Missed Period Two Months After Stopping Birth Control: Possible Pregnancy? - Obstetrics and Gynecology

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Menstruation is delayed in the second month after stopping birth control pills?


I have been taking birth control pills for about five years without interruption.
During this time, my menstrual periods have become shorter and my flow has decreased.
In May, I consulted a gynecologist who recommended that I stop taking the pills for three months.
After stopping the medication, I had my period from June 10 to June 12.
Now, it has been two months since then, and I still haven't gotten my period.
Is it possible that I could be pregnant? I have had sexual intercourse during this time, and according to the birth control pill cycle, I calculated the safe period.
During the safe period, there was ejaculation inside, while at other times, it was withdrawal.
My period is now three days late, and I am experiencing breast tenderness and a dull ache in my lower abdomen, similar to premenstrual symptoms, but my period still hasn't arrived.
I am very worried about the possibility of pregnancy.
Could you please provide some guidance? Thank you.

s, 20~29 year old female. Ask Date: 2016/07/11

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, pregnancy tests can confirm if you are pregnant, but it is best to use contraception beforehand and not rely on the safe period.
Wishing you good health.

Reply Date: 2016/07/11

More Info


It sounds like you're experiencing a concerning situation after stopping birth control, and I understand how anxious you must feel about the possibility of pregnancy. Let's break down your situation and address your concerns.

Firstly, after stopping hormonal birth control, it is not uncommon for your menstrual cycle to take some time to regulate. The body needs time to adjust to the hormonal changes, and this can lead to irregularities in your cycle, including missed periods. In your case, since you stopped taking the pill and had a menstrual period from June 10 to June 12, it is possible that your body is still adjusting to the absence of the hormones provided by the birth control pill.

Regarding the possibility of pregnancy, it is important to note that while hormonal contraceptives are effective at preventing pregnancy, they are not 100% foolproof. If you had unprotected intercourse during your fertile window (which can occur shortly after stopping birth control), there is a chance of conception. The symptoms you are experiencing, such as breast tenderness and lower abdominal discomfort, can indeed be early signs of pregnancy. However, these symptoms can also be attributed to hormonal fluctuations as your body adjusts to the absence of the pill.

Given that your period is now three days late, it would be advisable to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced during pregnancy. If the test is positive, it would confirm that you are pregnant. If it is negative and your period still does not arrive, you may want to consult with your healthcare provider for further evaluation. They can assess your situation more thoroughly and may recommend a blood test to check for pregnancy or investigate other potential causes for your missed period.

In summary, while it is possible that you could be pregnant given the circumstances, it is also quite common for menstrual cycles to be irregular after stopping birth control. Taking a pregnancy test will provide you with more clarity. If you have any further concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for personalized advice and support. Remember, it is always better to seek professional guidance when it comes to your reproductive health.

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