During the menstrual induction period, if there is menstrual bleeding, should I continue taking the medication?
Hello Doctor, I haven't had my period for a long time, and on October 3rd, the doctor prescribed me a medication to induce menstruation (Diane-35 tablets) for 21 days.
I haven't taken it consistently, and by October 25th, I still have 8 tablets left.
However, in the last two days, I have experienced brown spotting, and now I have normal red bleeding.
I would like to ask if I should continue taking the remaining medication until it's finished?
Nìmíng, 20~29 year old female. Ask Date: 2023/10/27
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is difficult to confirm whether the bleeding is a true menstrual period.
It is recommended to complete the prescribed medication.
Thank you! Wishing you peace and health.
Dr.
Zhang
Reply Date: 2023/10/27
More Info
When it comes to the use of menstrual induction medication, such as the medication you mentioned (Diane-35, which is a combination of estrogen and progestin), it is essential to understand how these medications work and what to do when your menstrual cycle begins.
Menstrual induction medications are typically prescribed to help regulate the menstrual cycle, especially in cases where a person has irregular periods or is experiencing amenorrhea (the absence of menstruation). These medications work by mimicking the natural hormones in the body, which can help to stimulate the lining of the uterus and induce a menstrual period.
In your case, since you have started to experience bleeding (which indicates that your menstrual cycle has begun), it is generally advisable to consult your healthcare provider regarding the continuation of the medication. Here are some key points to consider:
1. Follow Your Doctor's Instructions: If your doctor prescribed the medication for a specific duration (in your case, 21 days), it is important to follow their instructions. However, if you have started your period, your doctor may advise you to stop taking the medication or to continue until the end of the prescribed course, depending on your individual situation.
2. Understanding Breakthrough Bleeding: Sometimes, breakthrough bleeding can occur while taking hormonal medications, especially if they are not taken consistently. If you experience bleeding while on the medication, it may not necessarily indicate that you should stop taking it, but it is a sign that you should reach out to your healthcare provider for guidance.
3. Potential Side Effects: Continuing to take hormonal medications during your period can sometimes lead to side effects such as nausea, headaches, or mood changes. If you are experiencing any adverse effects, it is crucial to discuss these with your healthcare provider.
4. Consultation is Key: Since you have a specific concern about whether to continue taking the remaining pills, it is best to contact your healthcare provider. They can provide personalized advice based on your medical history and current situation. They may suggest that you complete the course to maintain hormonal balance or advise you to stop based on the onset of your period.
5. Future Considerations: If you find that your menstrual cycle is still irregular after completing the course of medication, or if you have any other concerns regarding your menstrual health, it may be beneficial to have a follow-up appointment with your healthcare provider. They can assess your situation and determine if further treatment or a different approach is necessary.
In summary, while it is essential to follow your doctor's instructions regarding the use of menstrual induction medication, the onset of your period is a critical factor that should be discussed with your healthcare provider. They will be able to give you the best advice tailored to your specific circumstances. Always prioritize open communication with your healthcare provider to ensure that you are making informed decisions about your health.
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