Patient's question:
I got married last year, and recently I've been experiencing lower abdominal pain. It's especially bad during my period, and I'm very worried about it affecting my fertility. I also feel extremely cold and afraid of the cold. Could you please recommend any medication to make my period come earlier?Doctor's answer:
A progesterone adjustment with relatively minor side effects can be adopted. If the intention is to induce menstruation earlier, progesterone preparations can be administered via injection or oral ingestion before the exam. To bring on menstruation prematurely, it is essential to meticulously calculate the exact timing of medication use and determine it based on the actual previous menstrual cycle days. Generally, 20 mg of progesterone is often used, taken once daily for 3 consecutive days, followed by a 3-5 day waiting period before menstruation occurs. If menstruation lasts longer than usual, the actual menstrual period duration should be considered. Of course, this method is not suitable if the menstrual cycle is nearing its onset. In real-life scenarios, the delayed menstruation method is more commonly used, which also employs progesterone. The typical approach involves oral ingestion of progesterone, such as Dianzhong Progesterone. This is taken 1-2 days before menstruation is expected to occur (even if it has already started, it is not advisable). It is taken 2-3 times daily, with each dose consisting of 2-3 tablets (the daily dose is usually limited to 12 mg). Continuous use is maintained, during which menstruation will not occur. Based on the characteristic that menstruation typically occurs 3 days after stopping the medication, the duration of use is determined. Short-term progesterone use does not harm the user and has no significant side effects.