Concerns About Taking Birth Control Pills: Side Effects and Fertility - Obstetrics and Gynecology

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Questions about the Qlaira contraceptive pill?


Due to ongoing menstrual irregularities, my doctor prescribed me the contraceptive pill, Qlaira, last month to help regulate my cycle.
I have been taking it consistently every day at 5 PM, but by 7 or 8 PM, I experience nausea and dizziness.
By the second week, I started having symptoms similar to menstrual cramps, and these symptoms ceased once I finished the medication.
I would like to ask: 1.
Will the side effects of the contraceptive pill affect my future pregnancy plans? 2.
Are there any long-term cumulative adverse effects? 3.
It has been about two days since I stopped taking the pill, and I still do not feel like my period is coming; is this normal? Thank you.

Tsai, 20~29 year old female. Ask Date: 2016/12/13

Dr. Lü Lizheng reply Obstetrics and Gynecology


1.
It will not affect future pregnancies.

2.
There may be only short-term discomfort, and typically there are no long-term cumulative adverse effects.

3.
Is it normal to not feel like my period is coming after stopping the medication for about two days? You can wait another 3-5 days; if it still doesn't come, please seek medical attention.

Best regards, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2016/12/13

More Info


When it comes to concerns about taking birth control pills, it’s important to understand both the potential side effects and their implications for future fertility. Birth control pills, such as the one you mentioned (祈麗安), are commonly prescribed to regulate menstrual cycles and prevent pregnancy. However, like any medication, they can have side effects.

1. Side Effects of Birth Control Pills: The symptoms you described—nausea, dizziness, and cramping—are not uncommon when starting a new birth control regimen. These side effects often occur as your body adjusts to the hormones in the pills. Most side effects tend to diminish after the first few months of use. If they persist or worsen, it’s advisable to consult your healthcare provider.
2. Impact on Future Fertility: Generally, taking birth control pills does not have a long-term negative impact on fertility. Once you stop taking the pills, your body typically returns to its pre-pill hormonal state, and ovulation resumes. Some women may experience a delay in the return of their menstrual cycle, but this is usually temporary. Studies have shown that most women can conceive within a few months after discontinuing the pill. However, individual experiences can vary, and factors such as age, underlying health conditions, and the duration of pill use can influence fertility.

3. Delayed Menstruation After Stopping the Pill: It is not unusual to experience a delay in your menstrual cycle after stopping birth control pills. The hormones from the pills can take some time to leave your system, and your body may need a little while to re-establish its natural hormonal rhythm. If you have stopped taking the pills and have not yet had a period, it could be a normal response. However, if you are concerned about a prolonged absence of menstruation or if you suspect you might be pregnant, it’s a good idea to take a pregnancy test or consult your healthcare provider for further evaluation.

In summary, while side effects from birth control pills can be uncomfortable, they are usually temporary and do not typically affect long-term fertility. If you have ongoing concerns about your menstrual cycle or the effects of the pill, discussing these with your healthcare provider can provide personalized guidance and reassurance. Remember, every individual’s body reacts differently to hormonal contraceptives, and your healthcare provider can help you find the best approach for your health and family planning goals.

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