Should I Continue Taking Urogestan While Waiting for My Period? - Obstetrics and Gynecology

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Do I need to continue taking Uroclean?


Hello Doctor: In my last three menstrual cycles, I experienced pink or brown discharge 3 to 4 days before my period (which only lasted for one or two wipes).
The pink discharge started when I began preparing for pregnancy.
I later consulted a doctor who suspected I had a luteal phase deficiency, so I was prescribed Utrogestan.
I started taking one capsule after each meal once my basal body temperature indicated a rise.
Now, my period is one day late, and I tested for pregnancy but it was negative (my cycle is about 28 to 30 days).
I tested again on day 31, and I have not experienced the pink discharge like before.
Should I stop taking Utrogestan until my period arrives, or should I continue taking it until my period comes? Thank you!

Xiao Lu, 30~39 year old female. Ask Date: 2015/08/24

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello: You may stop the medication and observe for a while.
Wishing you good health.

Reply Date: 2015/08/24

More Info


When it comes to managing your menstrual cycle and the use of Urogestan (a form of progesterone), it's essential to consider both your current symptoms and the advice of your healthcare provider. Based on your description, it seems that you have been experiencing some irregularities in your menstrual cycle, including pink or brown discharge before your period, which may indicate a hormonal imbalance, particularly related to luteal phase deficiency.

Urogestan is often prescribed to help support the luteal phase of the menstrual cycle, especially if there are concerns about insufficient progesterone levels. This medication can help prepare the uterine lining for a potential pregnancy and may also help regulate your menstrual cycle. Since you mentioned that you have been taking Urogestan as directed and are now one day late for your period, it is understandable to have questions about whether to continue taking it.

1. Continue Taking Urogestan: If your doctor has prescribed Urogestan, it is generally advisable to continue taking it until you receive specific instructions otherwise. Stopping the medication abruptly could lead to a sudden drop in progesterone levels, which might affect your menstrual cycle further. If you are not pregnant (as indicated by your negative pregnancy test), continuing the medication may help in regulating your cycle and preparing your body for the onset of menstruation.

2. Monitoring Your Symptoms: Since you have noted a change in your discharge patterns and the absence of the pink discharge you previously experienced, it could be a sign that your body is responding to the medication. However, if you experience any unusual symptoms, such as severe cramping or significant changes in your discharge, it is crucial to consult your healthcare provider.

3. Consulting Your Healthcare Provider: Given that you are experiencing some irregularities in your menstrual cycle, it would be beneficial to follow up with your healthcare provider. They can assess your situation more thoroughly, possibly through blood tests to check hormone levels, and provide tailored advice on whether to continue Urogestan or adjust your treatment plan. They may also suggest lifestyle changes, dietary adjustments, or additional supplements that could support your hormonal balance.

4. Understanding Your Cycle: It's important to remember that menstrual cycles can vary widely among individuals and can be influenced by numerous factors, including stress, diet, exercise, and overall health. Keeping a record of your menstrual cycle, including symptoms, can help you and your healthcare provider identify patterns and make informed decisions about your treatment.

In summary, it is generally advisable to continue taking Urogestan while waiting for your period unless instructed otherwise by your healthcare provider. Regular communication with your doctor is key to managing your menstrual health effectively. If your period does not arrive soon or if you have any concerns, do not hesitate to reach out for further evaluation and guidance. Your health and well-being are paramount, and your healthcare provider is there to support you through this process.

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