Is it normal to have a menstrual period 3 days after taking Dian when you have polycystic ovary syndrome?

Patient's question:

Polycystic ovary syndrome, started taking Dian on the 5th day of the last menstrual period. After taking it for 3 days, another menstrual period came. The two menstrual periods were only 22 days apart. Is this normal? Additionally, I am not sure if this is a menstrual period or withdrawal bleeding?

Doctor's answer:

This is menstruation, which generally occurs within one week after stopping medication. A normal menstrual cycle is the time interval from the first day of menstruation each month, not calculated from the day it ends. You started taking medication on the fifth day of your period, took it for 21 days, and then had a three-day break afterward. This indicates that your menstrual cycle is 29 days long, which is perfectly normal. You can focus on following the next recommendations. Generally, you need to take the medication for three months. The menstrual cycle is the time interval between the first days of each menstrual period, not the time it takes for your period to end. You made an incorrect estimation, as this cycle has nothing to do with the end of menstruation.

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