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 previous two months, my periods started at the beginning of the month, lasted about 10 days, and the flow was light, appearing dark brown with an unusual odor.
The doctor prescribed progesterone and another medication to induce a pause in my menstruation, with a follow-up appointment scheduled for October 29.
At that appointment, the doctor prescribed the same medications again, but with different dosages for five days, and scheduled another follow-up for a month later.
On November 2, my period suddenly returned.
Should I continue taking the medication? Should I wait for my follow-up appointment, or should I seek medical attention immediately?

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

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to return to the hospital for a check-up.
You may consider taking contraceptive pills to regulate your menstrual cycle.
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 quite 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 essential to approach this matter with a clear understanding of your symptoms and the medications prescribed.

Firstly, it is important to recognize that irregular menstrual cycles can be a common symptom of PCOS. This condition can lead to hormonal imbalances that affect the regularity and flow of your menstrual periods. The fact that you have experienced a sudden increase in menstrual flow after a period of light bleeding, along with the presence of a foul odor, may indicate an underlying issue that needs to be addressed.
The medications you have been prescribed, including progesterone (often referred to as "黄体素" or luteal hormone) and possibly another medication to help regulate your cycle, are typically used to manage symptoms associated with irregular menstruation. Progesterone can help to stabilize the endometrial lining and promote a more regular menstrual cycle. However, the effectiveness of these medications can vary from person to person, and it may take some time to find the right dosage and combination that works for you.

In terms of whether you should continue taking the medication, it is generally advisable to follow your doctor's instructions regarding medication adherence. If your doctor has prescribed a specific regimen, it is important to complete the course unless otherwise directed. However, given the changes in your menstrual cycle and the discomfort you are experiencing, it would be prudent to reach out to your healthcare provider sooner rather than later.
If you are feeling unwell or if your symptoms worsen, such as experiencing severe pain, heavy bleeding, or any other concerning symptoms, you should seek medical attention immediately. It is better to err on the side of caution, especially when it comes to changes in your menstrual health.
In your case, since you have a follow-up appointment scheduled, it would be wise to prepare for that visit by keeping a detailed record of your symptoms, including the timing and nature of your menstrual flow, any associated discomfort, and how you have been responding to the medications. This information will be valuable for your healthcare provider in assessing your condition and making any necessary adjustments to your treatment plan.

In summary, continue taking your medications as prescribed, but do not hesitate to contact your healthcare provider if you have concerns or if your symptoms change significantly. Regular follow-ups are crucial in managing conditions like PCOS, and open communication with your healthcare team will help ensure that you receive the best possible care.

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...