Managing Irregular Periods: What to Do When Menstruation is Unpredictable - Obstetrics and Gynecology

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What should I do if my menstrual cycle is irregular?


1.
What kind of treatment should I pursue to normalize my menstrual cycle without relying on menstrual induction medication, or should I simply not worry about it regardless of whether my period comes or not?
2.
Does the regular use of menstrual induction medication or ovulation drugs have any effects on the body?
3.
The doctor prescribed P-N (5mg), ulcermin, and voren (25mg).
What are these medications? I couldn't find any information about them, and the doctor only mentioned that I wouldn't have my period while taking them, which I found a bit unclear.

4.
My basal body temperature has consistently remained low (below OV 15).
What should I do? Thank you!

Xiao Hong, 30~39 year old female. Ask Date: 2005/11/04

Dr. Li Guanghan reply Obstetrics and Gynecology


Hello: 1.
Please come in for a consultation to determine the cause of your irregular menstruation before deciding on a treatment plan.
2.
If you do not wish to conceive, do not use ovulation-stimulating medications, as they increase the risk of future ovarian disorders.
If menstruation does not occur for three months and pregnancy is ruled out, then consider inducing menstruation.
3.
Voren is a pain reliever; I am not familiar with P-N and ulcermin.
4.
The basal body temperature (BBT) is low, indicating no ovulation; management is the same as in point 1.
Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2005/11/04

More Info


Managing irregular periods can be a complex issue, especially when it involves the use of medications like menstrual induction drugs and ovulation stimulants. Based on your situation, let’s address your questions one by one, while also providing some context about menstrual health and treatment options.

1. Treatment for Normalizing Menstruation: To help regulate your menstrual cycle without relying on menstrual induction drugs, it’s essential to first identify any underlying causes of your irregular periods. Common factors include hormonal imbalances, polycystic ovary syndrome (PCOS), thyroid disorders, and lifestyle factors such as stress or significant weight changes. Consulting with a gynecologist or an endocrinologist can help you explore these possibilities. They may recommend lifestyle changes, such as a balanced diet, regular exercise, and stress management techniques, which can significantly impact menstrual regularity. Additionally, hormonal treatments like birth control pills may be suggested to help regulate your cycle.

2. Effects of Menstrual Induction and Ovulation Drugs: Regular use of menstrual induction drugs and ovulation stimulants can have various effects on your body. While they can help induce menstruation or stimulate ovulation, they may also lead to side effects such as hormonal imbalances, mood swings, or changes in weight. Long-term use without medical supervision can potentially lead to complications, so it’s crucial to have regular follow-ups with your healthcare provider to monitor your health and adjust treatments as necessary.

3. Understanding Your Medications: The medications you mentioned—P-N (5mg), ulcermin, and voren (25mg)—are not widely recognized names in common pharmacological references, which may indicate they are brand names or less common medications. It’s essential to clarify with your doctor what these medications are intended for and how they work. Generally, medications prescribed for menstrual irregularities may include hormonal treatments, anti-inflammatory drugs, or medications aimed at addressing specific underlying conditions. Understanding the purpose of each medication can help you feel more informed about your treatment plan.

4. Low Basal Body Temperature: A consistently low basal body temperature (below 15°C or 59°F) can indicate a lack of ovulation or hormonal imbalance. This could be related to conditions like hypothyroidism or other endocrine disorders. It’s important to discuss this symptom with your healthcare provider, as they may recommend further testing to assess your thyroid function or other hormonal levels. Monitoring your basal body temperature can be a useful tool in understanding your menstrual cycle, but it should be interpreted in the context of other symptoms and clinical findings.

In conclusion, managing irregular periods often requires a multifaceted approach that includes lifestyle modifications, medical treatment, and regular monitoring. It’s essential to maintain open communication with your healthcare provider, who can guide you through the process of finding the most effective treatment for your specific situation. If you have decided to stop pursuing pregnancy for now, focusing on your overall health and well-being is a positive step. Regular check-ups and being proactive about your health can help you achieve a more regular menstrual cycle and improve your quality of life.

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