What should I do if I take drospirenone and ethinyl estradiol tablets for irregular periods?

Patient's question:

Irregular menstruation was treated with drospirenone and ethinyl estradiol tablets. After taking it for a few days, I missed a dose, and as a result, my period didn't stop. When I took it again to make up for the missed dose, it kept flowing and never stopped. Ultrasound showed 1.4 cm of fluid accumulation and 0.4 cm of endometrium. I've been taking the medication for 18 days now. What should I do?

Doctor's answer:

The ethinylestradiol/norethisterone tablets are a type of short-term oral contraceptive. If they are missed again, irregular vaginal bleeding may occur. Based on your description, irregular vaginal bleeding occurred again after missing oral contraceptives for 18 days. A careful ultrasound examination showed that the endometrium was not thick, and the medication can be stopped for observation. Gynecological diseases are a common condition that can easily occur. During treatment, women need to pay attention to their own care, especially in terms of hygiene. It is recommended that patients pay close attention to vaginal hygiene and maintain a light diet as the foundation.

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