Regarding the menstrual regulation medications Divina and Estromon?
Hello Dr.
Dong, I am currently studying abroad and unable to consult in person.
I am glad to have found this website today, and I hope you can help me with three urgent medication questions.
My menstrual cycle has been irregular since puberty, and despite seeing various traditional and Western medicine practitioners, I have not found a real solution.
It hasn't been too bothersome in my daily life, but I would only seek medical help when my period is significantly delayed or when I experience a lot of acne.
A year and a half ago, I went to a large hospital for an examination, and the doctor prescribed me two medications to regulate my menstrual cycle: Divina and Estromon.
The doctor instructed me to take Divina, which has 21 pills, daily until just before my period, and then to continue taking the next pack starting on the fifth day of my period.
Estromon was to be taken daily.
Since I am studying abroad, the doctor prescribed me a three-month supply, but I only took it for two months.
(I had heard that these two medications are not suitable for long-term use, and after my period became more regular for a while, I gradually forgot about the medications.) Last month, I noticed that I was experiencing light bleeding after sexual intercourse (which was not painful and lasted a long time, so I suspected it was not an injury), and since my period had not come for two months, I decided to take the remaining month's supply of Divina and 10 Estromon pills.
After taking them for a couple of days, the abnormal light bleeding stopped, and I began to notice clear discharge and breast tenderness, which are typical during ovulation.
However, I only have 10 days' worth of Estromon left, so starting from the 11th day, I am only taking Divina.
I would like to ask you: 1) Will stopping Estromon at this point have any adverse effects? 2) I have recently experienced a decrease in libido (physiological responses are not as usual); could this be related to the menstrual regulation medications? 3) Since I am currently abroad and unable to seek medical attention or obtain medications immediately, should I consider using oral contraceptives as a substitute for the menstrual regulation medications? If so, are there any contraindications in my case? Thank you!
Yvonne, 30~39 year old female. Ask Date: 2011/08/14
Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: There are many types of medications for regulating menstruation, and the choice of dosage or formulation should vary from person to person.
If accessing medical care is inconvenient, using oral contraceptives to regulate menstruation is also an option.
There are various formulations of oral contraceptives available, and it is advisable to consult a pharmacist when purchasing them abroad.
Thank you!
Reply Date: 2011/08/14
More Info
When it comes to managing menstrual irregularities, medications like Divina and Estromon are often prescribed. Understanding their mechanisms and implications is crucial, especially when you are in a situation where immediate medical advice is not available.
1. Stopping Estromon: Potential Effects
Estromon is a combination of estrogen and progestin, which is typically used to regulate menstrual cycles and manage symptoms associated with hormonal imbalances. If you stop taking Estromon after a short duration, it is unlikely to cause severe adverse effects, especially if you have been taking it for only a few days. However, abrupt discontinuation of hormonal medications can sometimes lead to withdrawal symptoms, which may include changes in mood, menstrual irregularities, or even breakthrough bleeding. Since you have already experienced some irregular bleeding, it is essential to monitor your body’s response after stopping Estromon. If you notice any significant changes or if your symptoms worsen, it would be advisable to seek medical attention as soon as possible.
2. Decreased Libido and Hormonal Medications
The decrease in sexual desire you are experiencing could indeed be related to the hormonal medications you are taking. Both estrogen and progestin can influence libido, and some individuals may experience a reduction in sexual desire as a side effect. This is particularly true if there is an imbalance in hormone levels or if the body is adjusting to new hormonal treatments. If this side effect persists or becomes bothersome, it would be beneficial to discuss this with a healthcare provider when you have the opportunity. They may suggest adjusting your medication or exploring alternative treatments.
3. Considering Oral Contraceptives as an Alternative
Using oral contraceptives as an alternative to regulate your menstrual cycle can be a viable option, especially if you are unable to access your prescribed medications. Oral contraceptives work by providing a consistent level of hormones, which can help stabilize your menstrual cycle and reduce symptoms like irregular bleeding or hormonal acne. However, it is crucial to consider any contraindications based on your medical history. For instance, if you have a history of blood clots, certain cancers, or other specific health conditions, some forms of oral contraceptives may not be suitable for you.
Before starting any new medication, including oral contraceptives, it is advisable to consult with a pharmacist or healthcare provider if possible. They can help you choose a formulation that is appropriate for your situation and ensure that it does not interact negatively with any other medications you may be taking.
Conclusion
In summary, while stopping Estromon may not lead to significant issues, monitoring your body's response is essential. The decrease in libido could be linked to hormonal treatments, and considering oral contraceptives as an alternative is a reasonable approach, provided there are no contraindications. Always prioritize seeking professional medical advice when possible, especially when managing hormonal treatments and menstrual irregularities. Your health and well-being are paramount, and finding the right balance in your treatment plan is crucial for achieving optimal results.
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