Concerns About Prolonged Menstrual Bleeding After Taking Menstrual Delay Pills - Obstetrics and Gynecology

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Menstrual regulation medication


I took menstrual delay medication for six days to avoid getting my period during a photo shoot.
Normally, my period lasts five days, and on the sixth day, I only have a little bit of brown discharge.
However, today is the sixth day, and I still have bright red blood.
I'm very anxious.
Do I need to go to the hospital to ask a doctor for hemostatic medication?

Xiao Ru, 20~29 year old female. Ask Date: 2005/07/14

Dr. Zhuang Zhijian reply Obstetrics and Gynecology


In general, it is unlikely that the use of menstrual regulation medication would cause any specific abnormalities, but it would be advisable to visit a hospital for an examination.

Reply Date: 2005/07/14

More Info


It’s understandable to feel anxious about prolonged menstrual bleeding, especially after taking menstrual delay pills. Let’s break down your situation and provide some insights based on medical knowledge.

When you take menstrual delay pills, they typically contain hormones that can alter your menstrual cycle. These medications are often used to postpone menstruation for various reasons, such as special events or travel. However, the hormonal changes induced by these pills can sometimes lead to unexpected side effects, including prolonged bleeding or spotting.

In your case, you mentioned that you usually experience a five-day menstrual period, with the sixth day characterized by minimal brown discharge. However, after taking the delay pills for six days, you are now experiencing bright red bleeding. This change can be concerning, but it’s important to understand a few key points:
1. Hormonal Fluctuations: The hormones in the delay pills can cause your body to react differently than it normally would. Some women may experience extended bleeding or spotting as their body adjusts to the hormonal changes. This is not uncommon and can happen as a result of taking hormonal medications.

2. Duration of Bleeding: While it’s typical for a menstrual period to last anywhere from three to seven days, the introduction of hormones can sometimes extend this duration. If the bleeding is light and not accompanied by severe pain or other concerning symptoms, it may not be an immediate cause for alarm.

3. Signs to Watch For: It’s essential to monitor your symptoms. If the bleeding becomes heavy (soaking through a pad or tampon every hour), is accompanied by severe abdominal pain, or if you experience dizziness or fainting, you should seek medical attention promptly. These could be signs of a more serious issue that requires intervention.

4. Consulting a Healthcare Provider: Given your concern about the prolonged bleeding, it would be wise to consult with a healthcare provider. They can assess your situation more thoroughly and determine whether you need treatment, such as medication to help manage the bleeding. It’s always better to err on the side of caution when it comes to your health.

5. Use of Hemostatic Agents: If your doctor determines that the bleeding is excessive or concerning, they may prescribe hemostatic agents, such as Tranexamic acid, which can help reduce menstrual bleeding. However, this should only be done under the guidance of a healthcare professional.

6. Emotional Well-being: It’s also important to address the emotional aspect of your situation. Feeling anxious or worried about your health is completely normal. Consider discussing your concerns with a trusted friend or family member, or even a mental health professional if you feel overwhelmed.

In summary, while prolonged bleeding after taking menstrual delay pills can be concerning, it’s essential to monitor your symptoms and consult with a healthcare provider for personalized advice. They can provide reassurance and appropriate treatment options if necessary. Remember, your health and well-being are paramount, and seeking professional guidance is always a good step when you have concerns.

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