Should I start with the oral contraceptives for intermenstrual bleeding only after my periods begin properly?

Hi,

Welcome to icliniq.com.

The intermenstrual bleeding being experienced is due to anovulatory cycle in the last month. As long as the bleeding would continue, fresh menstruation would not start as you are experiencing shedding of endometrium already. You can start taking the pills from today or tomorrow for 21 days, and post-21 days the menstruation should be expected in the next three to five days.

Please follow up with a picture of my previous prescription uploaded as an attachment.

Regards.

Hi,

Welcome back to icliniq.com.

As you got your menstruation today so, you may start taking the pills from tomorrow and continue taking them for at least three cycles.

Hi,

Welcome back to icliniq.com.

You should take the pills at a fixed time daily (say 8 to 10 PM). They can be taken an hour after dinner. You can start from one end of the pack, ignore the days and start from tomorrow.

After finishing the pack of 21 tablets, wait for your menstruation to start, and then from day two of the next cycle, start a fresh 21 days pill pack for the second cycle.

Regards.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Yes, you can take medicines.

I suggest you take-

1. Azee (Azithromycin) 500 mg once a day.

2. Crocin (Paracetamol and caffeine) twice a day.

3. Do warm saline water gargles twice a day.

I also suggest you consult your specialist doctor, discuss with them and take medicines with their consent.

This will help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I understand your concern.

If you had started Ginette 35 (Cyproterone and Ethinyl Estradiol) from day three of your fresh cycle at a fixed time, then this brownish blackish discharge would not have occurred.

I suggest you keep yourself well hydrated while you are taking the tablet, Ginette.

I hope you are also taking tablet Ovabless-Myo (Myo- Inositol, D- Chiro- Inositol, Chromium, and Vitamin D3) along with it.

Continue Ginette, and bleeding shall stop on its own.

I hope you have lost weight as well.

Thank you.

Hi,

Welcome back to icliniq.com.

I understand your concern.

This could be normal. It should stop in a few days.

I suggest you continue the suggested tablets and keep yourself well hydrated.

Thank you.

Hello,

Welcome back to icliniq.com.

There is no apparent need to be worried if it is just spotting.

I suggest you take tablet Trenaxa MF (Tranexamic acid and Mefenamic acid) twice daily for three days.

It will help to stop this discharge as this is an antifibrinolytic.

I also suggest you continue medications as advised for a total of three cycles, and post that, ultrasonography would be required to check the status of PCOD (polycystic ovary syndrome).

Regards.

Hi,

Welcome back to icliniq.com.

I understand your concern.

If the blood was post intercourse, then there is a likelihood of cervicitis, inflammation of the cervix, or cervical erosions. These conditions can cause bleeding post intercourse due to frictional injury.

Also, burning urination is an indication of possible urinary tract infection (UTI) which shall need antibiotic treatment.

Thank you.