Patient's question:
Previously, because I hadn't had my period for 3 or 4 months, I went to the hospital for a check-up. The doctor found that my endometrium was thin and prescribed female hormones and progesterone, which helped me have one period. Then, nearly 3 months later, I went to the hospital again and received three injections of progesterone. My period arrived on October 19th.On November 4th, I had a small amount of bleeding—is this ovulation bleeding? However, for the past 15 days, I've been experiencing symptoms of my period (mild lower abdominal pain and slight lower back discomfort), but as of December 29th, my period still hasn't arrived. What could be causing this? What is the best treatment method? Which medications would be most suitable for me to take? How long should I take the medication to restore my normal cycle?
Thank you in advance for your help.
Doctor's answer:
The ovulation period occurs about 14 days before menstruation, but in most people, there is no such phenomenon as ovulation bleeding. The cause of ovulation bleeding is due to the rupture of the follicle, a drop in estrogen levels after ovulation, which cannot maintain the normal growth of the endometrium, leading to breakthrough bleeding of the endometrium. If it is just for a couple of days, with minimal bleeding that does not affect daily life, you don't need to worry too much. Stay calm. Ovulation bleeding generally does not require treatment and usually resolves on its own, without affecting health or fertility. During menstruation, due to pelvic congestion, the cervix is more relaxed, and the resistance of the reproductive organs is weakened, so attention should be paid to hygiene and health care. Avoid overexertion, exposure to cold, and foods that are cold, spicy, or, as well as activities such as,,, and swimming. Married individuals should avoid sexual activity. Maintain cleanliness of the external genitalia. It is recommended to use ethinyl estradiol.