Post Date December, 03 2023
1、 Frequent hemostasis of functional bleeding
Functional uterine bleeding (referred to as "uterine bleeding" for short, cannot be written as "uterine bleeding") can be stopped with short-term contraceptive pills, and the effect is more than 90% certain. The dosage varies depending on the condition. Generally, one or two tablets per day are sufficient, and it takes three to five consecutive days to take effect. If the condition is severe, you can take several more tablets, preferably every 8 or 12 hours. How long it takes is very particular. Because once we stop taking the medicine and bleed again, we certainly don't want the blood to come back immediately after it stops. So, we should take the medicine for more than 20 days so that the next blood will come in about a month. If there is a lot of bleeding, there is no need to start taking medication from the fifth day specified in the book. Instead, medication can be taken on the first two days of bleeding, early medication and early hemostasis. Why not?
2、 Inadequate menstrual regulation
If medication is administered in this monthly cycle, it may appear to be a monthly "menstruation" with limited menstrual volume. Patients often think that the disease has been cured, but in fact, the disease often relapses after discontinuing medication. Because of the disease of dysfunctional uterine bleeding, especially during adolescence and menopause, 80% to 90% of cases are pseudo menstrual periods that do not ovulate. To completely cure functional bleeding, it is necessary to establish normal ovulation function, which is particularly important during adolescence. The pharmacological effect of contraceptive pills is to inhibit ovulation, so if contraceptive pills are used to treat dysfunctional uterine bleeding and regulate menstruation, then ovulation will not occur. Strictly speaking, this is not curing a disease, but adding fuel to the fire! I do not advocate using contraceptives to regulate menstruation for women of childbearing age, but it is only suitable for menopause.
3、 Menopausal dysfunctional blood regulating menstruation
I generally do not like to use contraceptives for late stage dysfunctional uterine bleeding, unless there is a blood avalanche or blood leakage. Because the contraceptive pill has the pharmacological effects of both estrogen and progesterone, even if the patient's ovaries no longer secrete female hormones, the contraceptive pill will still cause you to have fake menstruation, which can reach the age of sixty or seventy. That's so annoying. At this point, the author often only uses progesterone for periodic treatment. This cleverly utilizes a characteristic of progesterone, that is, if there is no estrogen in the front to lay a foundation, a single progesterone will not cause bleeding after stopping the medication. So if progesterone is used without blood, it indicates that the patient's ovaries have stopped secreting estrogen, which can stop implementing this troublesome cycle of treatment. Moreover, because the ovaries are no longer functioning, this dysfunctional uterine bleeding will no longer recur or become diseased. How wonderful!
4、 Delaying menstruation
It is best not to abuse contraceptives, as they may affect the feedback and balance mechanism of hormones in the body, artificially disrupting the natural cycle and causing menstrual disorders. Occasionally, it is not a big problem. Using progesterone is better than using contraceptive pills.
5、 Relieve dysmenorrhea
Cyclic use of contraceptive pills can inhibit ovulation and alleviate menstrual pain, and is mostly effective. But if it's a girl's dysmenorrhea, it's best not to use contraceptives, as it may disrupt the natural regulation and balance of hormones in the body.
6、 Reduce menstrual blood volume
The use of contraceptive pills during the menstrual cycle can reduce menstrual volume and shorten the menstrual period. If the menstrual volume is excessive, it can also be used interchangeably, such as changing to taking the medication from the second day of menstruation, or even from the first day. In this way, it won't take a total of 22 days. If you start taking it the next day, it will take about 26 days. Anyway, if you stop taking it for about three days to get blood, the cycle should be exactly 30 days. Excessive menstrual flow can also be changed to 2-3 tablets per night. As soon as the menstrual volume begins to decrease, gradually reduce the dosage to one tablet per night and maintain it. Don't wait until the menstrual volume has significantly decreased before starting to reduce it (as the medication has a lasting effect), as this can reduce the total amount of medication taken. Anyway, the ideal solution is to use a small dose to solve the problem, because birth control pills are not a beneficial and harmless thing.
7、 Treating menstrual leakage
Excessive and urgent menstrual flow is called 'collapse'; Although the amount of menstrual flow is small, it is often referred to as "leakage" due to long-term uncleanness. Low dose periodic treatment can cure leakage. Of course, if the diagnosis is "missed", the first thing to rule out is the tumor, especially endometrial adenocarcinoma (also known as uterine body cancer) in elderly women. Don't blindly treat it with medication, which may delay the best time for treatment.
Contraceptive pills can also be used for "medical curettage" for "leakage", but it is best to seek diagnosis and treatment from an experienced doctor and not treat it randomly.
8、 Conduct a pregnancy test
In addition to urine, blood, and ultrasound examinations, contraceptive pills can also be used for stopping medication bleeding tests (usually with progesterone). Can be taken three times a day, three tablets at a time, for a total of two days. If not pregnant, blood should be collected around 3 days after discontinuing the medication. If blood is still collected after 7 days of discontinuing the medication, it may be considered pregnant. This method is said to be detrimental to the fetus, so it is only used when the fetus decides not to use it.
9、 Preventing pelvic infection
It is said that it can prevent pelvic infection. If taken for more than a year, it can reduce 2/3 of adnexitis, 90% of ectopic pregnancy, 10% to 75% of breast tumors, 1/3 of ovarian cancer, and half of endometriosis. Some say that breast cancer increases, others say that it decreases by 10%. There are also different opinions on the impact of myocardial infarction, hypertension, venous thrombosis, etc.
