Patient's question:
The doctor prescribed me with medication for 10 days. I have taken it for 7 days. On the morning of the 8th day, I had a little bit of menstrual bleeding, but it doesn't seem like a proper period. Can I still take the remaining 3 days of medication?Doctor's answer:
To continue eating. The confirmed menstrual disorders caused by neuroendocrine dysfunction should be treated according to the severity of the condition and the specific circumstances of the patient, adopting different treatment plans. The main issues brought by menstrual disorders to patients are as follows. Treatment should focus on addressing these problems of the patients: (1) Bleeding and anemia: Due to prolonged periods and excessive menstrual flow, in addition to general hemostatic measures, hormones or D&C can be used as needed. (2) Irregular cycles: Estrogen-progestogen monotherapy or combination therapy can be used, or traditional Chinese medicine treatment. (3) Infertility: Dysfunction in one or more links of the hypothalamic-pituitary-ovarian axis leading to anovulation is one of the pathophysiological bases of menstrual disorders and also a factor or cause of infertility, which is an urgent issue for many patients to address. Some patients may ovulate but have insufficient luteal function, which can also cause infertility. Different ovulation-inducing drugs should be selected based on the patient's condition to improve ovarian function or replace part of the function of the pituitary and hypothalamus. Excessive or insufficient menstrual flow is abnormal, both of which are due to poor endocrine function. If the endometrium is hyperplastic or there are uterine fibroids, the menstrual flow will be very heavy. If the menstrual flow is too light due to oral contraceptives, consult a doctor to determine whether to change the contraceptive measure.