How to Properly Take Progesterone for Irregular Menstrual Cycles

How to take menstrual regulation medication?

I have been experiencing two menstrual periods each month for about two months.
Last week, I visited a gynecologist, who estimated that my next period should start on September 23 based on the date of my last menstrual period.
The doctor prescribed progesterone and advised me to start taking it on September 18.
However, my period started again on September 13.
Should I still begin taking the progesterone on the 18th as prescribed by the doctor?

Rosita, 10~19 year old female. Ask Date: 2022/09/14

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is recommended that if the bleeding persists, you should consult a gynecologist for an evaluation and medication options.
Thank you! Wishing you safety and health.
Dr.
Chang.

Reply Date: 2022/09/14

More Info

When it comes to managing irregular menstrual cycles, progesterone, particularly in the form of medications like Progyluton, is often prescribed to help regulate the menstrual cycle. In your case, it seems that your doctor has recommended starting progesterone on September 18, based on your last menstrual period. However, since you experienced another menstrual cycle starting on September 13, it raises some important questions about how to proceed with the medication.

Firstly, it is essential to understand the role of progesterone in the menstrual cycle. Progesterone is a hormone that helps prepare the uterus for a potential pregnancy after ovulation. If pregnancy does not occur, progesterone levels drop, leading to menstruation. In cases of irregular cycles, progesterone can be used to help induce a period or regulate the cycle.

Given that you have experienced a menstrual period on September 13, it is crucial to consult with your healthcare provider regarding the timing of your progesterone intake. Generally, if you start your period, the need for progesterone may change. Here are some considerations:
1. Consult Your Doctor: Since you have had a menstrual period before the scheduled start of progesterone, it is advisable to reach out to your healthcare provider for specific guidance. They may suggest postponing the start of progesterone until after your current cycle has concluded.

2. Timing of Progesterone: If your doctor still recommends starting progesterone on September 18, it may be intended to help regulate your cycle further. However, if you are still experiencing bleeding or if the bleeding is heavy, your doctor might suggest delaying the medication until your cycle stabilizes.

3. Monitoring Your Cycle: Keeping track of your menstrual cycles, including the duration and flow, is essential. This information can help your doctor make informed decisions about your treatment plan.

4. Potential Side Effects: Be aware of the potential side effects of progesterone, which can include mood changes, bloating, breast tenderness, and changes in menstrual flow. If you experience any concerning symptoms, inform your healthcare provider.

5. Follow-Up Appointments: Regular follow-ups with your healthcare provider are crucial to monitor the effectiveness of the treatment and make any necessary adjustments. If your cycles remain irregular or if you have any new symptoms, your doctor may consider additional evaluations or treatments.

In summary, while progesterone can be an effective treatment for irregular menstrual cycles, the timing and necessity of starting the medication after a new menstrual period should be discussed with your healthcare provider. They can provide personalized advice based on your specific situation and help you navigate the best course of action for your menstrual health. Always prioritize open communication with your healthcare team to ensure that you receive the most appropriate care for your needs.

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