How should I do it? Do I need to take progesterone pills?

Patient's question:

Case: Primary infertility, polycystic ovaries (left and right ovaries, fallopian tubes)
Polycystic ovary surgery was performed in July 2005. After successful surgery, menstruation was normal from August to November, but no dominant follicle was observed. In December, ovulation monitoring failed (dominant follicle not observed again), and then I consulted a traditional Chinese medicine practitioner. They prescribed a herbal decoction to enhance luteal function and An Kun Zan Yu pills (2 courses = 14 days). Due to concerns, before the start of menstruation, I did not finish the decoction and doubled the dosage during the second course. However, after the menstrual period (5 days have passed already), it has not arrived. I don’t know what to do. Should I take progesterone tablets?

Doctor's answer:

Hello: Generally, it is recommended to consider medication only if the menstrual period is more than 7 days longer than the normal cycle. The occurrence of gynecological tumors not only affects women's lives but also leads to the development of gynecological diseases. Therefore, it is best to undergo a routine check-up in the gynecology department of a hospital, identify the cause, and receive symptomatic treatment. Pay attention to dietary regulation, consuming light and easily digestible foods, and avoid spicy, stimulating, and cold foods.

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