Irregular Menstrual Cycles: Risks of Dependency on Hormonal Treatments

Irregular menstrual cycle

Hello, doctor.
Over the past three years, my menstrual periods have often been delayed, sometimes taking almost two months to arrive! I have been seeing a gynecologist during this time.
I have undergone menstrual regulation twice, each time taking menstrual regulation medication for six months.
However, as soon as I stop taking the medication, my periods become irregular again.
The most recent menstrual regulation was from May to October 2013, and my last few menstrual dates were September 16, October 14, November 11, and December 25, but my period has not arrived this time! The December 25 period was induced by an injection.
Since my visits to the gynecologist mainly involve receiving injections or taking menstrual regulation medication, I would like to ask if this could lead to dependency.
If the gynecologist suggests another injection this time, will I likely need to get the injection again next time? If I need to undergo menstrual regulation again, could it be harmful to my body? Thank you!

Xiao Wen, 30~39 year old female. Ask Date: 2014/02/06

Dr. Lü Lizheng reply Obstetrics and Gynecology

I suggest that you first identify the causes of your irregular menstruation before considering treatment options.
Common causes of irregular menstruation include insufficient sleep, excessive stress, being overweight, and interference from other medications.
If the irregularity is due to any of these factors, adjusting the underlying causes may resolve the issue without the need for medication.
However, if after evaluation you believe that none of these factors are responsible, I recommend visiting a larger hospital for further examination.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan General Hospital.

Reply Date: 2014/02/06

More Info

Irregular menstrual cycles can be a source of concern for many women, and your experience of having delayed periods for extended periods, sometimes up to two months, is not uncommon. It is good that you have sought medical advice from a gynecologist, as understanding the underlying causes of your irregular cycles is crucial for effective treatment.

When it comes to hormonal treatments, such as the medications you have been prescribed to regulate your menstrual cycle, there are several factors to consider regarding dependency and potential risks. Hormonal treatments, including birth control pills and hormonal injections, are often used to manage irregular menstrual cycles by providing the body with the hormones it may be lacking or regulating hormonal fluctuations. While these treatments can be effective in restoring regularity to your menstrual cycle, there are concerns about dependency.

Dependency on hormonal treatments can occur when the body becomes accustomed to the external hormones provided by medications. This can lead to a situation where, upon discontinuation of the treatment, the body may struggle to regulate its own hormonal balance, resulting in a return to irregular cycles. This seems to be reflected in your experience, where your menstrual cycle remains irregular once you stop taking the medication.
The use of hormonal treatments, such as the injections you mentioned, can also have side effects. Common side effects may include weight gain, mood changes, headaches, and changes in libido. Long-term use of hormonal treatments can also lead to complications such as blood clots, especially in women who smoke or have other risk factors. Therefore, it is essential to have a thorough discussion with your healthcare provider about the risks and benefits of continued hormonal treatment.

If your gynecologist suggests another round of hormonal treatment or injections, it is important to discuss your concerns about dependency and the potential for your body to become reliant on these treatments. Your doctor may also explore alternative options for managing your menstrual cycle, such as lifestyle changes, dietary adjustments, or non-hormonal medications that can help regulate your cycle without the same risk of dependency.

Additionally, it is crucial to investigate the underlying causes of your irregular menstrual cycles. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances can contribute to irregular periods. Addressing these underlying issues may help restore your menstrual cycle's regularity without the need for ongoing hormonal treatments.

In summary, while hormonal treatments can be effective for managing irregular menstrual cycles, there is a risk of dependency, and it is essential to weigh the benefits against potential side effects. Open communication with your healthcare provider about your concerns and exploring alternative treatment options can help you make informed decisions about your menstrual health. Regular follow-ups and monitoring can also ensure that any underlying conditions are addressed, leading to a more sustainable and healthy approach to managing your menstrual cycle.

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