Patient's question:
Irregular menstruation, periods lasting more than two months without stopping, and low menstrual flow. In October and November 2011, the flow was heavier, but it has been ongoing with medication since then. I also have underdeveloped breasts, but I am quite slim and tall.Test and examination results: Pubertal dysfunctional uterine bleeding.
Previous treatment history and effectiveness: First, I took traditional Chinese medicine, which had no effect. Then, I took progesterone capsules. I stopped taking them when I started, and the bleeding returned when I stopped. I took them again but stopped, but when I stopped taking them, the bleeding returned while I was still on medication. After stopping the progesterone capsules for two days, I experienced rapid weight gain. Currently, I am still taking Ejiao oral liquid and a soup made with tremella, red dates, and lotus seeds. I don’t know if it’s working.
Desired help: Is it really effective to take progesterone capsules? If it’s not, what should I do? Will the weight gain disappear after stopping the medication? Does the underdeveloped breast development have anything to do with this?
Doctor's answer:
If the menstrual flow is excessive, it is not suitable to use herbs like Poria or Salvia miltiorrhiza. Instead, directly use tonifying kidney herbs, and only take them after the menstruation has ended. You may currently be using progesterone medication and experiencing self-regulation issues with the entire hormone axis. Generally, when the menstrual period is delayed, you can consider using topical medication, such as anti-inflammatory drugs, to see if they can be applied. After the menstruation has ended, use Chinese medicine methods to tonify the kidneys and regulate hormone levels. This process may take a longer time, and relying too much on artificial hormones can easily lead to dependence on external hormones.