Do Menstrual Regulation Medications Have Contraceptive Effects? - Obstetrics and Gynecology

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Do menstrual regulation medications have contraceptive effects?


Because I haven't had my period for five months, I went to the gynecologist two weeks ago for a blood test, which confirmed that I have an endocrine disorder with elevated prolactin and male hormones.
The doctor prescribed me a menstrual regulation medication to take two packets a day (he mentioned it is not a menstrual induction drug).
I have been taking it for nearly two weeks, but my period still hasn't come.
One of the medications on the prescription is ESDIAN F.C.
TABLET, which is indicated for the treatment of acne, hirsutism, and contraception for the aforementioned conditions.
I would like to know if this medication has contraceptive effects.
If it does not, can I take additional contraceptive pills since my period has not yet arrived? Is it advisable to take contraceptive pills given my family history of breast cancer? (I have received conflicting opinions from two gynecologists.) Lastly, I would like to ask if it is feasible to rely on medication to maintain menstrual regularity, and whether I should also consider traditional Chinese medicine to help regulate my body.
I have many questions and would appreciate your guidance.
Thank you!

A, 20~29 year old female. Ask Date: 2023/01/15

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, this medication does not have contraceptive effects.
You can stop taking it and wait for your period to arrive.
Start taking the contraceptive pill on the fifth day of your period.
Wishing you good health.

Reply Date: 2023/01/15

More Info


Menstrual regulation medications, such as the one you mentioned (ESDIAN F.C. TABLET), can have various effects depending on their composition and intended use. ESDIAN is primarily indicated for the treatment of conditions like acne and hirsutism (excessive hair growth), and it may also have contraceptive properties due to its hormonal components. However, it is essential to clarify that not all menstrual regulation medications are designed to serve as contraceptives.

In your case, since you have been prescribed ESDIAN and it is indicated for conditions that may involve hormonal regulation, it is likely that it can provide some level of contraceptive effect. However, the primary purpose of this medication in your treatment plan seems to be addressing your hormonal imbalance rather than acting solely as a contraceptive.
Regarding your question about taking additional contraceptive pills while on ESDIAN, it is generally advisable to consult with your healthcare provider. If your menstrual cycle has not resumed after nearly two weeks of taking the medication, it may be prudent to avoid starting another contraceptive method until you have discussed your situation with a doctor. This is particularly important because hormonal medications can interact with each other, potentially leading to unintended side effects or reduced efficacy.

You also mentioned a family history of breast cancer, which is a significant consideration when discussing hormonal contraceptives. Many healthcare providers are cautious about prescribing hormonal birth control to individuals with a family history of breast cancer, as certain hormonal therapies may increase the risk of developing breast cancer. It is crucial to have an open and thorough discussion with your healthcare provider about your family history and any concerns you may have regarding hormonal treatments.

As for the question of whether relying on medication to regulate your menstrual cycle is effective, it can be a viable option for many individuals. Hormonal medications can help restore balance and regulate cycles, but they may not address underlying issues such as lifestyle factors, stress, or dietary habits. Therefore, it may be beneficial to consider complementary approaches, such as dietary changes, exercise, and possibly herbal remedies, to support your overall hormonal health.

In summary, while ESDIAN may have contraceptive effects, it is essential to consult with your healthcare provider about your specific situation, especially considering your family history of breast cancer and the hormonal imbalances you are experiencing. Relying solely on medication for menstrual regulation can be effective, but integrating lifestyle changes and possibly alternative therapies may enhance your overall well-being and hormonal balance. Always prioritize open communication with your healthcare provider to ensure that your treatment plan aligns with your health needs and concerns.

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