Irregular Periods: When to Consider Further Treatment

Irregular menstruation

On the 27th of this month, I visited a clinic due to irregular menstruation.
The doctor informed me that I have a tumor in my uterus, which is causing the irregular bleeding, but he said it is benign and will resolve on its own.
I also had a Pap smear done.
I started taking medication to induce menstruation for three days from the 27th, but I still haven't gotten my period.
Should I continue with the hormonal injections to induce menstruation? Thank you.

Qi Qi, 30~39 year old female. Ask Date: 2015/10/01

Dr. Lü Lizheng reply Obstetrics and Gynecology

1.
You may have misunderstood the doctor's explanation; uterine fibroids only increase menstrual flow, and the fibroids themselves do not cause irregular menstruation.

2.
It is more likely to be an ovarian cyst, formally known as a follicular cyst, which usually results from poor ovarian function and unstable hormone secretion, leading to irregular menstruation.
The unovulated follicles accumulate on the surface of the ovary, forming a follicular cyst, which may resolve on its own after some time.
Sometimes, a three-day course of menstrual induction medication may not be sufficient, and a follow-up visit may be necessary.

Respectfully, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/10/01

More Info

Irregular menstrual periods can be a source of concern for many women, and understanding the underlying causes is crucial for determining the appropriate treatment. In your case, it seems that your doctor has diagnosed you with a benign tumor in the uterus, which is likely contributing to your irregular menstrual cycles. Benign tumors, such as fibroids or polyps, can disrupt the normal hormonal balance and lead to changes in menstrual patterns.

The fact that your doctor has prescribed medication to induce menstruation indicates that they are taking steps to help regulate your cycle. However, it is not uncommon for hormonal treatments to take some time to show effects, and individual responses can vary significantly. If you have taken the medication for three days and have not yet experienced a period, it may be worth discussing your concerns with your healthcare provider.

Here are some considerations regarding your situation:
1. Monitoring Symptoms: Keep track of any additional symptoms you may experience, such as pain, heavy bleeding, or unusual discharge. This information can be helpful for your doctor in assessing your condition.

2. Follow-Up Appointment: If your period does not start soon, it is advisable to schedule a follow-up appointment with your doctor. They may want to evaluate your response to the medication and consider other options if necessary.

3. Further Treatment Options: If the benign tumor is causing significant disruption to your menstrual cycle, your doctor may discuss other treatment options with you. These could include hormonal therapies, such as birth control pills, which can help regulate your cycle and manage symptoms. In some cases, surgical options may be considered if the tumor is large or causing significant issues.

4. Lifestyle Factors: Sometimes, lifestyle factors such as stress, diet, and exercise can also impact menstrual regularity. It may be beneficial to evaluate these aspects of your life and make adjustments if necessary.

5. Understanding the Tumor: Since your doctor mentioned that the tumor is benign and may resolve on its own, it is essential to understand the nature of the tumor. Regular monitoring through ultrasounds or other imaging may be recommended to ensure that it does not grow or cause further complications.

6. When to Seek Immediate Care: If you experience severe pain, heavy bleeding, or any other concerning symptoms, do not hesitate to seek medical attention immediately.

In summary, while it is essential to follow your doctor's advice regarding the medication, staying in communication with your healthcare provider is crucial. They can provide you with the best guidance based on your specific situation and help you navigate any further treatment options that may be necessary. Remember that every woman's body responds differently to treatment, and patience is often required as you work towards achieving a regular menstrual cycle.

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