Missed Periods After Taking Menstrual Induction Medication: What to Do?

After taking menstrual induction medication, my period has not come for two cycles?

Hello doctor, I visited a gynecologist in May of last year, and the doctor said there were no issues; my uterus and everything else were normal.
It was possibly due to stress, so I was prescribed medication to induce menstruation.
After that, my menstrual cycle was normal for about six months, but starting from June of last year, my period did not come again until September, when it returned for one time.
Since September, I have not had my period again.
I plan to see a doctor, but if I continue taking the medication and my period still comes for a while and then stops again, what should I do?

LL, 10~19 year old female. Ask Date: 2022/02/11

Dr. Wu Xianghui reply Obstetrics and Gynecology

It is recommended to seek evaluation from another obstetrician-gynecologist to determine if polycystic ovary syndrome (PCOS) is present and to obtain a second medical opinion.

Reply Date: 2022/02/11

More Info

When dealing with missed periods after taking menstrual induction medication, it's essential to understand the underlying causes and the appropriate steps to take. Based on your description, it seems you have experienced irregular menstrual cycles after initially responding well to the medication prescribed by your gynecologist.
Firstly, it's important to recognize that menstrual irregularities can be influenced by various factors, including stress, hormonal imbalances, lifestyle changes, and underlying medical conditions. Since you mentioned that your doctor previously indicated that everything was normal with your uterus, it suggests that there may not be any structural issues, but rather functional ones related to hormonal regulation.

If you have been taking menstrual induction medication and have noticed that your periods are still irregular or absent, it is crucial to consult with your healthcare provider. Continuing to take medication without proper medical supervision can lead to further complications or side effects. Your doctor can help determine whether the medication is appropriate for you or if adjustments need to be made.

Here are some steps you can consider:
1. Schedule a Follow-Up Appointment: Since you are planning to see a doctor, make sure to discuss your entire menstrual history, including the irregularities you've experienced since last September. This information will help your doctor assess your situation more accurately.

2. Discuss Stress Management: You mentioned that stress might be a contributing factor to your irregular cycles. It may be beneficial to explore stress management techniques such as mindfulness, yoga, or counseling, which can help regulate your menstrual cycle.

3. Consider Hormonal Testing: Your doctor may recommend blood tests to check your hormone levels, including thyroid hormones, prolactin, and sex hormones (like estrogen and progesterone). This can help identify any hormonal imbalances that may be affecting your menstrual cycle.

4. Evaluate Lifestyle Factors: Consider your diet, exercise routine, and overall lifestyle. Significant changes in weight, exercise levels, or diet can impact your menstrual cycle. Maintaining a balanced diet and regular exercise can promote overall health and potentially help regulate your periods.

5. Explore Alternative Treatments: If the current medication is not effective, your doctor may suggest alternative treatments or medications that can help induce menstruation or regulate your cycle more effectively.

6. Monitor Your Symptoms: Keep a record of your menstrual cycle, any symptoms you experience, and any changes in your lifestyle. This information can be valuable for your healthcare provider in determining the best course of action.

In summary, while menstrual induction medication can be helpful, it is essential to use it under the guidance of a healthcare professional. If you continue to experience missed periods, it is crucial to seek medical advice to explore the underlying causes and appropriate treatment options. Your health and well-being should always be the priority, and working closely with your doctor will help ensure that you receive the best care possible.

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