovary syndrome? Thank you.

Chen, 20~29 year old female. Ask Date: 2021/01/16

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
Is it necessary to seek a diagnosis from a Western medicine doctor? Should I first allow my menstrual period to come and use Traditional Chinese Medicine to help regulate my body? Or do you have other suggestions? A: Regarding Traditional Chinese Medicine, I cannot provide advice.
It is advisable to visit a gynecology clinic for an examination.
2.
Will menstrual induction injections affect the menstrual cycle or ovulation? A: Any hormonal medication (such as menstrual induction injections) can impact subsequent menstrual cycles.
3.
Does this indicate an abnormality in the endometrium or polycystic ovary syndrome (PCOS)? A: Irregular menstrual cycles and abnormal bleeding can have many underlying causes.
Treatment methods require comprehensive education, and it is recommended to have an evaluation by a specialist in gynecology.

Reply Date: 2021/01/16

More Info

Managing irregular periods can be a complex issue, especially when considering hormonal treatments and alternative therapies. Based on your description, it seems you've been experiencing menstrual irregularities for several years, and while you initially found relief with hormonal medications, the irregularities have returned. Let's address your questions one by one.

1. Should you seek further evaluation from a Western medicine doctor? Given your history of irregular periods and the recent changes in your menstrual cycle, it would be prudent to consult a gynecologist or an endocrinologist. They can perform a thorough evaluation, including blood tests to check hormone levels and possibly imaging studies like an ultrasound to assess the condition of your ovaries and uterus. While traditional Chinese medicine (TCM) can be beneficial for many, it is essential to have a comprehensive understanding of your hormonal status and any underlying conditions that may be contributing to your symptoms. If you are experiencing new symptoms, such as breast tenderness and unusual discharge, these should be evaluated by a healthcare professional to rule out any serious conditions.

2. Impact of the menstrual induction injection (催經針) on your cycle and ovulation: The injection you received is likely a form of hormonal therapy designed to induce menstruation. Depending on the specific medication used, it can influence your menstrual cycle and ovulation. For instance, medications like progestins can help regulate the menstrual cycle by mimicking the natural hormonal changes that occur during the menstrual cycle. However, the effects can vary from person to person. Some may experience a more regular cycle following the injection, while others may find that their cycles remain irregular. It's important to discuss the specific medication you received with your healthcare provider to understand its potential effects on your cycle and ovulation.

3. Could this indicate endometrial abnormalities or polycystic ovary syndrome (PCOS)? Irregular periods can be a symptom of several conditions, including PCOS and endometrial abnormalities. PCOS is characterized by hormonal imbalances that can lead to irregular periods, excess androgen levels, and cysts on the ovaries. On the other hand, endometrial abnormalities, such as hyperplasia or polyps, can also cause irregular bleeding and should be evaluated through imaging or biopsy if necessary. The presence of brown discharge could indicate old blood, which may be related to hormonal fluctuations or other underlying issues. A thorough evaluation by a healthcare provider is essential to determine the exact cause of your symptoms.

In summary, while TCM can be a supportive approach to managing your symptoms, it is crucial to have a clear understanding of your hormonal health through Western medical evaluation. This dual approach may provide you with the best chance of achieving a regular menstrual cycle and addressing any underlying issues. Additionally, maintaining a healthy lifestyle, including a balanced diet, regular exercise, and stress management, can also positively impact your menstrual health. Always consult with your healthcare provider before making any changes to your treatment plan.

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