During the use of menstrual regulation medication, there may be a small amount of brown discharge and streaks of blood?
Hello Doctor: Since I started my period in the second year of junior high school, there have been times when my menstruation has been delayed for a long time.
However, it has now been almost a year since my last period.
Therefore, I visited a gynecologist, who indicated that my uterus and ovaries are normal.
I was prescribed a menstrual regulation medication (for seven days), and after taking it, my period did come 2-3 days later, lasting for 10-11 days (from January 7 to January 17).
I asked the doctor about the flow, and he said that if the flow in the following days is light, it is fine and will gradually decrease as I continue taking the medication.
The doctor then prescribed me a menstrual regulation medication (21 tablets of Xinna), which I started taking on the sixth day of my period.
Eventually, this 11-day period came to an end.
However, during the first 10 days of taking the medication, I noticed that there were 2-3 consecutive days (possibly from January 19 to January 21) where I had brownish discharge with a small amount of blood.
The amount was not much, and I only noticed it when wiping after using the restroom.
At that time, I didn't think much of it and wasn't sure if it was bleeding or if my period was about to start (but my period had just ended on January 17), so I thought it was unlikely to be my period returning, and I didn't consult the doctor about it.
This situation stopped on January 22.
After finishing the 21-day medication, I again noticed brownish discharge on February 2, which was also only noticeable when wiping, and then my period started on February 3.
Therefore, I would like to ask the doctor:
1.
Why did I have brownish or light blood discharge for those three consecutive days during the first 10 days of taking the menstrual regulation medication? Is this normal? Is it related to the medication, or was it indeed a sign that my period was about to start (even though my last period ended on January 17)?
2.
Why did I experience this situation again the day before my period started (February 2) after finishing the menstrual regulation medication?
Anna, 10~19 year old female. Ask Date: 2021/02/06
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, the response is as follows: Since your menstrual irregularities have persisted for a year, it is indeed possible to experience unexpected bleeding when first using menstrual regulation medications, as you described.
It is advisable to continue monitoring the situation.
If the bleeding continues to be irregular or shows no signs of decreasing, it is recommended to return to your original treating physician for further assistance.
Thank you for your inquiry, and I wish you health and happiness.
Reply Date: 2021/02/06
More Info
Understanding brown discharge and light spotting while taking menstrual regulation pills can be quite perplexing, especially for those who have irregular menstrual cycles. Based on your description, it seems you have been experiencing some unusual discharge patterns after starting hormonal treatment. Let’s break down your questions and provide some insights into what might be happening.
1. Brown Discharge and Light Spotting During Hormonal Treatment: The brown discharge you experienced during the first 10 days of taking the menstrual regulation pills (likely a form of hormonal therapy) can be attributed to several factors. Hormonal medications can cause changes in the uterine lining, leading to irregular bleeding or spotting. This is particularly common when starting a new hormonal regimen, as your body is adjusting to the influx of hormones. The brown color of the discharge typically indicates older blood that has taken longer to exit the body, which is often not a cause for concern.
It’s also possible that this spotting was a result of breakthrough bleeding, which can occur when the hormonal levels fluctuate. Since you mentioned that your menstrual cycle has been irregular for a long time, your body may still be adjusting to the hormonal changes induced by the medication. Spotting can be a normal side effect of hormonal treatments, especially in the initial stages.
2. Spotting After Completing the Hormonal Pills: The occurrence of brown discharge again on February 2, just before your next menstrual period, can also be explained by the hormonal effects. After completing a course of hormonal pills, it is common for the body to experience some withdrawal bleeding or spotting as the hormone levels drop. This can manifest as light spotting or brown discharge before the onset of a full menstrual period.
In your case, since you had just completed the hormonal treatment and then noticed this discharge, it is likely that your body was responding to the changes in hormone levels as it prepared for the next menstrual cycle. The timing of your spotting suggests that it could be part of the normal menstrual cycle process, especially after a period of hormonal regulation.
Additional Considerations
- Hormonal Adjustments: It’s important to remember that hormonal treatments can take some time for the body to adjust. If you continue to experience irregularities or if the spotting becomes heavier or is accompanied by pain, it would be wise to consult your healthcare provider for further evaluation.
- Monitoring Symptoms: Keep track of your symptoms, including the timing and nature of any discharge or bleeding. This information can be helpful for your healthcare provider in determining if any adjustments to your treatment are necessary.
- Consulting a Specialist: If you have ongoing concerns about your menstrual cycle, irregular bleeding, or the effects of hormonal medications, consider scheduling a follow-up appointment with your gynecologist. They may recommend further tests or alternative treatments based on your individual health needs.
In conclusion, while brown discharge and light spotting can be concerning, they are often normal responses to hormonal treatments. Your body is likely adjusting to the changes, and monitoring your symptoms will be key in managing your menstrual health. Always feel empowered to reach out to your healthcare provider with any questions or concerns you may have regarding your treatment and menstrual cycle.
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