Irregular Periods: When to Seek Medical Advice - Obstetrics and Gynecology

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Irregular periods can be a source of concern for many women, and understanding when to seek medical advice is crucial for maintaining reproductive health. Based on your description, it seems you are experiencing some unusual menstrual patterns, including intermittent brown discharge and a low basal body temperature, which may indicate a lack of ovulation. You mentioned that you received an injection to induce menstruation, but you are still experiencing irregularities.
Firstly, it’s important to recognize that menstrual cycles can be influenced by a variety of factors, including hormonal imbalances, stress, changes in weight, and underlying medical conditions. The brown discharge you are experiencing is often old blood that is taking longer to exit the body, which can occur at the beginning or end of a menstrual period. However, if this pattern persists or is accompanied by other symptoms such as severe pain, heavy bleeding, or significant changes in your cycle, it is advisable to consult a healthcare provider.

In your case, since you have already sought medical attention and received an injection to induce menstruation, it’s essential to monitor your symptoms closely. If the brown discharge continues or if you experience any new symptoms, such as increased pain or heavy bleeding, you should definitely follow up with your doctor. They may want to conduct further evaluations, such as blood tests to check hormone levels or an ultrasound to assess the health of your reproductive organs.

Regarding the use of progesterone (黄体素), it can be an effective treatment for irregular periods, especially if your doctor suspects that you are not ovulating regularly. Progesterone helps to regulate the menstrual cycle and can assist in the shedding of the uterine lining, which may help to establish a more regular cycle. However, the decision to use progesterone or any other hormonal treatment should be made in consultation with your healthcare provider, who can assess your specific situation and determine the best course of action.

In summary, if you are experiencing irregular periods, it is important to keep track of your symptoms and communicate openly with your healthcare provider. They can help you understand the underlying causes of your irregularities and recommend appropriate treatments. If your symptoms do not improve or worsen, do not hesitate to seek further medical advice. Regular follow-ups and open communication with your doctor are key to managing your menstrual health effectively.