Taking progesterone to stop bleeding during menopause usually takes 3-5 days, depending on individual hormone levels, drug absorption efficiency, endometrial thickness, and other factors. Progesterone is a key hormone that regulates the menstrual cycle and should be used strictly according to medical advice. Menopausal women, due to the decline of ovarian function and insufficient secretion of progesterone in the body, are prone to incomplete shedding of the endometrium and irregular bleeding. Progesterone promotes the transition of the endometrium from the proliferative phase to the secretory phase by supplementing with exogenous progesterone, helping to achieve complete shedding of the endometrium. Mild breast tenderness or dizziness may occur during the initial stage of medication, which is a normal drug reaction. If the amount of bleeding does not decrease or persists for more than 7 days, be alert to the possibility of endometrial lesions. When a small number of patients have low sensitivity to progesterone or have organic diseases such as uterine fibroids and endometrial polyps, the hemostasis time may be extended to 7-10 days. Long term anovulatory dysfunctional uterine bleeding patients may experience delayed hemostasis due to exposure of blood vessels in the basal layer of the endometrium. For patients with underlying diseases such as thyroid dysfunction and coagulation dysfunction, synchronous treatment of the primary disease is necessary to effectively control bleeding.
During the medication period, it is important to maintain a regular schedule and avoid excessive exercise that can worsen bleeding. Diet can increase the intake of iron rich foods such as animal liver and dark vegetables to prevent anemia. Regular monitoring of blood pressure and liver function, progesterone may cause water and sodium retention. After hemostasis, it is still necessary to re evaluate the endometrial condition with ultrasound. Menopausal women should undergo gynecological examinations every year to rule out the risk of malignant lesions. All hormone drugs must be used in a standardized manner under the guidance of a specialist doctor, and the dosage cannot be increased or decreased by oneself.
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