Menstrual Changes While Taking Yaz: What to Expect - Obstetrics and Gynecology

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While taking Yuezhi, I experienced some signs of an impending event, but then it stopped?


On April 12, my menstrual period started, so I took the first pill of Yaz.
The next day, my period stopped.
On April 15, I visited a gynecologist who informed me that this is normal and that I essentially skipped a cycle.
However, on April 29, I felt abdominal bloating, which is usually a sign that my period is coming, but it stopped again the next day.
I would like to ask: 1.
Since my menstrual cycle does not align with the Yaz cycle, will my period continue to be suppressed by Yaz? 2.
Should I continue taking Yaz? If I do, when will my period come? Or should I stop taking it and wait until the fifth day of my period to start Yaz again? 3.
Is this situation normal? What do you recommend I do?

Wang, 30~39 year old female. Ask Date: 2016/04/30

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, sometimes contraceptive pills can cause changes in menstruation.
You can start taking the contraceptive pills on the fifth day of your period, and it doesn't have to be at the exact same time; a rough estimate is sufficient.
If you forget to take a pill on a certain day, you should take it the next day.
As long as you take them on time, they will be effective for contraception.
Yaz will not interfere with your menstrual flow.
Wishing you good health.

Reply Date: 2016/04/30

More Info


When it comes to understanding menstrual changes while taking Yaz (a combination oral contraceptive pill), it's important to recognize how hormonal contraceptives can affect your menstrual cycle. Yaz contains ethinyl estradiol and drospirenone, which work together to prevent ovulation and regulate your menstrual cycle. Here’s a comprehensive overview of what you can expect and how to manage your situation based on your questions.

1. Menstrual Cycle and Yaz: It is common for women to experience changes in their menstrual cycle when they start taking Yaz. The hormonal changes can lead to lighter periods or even skipped periods altogether, especially in the initial months of use. In your case, starting Yaz on the first day of your period may have caused your body to adjust quickly, leading to the cessation of bleeding shortly after starting the pill. This is not unusual and can be considered a normal response as your body adapts to the hormones.

2. Will Yaz Block Menstrual Periods?: While on Yaz, it is possible for your menstrual periods to become irregular or for you to skip periods entirely. This does not mean that Yaz is "blocking" your periods; rather, it is altering your hormonal balance. If you continue taking Yaz consistently, you may find that your periods become lighter or less frequent over time. However, if you experience significant discomfort or irregularities, it is advisable to consult your healthcare provider.

3. Should You Continue Taking Yaz?: You should continue taking Yaz as prescribed unless advised otherwise by your healthcare provider. Stopping the medication can lead to a return of your natural cycle, which may be irregular at first. If you stop taking Yaz, it is recommended to wait until your next period starts before resuming the pill to ensure proper cycle regulation. However, if you have concerns about your symptoms or the irregularity of your periods, it is best to discuss these with your doctor.

4. Is This Situation Normal?: Yes, the situation you are experiencing is relatively normal for many women starting on hormonal contraceptives like Yaz. Some women may experience symptoms such as bloating or cramping, which can occur as your body adjusts to the hormones. If these symptoms are severe or persist, it is important to seek medical advice.

5. Recommendations for Management:
- Track Your Cycle: Keep a record of your menstrual cycle, including any symptoms you experience. This can help you and your healthcare provider identify patterns and make informed decisions about your contraceptive method.

- Consult Your Doctor: If you have ongoing concerns about your menstrual cycle or the side effects of Yaz, it is crucial to consult with your healthcare provider. They can provide personalized advice and may suggest alternative contraceptive methods if necessary.

- Stay Consistent: Take Yaz at the same time every day to maintain stable hormone levels, which can help regulate your menstrual cycle.

In summary, while it is common to experience changes in your menstrual cycle when starting Yaz, it is essential to monitor your symptoms and maintain open communication with your healthcare provider. They can help you navigate any concerns and ensure that you are using the contraceptive method that best suits your needs.

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