Will there be irregular menstruation after discontinuing long-term oral contraceptive use?
Hello Doctor, I started taking oral contraceptives in September and stopped on November 18th without finishing the cycle (I still had about a week’s worth of pills left).
As a result, my period came on November 22nd, just 11 days after the last one ended.
Now, my period is still not here as of December 22nd, and I have been experiencing symptoms like discharge, bloating, and irritability.
I went to the hospital for a pregnancy test, and the doctor said I was not pregnant.
They prescribed me medication to induce my period, but after taking it, I started feeling dizzy and uncomfortable, with a heavy sensation in my lower abdomen (today is the fourth day of taking the medication).
I read online that if someone is pregnant and takes medication to induce menstruation, it could potentially have a miscarriage effect.
I’m a bit worried and would like to know if it’s possible to have irregular periods or if there is still a chance of being pregnant.
Thank you, Doctor, for your hard work.
:), 10~19 year old female. Ask Date: 2016/12/26
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you can start taking the contraceptive pill on the fifth day of your menstrual period.
It doesn't have to be taken at the exact same time, as taking it around the same time is sufficient for contraceptive effectiveness.
Your period on November 22nd may be related to stopping the medication.
Generally, menstruation will occur within a week after finishing the menstrual induction medication, so just keep an eye on it.
Wishing you good health!
Reply Date: 2016/12/26
More Info
Irregular periods after stopping birth control pills can be a common occurrence and may lead to confusion and concern for many women. When you stop taking hormonal contraceptives, your body needs time to readjust to its natural hormonal cycle. This adjustment period can result in irregular menstrual cycles, which is what you are experiencing.
In your case, you mentioned that you stopped taking the birth control pills on November 18, and your period started shortly after on November 22, just 11 days after your last period ended. This is not unusual, as hormonal contraceptives can alter the timing and flow of your menstrual cycle. After discontinuing the pills, it is common for your body to experience fluctuations in hormone levels, which can lead to changes in your menstrual cycle, including shorter or longer cycles, missed periods, or irregular bleeding.
The symptoms you are experiencing, such as discharge, water retention, and mood swings, are also typical of premenstrual syndrome (PMS) and can occur as your body adjusts to the absence of hormonal contraceptives. It is important to note that these symptoms can be exacerbated by hormonal fluctuations, and they do not necessarily indicate pregnancy.
You mentioned that you took a pregnancy test and received a negative result, which is reassuring. However, it is essential to understand that pregnancy tests are most accurate when taken after a missed period. If you took the test too early, there is a possibility of a false negative result. If your period does not arrive soon, it may be worth repeating the test after a week or consulting with your healthcare provider for further evaluation.
Regarding the medication prescribed to induce your period, it is crucial to follow your doctor's instructions. While some women may experience side effects from these medications, such as dizziness or abdominal discomfort, these symptoms are typically temporary. It is essential to communicate any adverse effects you experience to your healthcare provider, as they may need to adjust your treatment plan.
As for your concern about the possibility of being pregnant while taking medication to induce your period, it is generally advised to avoid taking such medications if there is a chance of pregnancy. However, since you have already taken a pregnancy test that was negative, the risk is low. If you have any doubts or continue to experience unusual symptoms, it is best to consult with your healthcare provider for personalized advice.
In summary, irregular periods after stopping birth control pills are common and can be attributed to hormonal adjustments. Your symptoms may be related to PMS, and the negative pregnancy test is a good sign. If your period does not arrive soon or if you have ongoing concerns, please reach out to your healthcare provider for further evaluation and guidance. Remember, your health and well-being are paramount, and seeking professional advice is always a prudent choice.
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