Common Concerns About Birth Control Pills: Your Questions Answered

Issues related to emergency contraceptive pills?

Hello, doctor.
I have a few questions I would like to ask:
1.
I have been taking the oral contraceptive pill (Diane 35) for almost 3 months now, taking it between 12 to 2 PM.
If my period starts on January 14 and I ovulate around January 28, and there is ejaculation outside during that time, should I take a pregnancy test? Is there a risk of pregnancy?
2.
Recently, while taking this contraceptive pill, I sometimes feel breast tenderness and some discomfort in my abdomen.
Is this normal, or should I see a doctor for an examination?
3.
I have heard that some doctors recommend taking the pill for 21 days and then stopping for 7 days before starting the next pack, but my period usually starts about 4 days after stopping the pill, and my doctor told me to start the next pack on the 5th day after my period begins.
Is there any difference in this approach? Does it still provide the same contraceptive effect?
4.
Some people say that while taking oral contraceptives, the body does not ovulate anymore.
Is this true?
Thank you for your answers, doctor!

Amy, 10~19 year old female. Ask Date: 2017/02/02

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.
If you forget to take a pill on a particular day, you can take the missed pill the next day.
The primary function of the contraceptive pill is to suppress ovulation to provide contraceptive protection.
Wishing you good health!

Reply Date: 2017/02/02

More Info

Dear Patient,
Thank you for your questions regarding birth control pills. It's great that you're seeking information to better understand your contraceptive options and any concerns you may have. Let's address your questions one by one.

1. Pregnancy Risk After Intercourse: Since you have been taking the birth control pill (Diane 35) consistently for about 2-3 months, your body should have adjusted to the hormones, and the pill should be effective in preventing ovulation. If you had unprotected intercourse during your ovulation window (around January 28), there is a slight risk of pregnancy, but it is significantly reduced due to your consistent use of the pill. If you experience any unusual symptoms or if your period is late, it would be wise to take a pregnancy test for peace of mind.

2. Side Effects of Birth Control Pills: It is not uncommon to experience side effects such as breast tenderness and abdominal discomfort when starting or adjusting to hormonal contraceptives. These symptoms can occur as your body adapts to the hormones in the pill. However, if these symptoms are severe or persist, it would be advisable to consult your healthcare provider for further evaluation. They may want to check for any underlying issues or consider adjusting your prescription.

3. Timing of Starting the Next Pack: The typical regimen for many birth control pills is to take them for 21 days, followed by a 7-day break during which you have a withdrawal bleed (similar to a period). Your doctor’s advice to start the next pack on the 5th day after your period begins is a common practice to ensure that you remain protected from pregnancy. This method is often referred to as "Sunday start" or "quick start," depending on the specific instructions given by your healthcare provider. As long as you follow your doctor's instructions, you should maintain contraceptive effectiveness.

4. Ovulation and Birth Control Pills: Yes, one of the primary mechanisms of birth control pills is to prevent ovulation. When taken correctly, the hormones in the pill inhibit the release of eggs from the ovaries, thereby preventing fertilization. Additionally, the pill thickens cervical mucus, making it more difficult for sperm to reach any eggs that may be released. Therefore, while on the pill, your body typically does not ovulate, which is why it is an effective form of contraception.

In conclusion, it’s important to continue taking your birth control pills as prescribed and to communicate any concerns or side effects with your healthcare provider. They can provide personalized advice based on your health history and current situation. If you have further questions or if anything changes in your health, do not hesitate to reach out to your doctor.

Wishing you good health and peace of mind!
Best regards,
Doctor Q&A Teams

[Your Institution or Practice]

Similar Q&A

Common Questions About Birth Control Pills and Health Concerns

Hello! 1. I would like to ask if my mother's hepatitis B will affect my ability to take birth control pills? 2. Are there any side effects from long-term use of birth control pills? 3. How long should I take them before I can have unprotected sex? 4. Are there any precaution...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it does not affect the contraceptive pill. Generally, it is taken for a year with a one-month break. The contraceptive pill should be started on the fifth day of menstruation, and if taken consistently, it will be effective for contraception. Wishing you good health.

Understanding Birth Control Pills: Side Effects and Fertility Concerns

Hello Doctor: I have been taking birth control pills, but later a colleague seriously told me that taking the pills has side effects and can be harmful to the body, possibly leading to infertility in the future. However, I have been taking them for several months and feel no disc...

Dr. Wei Fumao reply Obstetrics and Gynecology
Please choose a lower dose contraceptive pill. A triphasic pill is preferable, and it is best to take it for six months followed by a one-month break (to reduce excessive suppression of ovulation during the medication break).

Understanding Birth Control Pill Side Effects: What to Expect

Hello, I started taking birth control pills for the first time this month from a regular pharmacy. I heard from the pharmacist that there can be side effects from birth control pills, such as hair loss, acne, or eczema, so I plan to take vitamin supplements alongside them. I'...

Dr. Wei Fumao reply Obstetrics and Gynecology
Currently, the dosage of contraceptive pills is generally lower, but similar side effects as you mentioned may still occur. However, it is necessary to try them to determine if these side effects will manifest.

Is Taking Birth Control Pills Safe for Your Health?

Hello, doctor! I would like to ask if taking birth control pills can be harmful to my health. Currently, I always use condoms during sexual intercourse, but my partner hopes that I can take birth control pills, suggesting that they can help regulate my menstrual cycle and are not...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, if there are no adverse reactions after taking the contraceptive pill, it should not harm your health. Wishing you good health!