Patient's question:
I had an ultrasound 20 days ago, which showed a left adnexal mass measuring 4.83.3 cm. After taking medication for a week, my period stopped for four days, and then I resumed taking the medicine (my period arrived on the 15th and lasted for only seven days). On the 27th, the ultrasound showed it had grown to 5.13.3 cm (estimated to be a chocolate cyst of the ovary). In June, it was 3.82.2 cm, and I was taking Chinese medicine combined with topical application. In July, it shrank to 1.81.2 cm, and the doctor said I could stop taking medication. May I ask if it is possible to take medication to completely eliminate it now? If surgery is performed, is it better to do it sooner? Does taking Guizhi Fuling capsules during an incomplete period cause adverse effects?First follow-up question: Thank you! Can medication completely cure it? I’m 30 and want to get pregnant as soon as possible.
Doctor's answer:
Hello: Most women know they should be cautious about medication during pregnancy, but they have little understanding of medication restrictions during the menstrual period. During menstruation, or even before it starts, it's important to pay attention to certain medication restrictions:Local medications for treating gynecological infectious diseases: Solutions, vaginal tablets, pills, suppositories, and capsules for treating trichomoniasis or fungal infections should be temporarily discontinued. This is because the uterine mucosa becomes congested and the cervix opens during menstruation, making it easier for bacterial infections to occur.
Hormonal drugs: The synthesis and metabolic balance of human hormones are related to the female menstrual cycle. Therefore, hormonal drugs should not be used during menstruation to avoid disrupting this balance. For example, androgens can cause menstrual disorders and inhibit ovulation; progesterone can lead to breast tenderness or irregular vaginal bleeding; oral contraceptives can cause breast tenderness; and adrenal cortical hormones can cause amenorrhea or abdominal bloating.
Thyroid preparations: They may cause menstrual disorders and symptoms such as heat intolerance, sweating, arrhythmia, and weight loss.
Weight-loss medications: Weight-loss medications contain appetite-suppressing ingredients. If used during menstruation, they may lead to menstrual disorders, changes in libido, polyuria or difficulty urinating, or symptoms like anxiety, palpitations, and mental tension.
Laxatives: Bulk-forming laxatives, such as magnesium sulfate, can stimulate the intestinal wall and cause pelvic congestion, so they should be avoided during menstruation. Other types, such as gastrointestinal motility drugs, should also be used cautiously or avoided.
Anticoagulants: To prevent an increase in uterine bleeding, anticoagulants should be avoided during menstruation, such as coumarins and certain Chinese herbal thrombolytic preparations.
Hemostatic drugs: This category of