Heavy Bleeding After Starting Qilian: Should I Continue Treatment?

After taking Prilactone for the first month, there was heavy menstrual bleeding?

Doctor, I would like to ask about my condition.
I have adenomyosis, and I am experiencing heavy menstrual bleeding and dysmenorrhea.
Last month (March 9), I started taking Kylian on the third day of my period.
This month (April 2), my menstrual cycle began, and in the past, I would only have heavy bleeding on the second day.
However, this time, after starting Kylian, I experienced a sudden onset of heavy bleeding on the first day in the morning, which stopped and then resumed heavy bleeding at midnight.
The bleeding was so severe that I had to change my menstrual underwear every hour, accompanied by large blood clots.
Even now, on the second day at noon, I am still experiencing intermittent heavy bleeding and large clots, with the bleeding being more severe than before I started treatment.
My doctor prescribed two boxes of Kylian for me and advised me to take it for two months to see how it goes.
Tomorrow will be the third day of my period, and I need to start the next box of medication.
Given this situation, should I continue taking the second box?

Miya, 40~49 year old female. Ask Date: 2024/04/03

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if there is still a significant amount, it is recommended to first consult with an obstetrician-gynecologist for an examination.
If everything is fine, then you can proceed as per the original physician's instructions.
Wishing you good health.

Reply Date: 2024/04/03

More Info

It sounds like you are experiencing significant bleeding after starting treatment with Qilian (likely a reference to a hormonal medication such as a contraceptive pill). Given your history of adenomyosis, which can cause heavy menstrual bleeding and pain, it is understandable that you are concerned about the current situation.
First and foremost, it is essential to recognize that hormonal treatments like Qilian can sometimes lead to changes in menstrual patterns, especially in the initial months of use. Some individuals may experience heavier bleeding, especially during the first few cycles, as the body adjusts to the hormones. However, the severity of your current bleeding, characterized by large clots and the need to change pads frequently, is concerning and warrants immediate attention.

In general, if you are experiencing heavy bleeding that is more severe than what you experienced prior to starting the medication, it is crucial to consult your healthcare provider as soon as possible. They can evaluate your situation, perform any necessary examinations, and determine whether the bleeding is a side effect of the medication or if there is another underlying issue that needs to be addressed.
Continuing the medication without consulting your doctor may not be advisable, especially given the severity of your symptoms. Your doctor may recommend stopping the medication temporarily to assess the situation or may suggest alternative treatments that could better manage your symptoms.
In addition to consulting your healthcare provider, here are some general recommendations for managing heavy menstrual bleeding:
1. Monitor Symptoms: Keep a detailed record of your bleeding patterns, including the amount of blood, the presence of clots, and any associated symptoms like pain or dizziness. This information can be helpful for your doctor.

2. Stay Hydrated: Heavy bleeding can lead to dehydration, so ensure you are drinking plenty of fluids.

3. Iron Intake: If you are losing a significant amount of blood, consider increasing your intake of iron-rich foods or discussing iron supplementation with your doctor to prevent anemia.

4. Pain Management: If you are experiencing pain, over-the-counter pain relievers like ibuprofen can help, but consult your doctor for the appropriate dosage and duration.

5. Avoid Self-Medication: Do not take any additional medications or supplements without consulting your healthcare provider, as they may interact with your current treatment.

6. Emergency Care: If you experience symptoms such as dizziness, fainting, or severe pain, seek emergency medical attention immediately.

In conclusion, while hormonal treatments can be effective for managing conditions like adenomyosis, they can also lead to unexpected side effects. Given the severity of your current bleeding, it is crucial to consult your healthcare provider before continuing with the medication. They will be able to provide personalized advice and treatment options based on your specific situation. Remember, your health and safety should always come first.

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