Irregular Periods with PCOS: Should You Continue Medication? - Obstetrics and Gynecology

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Hello, Doctor.
In my previous inquiry, I mentioned that I have polycystic ovary syndrome, which has caused irregular menstrual cycles.
When I visited the gynecologist, the doctor prescribed me Jintian "Nanoling" (Ethinylestradiol) tablets.
I took them for about 6 days (2 tablets each in the morning and evening) and then stopped for 3 days.
Today, I noticed yellowish-red discharge when wiping.
Could this indicate that my period is about to start? I still have four Jintian "Nanoling" (Ethinylestradiol) tablets left.
Should I continue taking them? Thank you for your response, Doctor.

Hui, 20~29 year old female. Ask Date: 2023/08/21

Dr. Lin Xinwang reply Obstetrics and Gynecology


Hello Hui: If there is a slight reddish discharge, it can be considered the first day of menstruation.
You may not need to take the medication and can observe the bleeding situation.

Reply Date: 2023/08/21

More Info


Understanding irregular periods, particularly in the context of Polycystic Ovary Syndrome (PCOS), can be quite complex. Your situation, characterized by irregular menstrual cycles and the use of medication like Ethinyl Estradiol (the active ingredient in the medication you mentioned, "拿能寧糖衣錠"), is common among individuals diagnosed with PCOS.
To address your question about the yellow-red discharge you observed after stopping the medication, it is possible that this could indicate the onset of your menstrual period. Hormonal medications like Ethinyl Estradiol are often prescribed to help regulate menstrual cycles by providing a steady level of hormones that can stimulate the uterine lining to shed, thus inducing a period. The discharge you are experiencing may be a sign that your body is responding to the medication and preparing for menstruation.

Regarding whether you should continue taking the remaining pills, it is essential to follow your healthcare provider's instructions. If your doctor prescribed a specific regimen, it is generally advisable to complete the course unless otherwise directed. However, if you are experiencing any unusual symptoms or have concerns about the discharge, it would be prudent to consult your healthcare provider. They can provide personalized advice based on your medical history and current symptoms.

In the context of PCOS, managing irregular periods often involves a combination of lifestyle changes and medication. Weight management through diet and exercise can significantly improve insulin sensitivity and hormonal balance, which may help regulate your menstrual cycle. Additionally, medications like hormonal contraceptives can help manage symptoms by providing a consistent hormonal environment.

It's also important to monitor other symptoms associated with PCOS, such as acne, excessive hair growth, or weight gain, as these can influence treatment decisions. Regular follow-ups with your healthcare provider are crucial to assess the effectiveness of your treatment plan and make necessary adjustments.

In summary, the yellow-red discharge could indicate that your period is approaching, and it is generally advisable to complete the medication course as prescribed. However, always consult with your healthcare provider for personalized guidance, especially if you have concerns about your symptoms or treatment plan. They can help you navigate the complexities of PCOS and ensure that you receive the most appropriate care for your situation.

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