Patient's question:
Female, 19 years old. Suffering from anovulatory dysfunctional uterine bleeding for 4 months. On November 25th, due to excessive bleeding for several days and high volume, she took ethinyl estradiol as prescribed, 12 tablets per day. The bleeding stopped on the 28th, and she continued at the original dose for 3 more days before reducing it. After that, she reduced the dose by 3 tablets each day. Starting from December 8th, she took 4 tablets per day. She was supposed to follow the doctor's advice and maintain this dose until December 19th. However, on December 12th, she suddenly had a small amount of bleeding again. What should she do? Should she stop the medication and let her bleed, or should she increase the dose of ethinyl estradiol? If she increases the dose, how much should she take to be appropriate?Doctor's answer:
Most cases of adolescent dysfunctional uterine bleeding are treated with artificial cycle therapy, which involves sequential estrogen-progestogen therapy to regulate menstruation and ensure timely ovulation. Additionally, it can induce ovulation. Hormone tests, however, are inconclusive. Carp soup has certain benefits in promoting blood circulation and Qi, but it should be consumed in moderation. Daily dietary care should be paid attention to, as many conditions are caused by diet. One should maintain a cheerful mood, avoid cold, spicy, and pungent foods, and refrain from taking hormone medications.