Things to know about preventing and treating amenorrhea after taking contraceptive pills

Post-medication amenorrhea refers to the absence of menstruation and pregnancy after stopping the use of contraceptive pills or contraceptive injections for more than 3 months. The pathogenesis is that contraceptive pills or contraceptive injections can change the uterine environment, reduce endometrial secretion, grow thin, and cause poor endometrial growth and inability to form a complete menstruation.

The treatment of post-medication amenorrhea is different depending on whether the contraceptive is short-acting or long-acting. Therefore, the patient must first go to the hospital for a test. The method is to intramuscularly inject progesterone 10 mg/time, once a day, for 3 to 5 days. If there is vaginal bleeding, it means that the test is positive, which is amenorrhea caused by long-acting contraceptives. For treatment, you can take megestrol acetate tablets orally, 25 mg a day. On the contrary, if there is no vaginal bleeding, it means that the amenorrhea is caused by short-acting contraceptives. For treatment, you can take ethinyl estradiol tablets orally or inject human chorionic gonadotropin and other drugs.

Reminder: If the patient with post-medication amenorrhea has other symptoms besides amenorrhea, such as galactorrhea, it is necessary to rule out pituitary tumors before treatment. If not, bromocriptine can be used for treatment. To avoid post-medication amenorrhea, you must take the contraceptive pills on time and in the prescribed dosage, and have a gynecological examination once a year.