Stopping Yaz: What You Need to Know About Discontinuing Birth Control - Obstetrics and Gynecology

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Discontinuation of medication?


Hello, I have been taking Yaz for over a year, and recently I have been experiencing headaches and would like to stop the medication.
However, I am currently on the fourth day of a new pack (the fourth day of my menstrual period).
Should I stop the medication immediately, or should I finish the 28-day cycle before discontinuing? Thank you.

Niming, 20~29 year old female. Ask Date: 2017/02/24

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I have been taking Yaz for over a year, and recently I've been experiencing headaches and want to stop the medication.
However, I am currently on the fourth day of a new pack (the fourth day of my menstrual period).
Should I stop the medication immediately or finish the 28-day course before stopping? Answer: You can stop the medication immediately and switch to another contraceptive method.

Reply Date: 2017/02/24

More Info


When considering discontinuing Yaz (drospirenone and ethinyl estradiol), it’s important to understand how to do so safely and effectively, especially if you are experiencing side effects like headaches. Yaz is a combination oral contraceptive pill that is commonly used for birth control and to manage symptoms of premenstrual dysphoric disorder (PMDD) and acne. Here are some key points to consider when stopping Yaz:
1. Immediate Discontinuation: You can stop taking Yaz at any time, even if you are only a few days into a new pack. There is no medical requirement to finish the entire pack if you are experiencing adverse effects. However, if you stop taking the pill mid-pack, you may experience breakthrough bleeding or spotting as your body adjusts to the hormonal changes.

2. Understanding Side Effects: Headaches can be a common side effect of hormonal contraceptives, including Yaz. If you are experiencing severe or persistent headaches, it is advisable to consult with your healthcare provider. They can help determine whether the headaches are related to the medication or if there is another underlying issue.

3. Return of Fertility: One of the benefits of birth control pills like Yaz is that they provide effective contraception while you are taking them. However, once you stop taking Yaz, your fertility can return quickly. Most women will ovulate within a few weeks after discontinuing the pill, so if you are not planning to conceive, consider using an alternative form of contraception.

4. Consulting Your Healthcare Provider: Before making any changes to your medication regimen, it’s always a good idea to discuss your concerns with your healthcare provider. They can provide personalized advice based on your health history and current symptoms. They may also suggest alternative methods of contraception or treatments for your headaches.

5. Managing Withdrawal Symptoms: After stopping Yaz, some women may experience withdrawal symptoms such as mood swings, changes in menstrual cycle, or acne flare-ups. These symptoms are typically temporary and should resolve as your body adjusts to the absence of hormones.

6. Alternative Options: If you find that Yaz is not suitable for you due to side effects, there are many other contraceptive options available, including non-hormonal methods (like copper IUDs) or different hormonal contraceptives that may have a different side effect profile. Discussing these options with your healthcare provider can help you find a method that works best for you.

In summary, you can stop taking Yaz immediately if you are experiencing headaches or other side effects. It is important to consult with your healthcare provider for guidance tailored to your specific situation. They can help you manage any withdrawal symptoms and discuss alternative contraceptive options if needed. Always prioritize your health and well-being when making decisions about your contraceptive methods.

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