Heavy Menstrual Flow: Why Was I Given a Menstrual Induction Shot?

Heavy menstrual flow?

Hello Doctor: I have been experiencing continuous menstrual bleeding, so I went to see a gynecologist.
At that time, I was still on my period, and the doctor administered a medication to induce menstruation.
I would like to ask why the doctor would give me this medication while I was still menstruating.
After receiving the injection, my bleeding has increased significantly compared to before, and I also feel some heaviness in my abdomen.
Is this normal?

lyu, 20~29 year old female. Ask Date: 2015/10/01

Dr. Lü Lizheng reply Obstetrics and Gynecology

The injection in question is likely progesterone.
For patients who have missed their menstrual period, administering progesterone can induce menstruation.
In patients with menstrual irregularities, progesterone can help stabilize the menstrual cycle.
If the effects of progesterone are insufficient, oral medications for regulating menstruation can be added for enhancement.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/10/01

More Info

Heavy menstrual flow, or menorrhagia, can be a distressing condition that affects many women at different stages of their lives. When you visited your gynecologist due to persistent menstrual bleeding, the decision to administer a menstrual induction shot (often referred to as a "menstrual suppression" or "menstrual induction" injection) was likely made to help regulate your menstrual cycle and manage the excessive bleeding you were experiencing.

The primary reasons for administering such a shot include:
1. Regulating the Menstrual Cycle: The injection can help to reset your menstrual cycle, especially if you have been experiencing irregularities. This is particularly important if your periods have been prolonged or heavy, as it can help to bring your cycle back to a more manageable state.

2. Reducing Heavy Bleeding: The shot may contain hormones that can help to reduce the thickness of the uterine lining, which in turn can decrease the amount of bleeding during your period. In some cases, it may also help to stop the bleeding altogether.

3. Addressing Underlying Conditions: If your heavy menstrual flow is due to conditions such as fibroids, polyps, or hormonal imbalances, the injection can be a part of a broader treatment plan aimed at addressing these issues.

Regarding your experience of increased bleeding and abdominal discomfort after receiving the shot, it is not uncommon for women to notice changes in their menstrual flow following hormonal treatments. Here are a few points to consider:
- Increased Flow: After receiving a menstrual induction shot, some women may experience a heavier flow initially as the body responds to the hormonal changes. This can be due to the shedding of the uterine lining, which may have thickened due to previous hormonal imbalances.

- Abdominal Discomfort: The feeling of heaviness or discomfort in the abdomen can also be a normal response to hormonal changes. The body is adjusting to the new hormonal levels, and this can sometimes lead to cramping or a sensation of fullness.

- Monitoring Symptoms: It is essential to monitor your symptoms closely. If the bleeding becomes excessively heavy (soaking through a pad or tampon every hour for several hours), or if you experience severe pain, fever, or any other concerning symptoms, you should contact your healthcare provider immediately.

- Follow-Up Care: It is crucial to have follow-up appointments with your gynecologist to assess how your body is responding to the treatment. They may want to perform additional tests or imaging to ensure that there are no underlying issues contributing to your heavy menstrual flow.

In summary, while it is normal to experience some changes in your menstrual flow and abdominal sensations after receiving a menstrual induction shot, it is vital to stay in communication with your healthcare provider. They can provide personalized advice and adjustments to your treatment plan as necessary to ensure your health and well-being.

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