What Happens After Stopping Birth Control Pills - Obstetrics and Gynecology

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Discontinuation of contraceptive pills?


I would like to consult a physician.
I started taking birth control pills on March 20 and stopped after the third day on March 22 because I felt bloated.
Since then, until today, March 28, I suddenly feel like my period is coming, but it's brown in color.
During the week I stopped the medication, I did not experience any discomfort that usually indicates my period is approaching (I am someone who experiences premenstrual syndrome very noticeably).
What should I do now?

RR, 30~39 year old female. Ask Date: 2016/03/28

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, based on your description, it is recommended to wait until your menstrual period arrives before further observation.
However, if the bleeding persists, it is advisable to consult a gynecologist for examination and treatment.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2016/03/28

More Info


When a person stops taking birth control pills, several physiological changes can occur, and understanding these changes is crucial for managing expectations and health. Birth control pills work primarily by regulating hormones that control the menstrual cycle. When you stop taking them, your body begins to adjust back to its natural hormonal rhythm, which can lead to various symptoms and changes in your menstrual cycle.

In your case, since you stopped taking the birth control pills after only three days, your body may not have fully adjusted to the hormonal changes induced by the pills. The brown discharge you are experiencing could be a sign of withdrawal bleeding, which is common after stopping hormonal contraceptives. This type of bleeding can occur as your body sheds the uterine lining that was maintained by the hormones in the pill. It is not uncommon for this bleeding to be lighter and darker in color, such as brown, which indicates older blood that has taken longer to exit the body.

Here are some points to consider regarding your situation:
1. Understanding Withdrawal Bleeding: After stopping birth control pills, some individuals may experience withdrawal bleeding, which can occur within a few days to a few weeks after discontinuation. This bleeding can vary in color and flow, and it may not resemble a typical menstrual period.

2. Cycle Regulation: After stopping the pill, it may take some time for your menstrual cycle to regulate itself. Some individuals may experience irregular periods or changes in flow and symptoms for a few months. If you have a history of premenstrual syndrome (PMS), you might notice changes in how your body reacts during this time.

3. Monitoring Symptoms: Since you mentioned that you typically experience significant PMS symptoms, it is essential to monitor any changes in your symptoms as your body adjusts. If you notice any unusual symptoms, such as severe pain, excessive bleeding, or any other concerning signs, it is advisable to consult with a healthcare provider.

4. Pregnancy Consideration: If you are sexually active and have stopped taking birth control, there is a possibility of pregnancy. If you do not get your period within a few weeks or if you have any reason to suspect you might be pregnant, consider taking a home pregnancy test or consulting with your healthcare provider.

5. Next Steps: If the brown discharge continues or if you have any concerns about your menstrual cycle or overall health, it would be wise to reach out to your healthcare provider. They can provide personalized advice based on your medical history and current symptoms.

6. Lifestyle and Health: During this transition, maintaining a healthy lifestyle can support your body as it readjusts. This includes a balanced diet, regular exercise, and managing stress levels, which can all positively impact your hormonal balance.

In summary, stopping birth control pills can lead to various changes in your body, including withdrawal bleeding and potential irregularities in your menstrual cycle. It is essential to monitor your symptoms and consult with a healthcare provider if you have any concerns or if your symptoms persist. Your body is adjusting, and with time, your menstrual cycle should stabilize.

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