Medication for Gynecological Issues: Doxymicin and Contraceptives - Obstetrics and Gynecology

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I have a question: Recently, I have experienced a decrease in menstrual flow and have been developing acne around my mouth, particularly severe on my chin.
The doctor prescribed Doxycycline, Lunar, and Tengen, and mentioned that I need to take them continuously for three months.
Is it necessary to follow the three-month treatment? Also, one of the medications seems to be a contraceptive; will taking it cause infertility?

co, 20~29 year old female. Ask Date: 2009/04/17

Dr. Zhong Wenzhen reply Obstetrics and Gynecology


Hello, Miss: Thank you for your inquiry.
I would like to respond to your question and provide the following advice: The specific treatment plan will be determined by the physician based on the patient's condition.
Additionally, regarding oral contraceptives, they will not cause infertility, so there is no need to worry too much.
Lastly, I wish you peace and happiness!

Reply Date: 2009/04/17

More Info


When it comes to managing gynecological issues, especially in the context of medications like Doxymicin and contraceptives such as Lunar and Tengen, it is essential to understand both the therapeutic benefits and potential risks associated with these treatments.

Doxymicin, a tetracycline antibiotic, is often prescribed for various bacterial infections, including those that may contribute to skin issues like acne. It works by inhibiting bacterial protein synthesis, thereby reducing inflammation and bacterial growth. However, it is crucial to note that Doxymicin is not typically the first-line treatment for acne, and its prolonged use can lead to antibiotic resistance. This means that while it may be effective in the short term, overuse can diminish its effectiveness against future infections.

Regarding the duration of the treatment, your physician's recommendation to take Doxymicin for three months may be based on the severity of your condition and the need for sustained treatment to achieve the desired results. However, it is always advisable to discuss any concerns about the length of treatment with your healthcare provider. They can provide personalized advice based on your specific health needs and response to the medication.

As for the contraceptives, Lunar and Tengen, these are typically used to regulate menstrual cycles and manage symptoms associated with hormonal imbalances, such as those seen in polycystic ovary syndrome (PCOS). The concern about contraceptives causing infertility is a common misconception. In reality, hormonal contraceptives do not cause permanent infertility. They work by suppressing ovulation and regulating the menstrual cycle, but once you stop taking them, your fertility should return to its baseline level.
It is also worth mentioning that hormonal contraceptives can have side effects, including mood changes, weight gain, and, in some cases, an increased risk of blood clots. Therefore, it is essential to weigh the benefits against the risks and discuss these with your healthcare provider.

In your case, the combination of Doxymicin and hormonal contraceptives may be aimed at addressing both the acne and any underlying hormonal issues contributing to your symptoms. If you are experiencing side effects or have concerns about the medications, it is crucial to communicate these with your doctor. They may adjust your treatment plan or suggest alternative therapies that align better with your health goals.

Lastly, if you are experiencing a decrease in menstrual flow, it could be related to the hormonal changes induced by the contraceptives. It is not uncommon for some women to experience lighter periods or even missed periods while on hormonal birth control. However, if you have concerns about your menstrual cycle or any other symptoms, it is always best to consult with your healthcare provider for further evaluation.

In summary, while Doxymicin and contraceptives can be effective in managing gynecological issues, it is essential to have open communication with your healthcare provider regarding the duration of treatment, potential side effects, and any concerns about fertility. Your health and well-being should always be the priority in any treatment plan.

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