Managing Irregular Menstrual Cycles: When to Seek Medical Advice

Irregular menstruation

I was diagnosed with polycystic ovary syndrome (PCOS).
My menstrual period started on October 3, but the flow was very light and continued until October 15.
Suddenly, the bleeding increased significantly and continued without signs of stopping until October 22.
I felt uncomfortable and went to see a doctor.
For the past two months, my periods have started at the beginning of the month, lasting about 10 days with light flow, which was dark brown and had an unusual odor.
The doctor prescribed progesterone and another medication to induce a pause in my menstruation, and I was scheduled to return for a follow-up on October 29.
During that visit, the doctor prescribed the same medications again but with different dosages for five days, and I was to return in a month.
On November 2, my period unexpectedly started again.
Should I continue taking the medication? Should I wait for my follow-up appointment, or should I seek medical attention immediately?

Ms. Zhang, 20~29 year old female. Ask Date: 2021/11/02

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I have previously responded to your question.
Wishing you good health.

Reply Date: 2021/11/02

More Info

Managing irregular menstrual cycles, especially in the context of polycystic ovary syndrome (PCOS), can be challenging and often requires careful monitoring and medical intervention. Given your situation, where you have experienced significant changes in menstrual flow and duration, it is crucial to understand when to seek medical advice and how to manage your medication effectively.

Firstly, it is important to recognize that irregular menstrual cycles can be a common symptom of PCOS, which is characterized by hormonal imbalances that can lead to irregular ovulation and menstrual periods. The symptoms you described, such as a prolonged period with varying blood flow and color, are not uncommon in individuals with PCOS. The presence of deep brown blood and an unusual odor may indicate old blood or potential complications, such as endometrial lining issues, which should be evaluated by a healthcare provider.

Regarding the medications prescribed to you, including progesterone (often referred to as "黄体素" or luteal hormone) and possibly another medication to regulate your cycle, it is essential to follow your doctor's instructions closely. If your doctor has advised you to take these medications for a specific duration, it is generally best to continue taking them as prescribed until your next appointment, unless you experience severe side effects or new concerning symptoms.

However, if you are experiencing significant discomfort, changes in your menstrual cycle that are alarming, or if the bleeding becomes excessively heavy (soaking through pads or tampons in an hour), it is advisable to seek medical attention sooner rather than later. Your health and comfort should always be the priority, and any new or worsening symptoms warrant a discussion with your healthcare provider.

In terms of follow-up, it is typically recommended to keep your scheduled appointments for monitoring your condition. Your doctor may want to assess the effectiveness of the current treatment plan and make adjustments as necessary based on your symptoms and any side effects you may be experiencing. If your next appointment is not for a while and you feel that your symptoms are not improving or are worsening, do not hesitate to contact your doctor for advice. They may want to see you sooner or adjust your treatment plan based on your current situation.

In addition to medication, lifestyle changes can also play a significant role in managing PCOS and irregular menstrual cycles. Maintaining a healthy diet, engaging in regular physical activity, and managing stress can help regulate your menstrual cycle and improve overall hormonal balance. It may also be beneficial to keep a menstrual diary, noting the dates, flow, and any associated symptoms, which can provide valuable information for your healthcare provider during your visits.

In summary, continue taking your prescribed medications unless directed otherwise by your healthcare provider, and keep your follow-up appointments. However, do not hesitate to seek medical advice if you experience any concerning symptoms or if your condition does not improve. Your health is paramount, and proactive management is key to effectively addressing irregular menstrual cycles and PCOS.

Similar Q&A

Understanding Irregular Periods: When to Seek Medical Help

I often experience menstrual cycles that exceed 28 days. Since the second half of last year, my periods have been occurring approximately every 45 days. The most recent one was in January. Since that January period, I have not had my period again until now in May. I am certain th...

Dr. Zhang Yongxuan reply Obstetrics and Gynecology
You should consult a gynecologist, as it is likely that the ovaries are not responding well to the gonadotropins secreted by the pituitary gland, or there may be an abnormal ratio of follicle-stimulating hormone (FSH) to luteinizing hormone (LH). This is commonly seen in polycyst...

Understanding Irregular Menstrual Cycles: Causes and Concerns

I'm sorry, but I can't provide medical advice. However, it sounds like you are experiencing irregularities in your menstrual cycle. It's important to consult with a healthcare professional to discuss your symptoms and any concerns you may have regarding your menstr...

Dr. Wu Xianghui reply Obstetrics and Gynecology
1. For pregnancy concerns, please take a home pregnancy test or consult a gynecologist for evaluation four weeks after sexual intercourse. 2. Abnormal bleeding and irregular menstrual cycles can have various underlying causes; it is recommended to seek evaluation from a gynecolog...

Managing Irregular Menstruation: Tips for Improvement and Fertility Concerns

Hello Doctor, I have been experiencing irregular menstruation for twelve years, with an average cycle length of eighteen to twenty-two days. The first five days have a heavier flow (usually I need to use overnight pads in the morning). I have seen doctors during this time, but th...

Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: Based on your description, the condition of your menstruation can indeed be quite distressing, but without a medical examination, I cannot provide you with a definitive diagnosis. If you are willing, you can visit our obstetrics and gynecology department for treatment. If ...

Understanding Menstrual Irregularities: Causes and Treatment Options

I'm not a doctor, but it sounds like you may be experiencing a range of symptoms that could be related to hormonal imbalances, potential pregnancy complications, or other gynecological issues. The fatigue and excessive sleepiness you described, along with the changes in your...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the early stages of pregnancy may not present specific symptoms, and subjective symptoms alone cannot be used to make a determination. There are many factors that can influence the menstrual cycle or cause intermenstrual bleeding, such as age, environment, lifestyle, stres...