Can Irregular Periods Be Treated with Hormonal Medications?

Is it possible to take menstrual regulation medication to adjust irregular periods?

Hello, Doctor.
I am currently a sophomore in college.
I first got my period around the fifth or sixth grade, but I can't remember exactly when.
Since at least middle school, my menstrual cycle has often been irregular, with either prolonged periods or inconsistent intervals, although there are times when it is normal for a while.
In my senior year of high school, I experienced a period that lasted over two weeks with a lighter flow than usual.
In April, I visited a gynecologist and had an ultrasound, and the doctor said that my uterus and ovaries were normal and healthy, attributing the issue to hormonal imbalance (due to the stress of preparing for college entrance exams), which caused incomplete shedding of the endometrium.
The doctor prescribed a three-day course of medication to help regulate my cycle, stating that it would simulate menstruation during those days, and after stopping the medication, I would have a complete discharge.
I remember she mentioned that the medication was likely progesterone.
After taking the medication, I did have a normal discharge and it stopped.
However, three months later, in July, I had the same issue and returned to the same clinic.
The ultrasound results were similar to the previous visit, so I took another three-day course of medication.
After that, my menstrual cycle seemed to stabilize; although the intervals were still inconsistent, my periods would end within a normal timeframe and the flow was normal.
Starting from late December last year, less than 20 days after my last period, I began to bleed again.
The flow was different from usual, and on December 31, there were signs that it was almost stopping.
However, I still noticed some spotting when using panty liners, and a week later, the flow increased again, continuing for several days with a slight decrease but not fully stopping.
Additionally, I had sexual intercourse at the beginning of last year, but I practiced safe measures and it was infrequent.
I would like to ask the doctor if I can directly buy progesterone over-the-counter to regulate my cycle, or if there are other better methods? Thank you, Doctor.
🙏🏻

Jie, 20~29 year old female. Ask Date: 2022/01/17

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraceptives, diet, polycystic ovary syndrome, lesions of the uterus or cervix, infections, ovulation, pregnancy, and breastfeeding, among others.
The method of taking menstrual regulation medication varies depending on the condition.
It is advisable to consult a gynecologist if symptoms persist or worsen to determine whether there is a hormonal imbalance or other underlying causes for appropriate treatment.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2022/01/17

More Info

Irregular menstrual periods can indeed be treated with hormonal medications, and it sounds like you have already had some experience with this approach. Hormonal imbalances are a common cause of irregular menstruation, and medications such as progesterone (often referred to as "黄体素" or "luteal hormone") can help regulate the menstrual cycle by mimicking the natural hormonal fluctuations that occur in a typical cycle.

From your description, it appears that you have been experiencing irregular periods since your early adolescence, which is not uncommon. Many young women experience fluctuations in their menstrual cycles due to various factors, including stress, lifestyle changes, and hormonal imbalances. The fact that your doctor previously diagnosed you with a hormonal imbalance and prescribed medication to help regulate your cycle indicates that this is a recognized issue in your case.

When it comes to treating irregular periods with hormonal medications, there are a few key points to consider:
1. Consultation with a Healthcare Provider: It is essential to consult with a healthcare provider before starting any hormonal medication, including progesterone. Self-medicating with over-the-counter hormonal treatments can lead to unintended side effects and may not address the underlying cause of your irregular periods. A healthcare provider can evaluate your specific situation, conduct necessary tests, and prescribe the appropriate medication.

2. Types of Hormonal Treatments: Hormonal treatments for irregular periods can include progesterone, combined oral contraceptives (which contain both estrogen and progesterone), or other hormonal therapies. These medications can help regulate your menstrual cycle, reduce heavy bleeding, and alleviate symptoms associated with hormonal imbalances.

3. Monitoring and Adjustments: If you are prescribed hormonal medication, it is important to have regular follow-ups with your healthcare provider to monitor your response to the treatment. Adjustments may be necessary based on how your body reacts to the medication.

4. Lifestyle Factors: In addition to hormonal treatments, lifestyle factors can also play a significant role in menstrual health. Maintaining a balanced diet, managing stress, and engaging in regular physical activity can contribute to hormonal balance and overall well-being.

5. Potential Side Effects: Be aware that hormonal medications can have side effects, including mood changes, weight gain, headaches, and changes in libido. Discuss these potential side effects with your healthcare provider to ensure you are informed and prepared.

6. Underlying Conditions: It is also important to rule out any underlying medical conditions that could be contributing to your irregular periods, such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal issues. Your healthcare provider may recommend additional tests or evaluations to assess your overall reproductive health.

In summary, while hormonal medications can be effective in treating irregular periods, it is crucial to approach this treatment under the guidance of a healthcare provider. They can help you navigate your options, monitor your progress, and make any necessary adjustments to your treatment plan. If you are experiencing significant changes in your menstrual cycle, such as prolonged bleeding or unusual symptoms, seeking medical advice is the best course of action.

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