Missed Period After Stopping Birth Control Pills: What to Know

Menstruation has not occurred after stopping oral contraceptives?

Hello Doctor: I am currently taking "Alesse," an oral contraceptive pill, following a regimen of 21 days of active pills followed by 7 days off.
I started taking the first pack on the first day of my menstrual cycle in April this year.
In May, my period started on the 4th day of the pill-free week.
In June, my period started on the 5th day of the pill-free week.
In July, I did not have a period during the 7-day break; I only noticed a couple of drops of light red when wiping after urination.
Additionally, I did not engage in sexual intercourse in June or July, so pregnancy is unlikely.
After the 7-day break in July, I continued with the next pack and took the last pill on July 30.
Today, August 4, is the 5th day of the pill-free week, and my period still has not arrived.
Regarding the above situation, I would like to ask the doctor: (1) Is this situation normal? Is there a problem? I take the pills at the same time every day and have not missed any doses.
(2) Can I start the next pack on the 8th day of the pill-free week (August 7)? Am I still in a contraceptive state given that I have not had a period for two months? I kindly ask for your assistance in clarifying these questions.
Thank you, and I wish you all the best.

Zero, 20~29 year old female. Ask Date: 2017/08/04

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to start taking birth control pills on the fifth day of your menstrual period.
Generally, your period should occur within a week after finishing the pills.
If it does not, it is advisable to consult a gynecologist.
Wishing you good health.

Reply Date: 2017/08/04

More Info

When it comes to missed periods after stopping birth control pills, there are several factors to consider. First, it's important to understand how hormonal contraceptives, such as the "Alesse" pill you mentioned, work. These pills contain synthetic hormones that regulate your menstrual cycle by preventing ovulation, thickening cervical mucus, and thinning the uterine lining. When you stop taking the pills, your body may take some time to readjust to its natural hormonal rhythm, which can lead to irregularities in your menstrual cycle.

1. Is it normal to miss a period after stopping birth control pills?
Yes, it can be normal to experience missed periods or irregular cycles after discontinuing birth control pills. This phenomenon is often referred to as "post-pill amenorrhea." The time it takes for your menstrual cycle to return to its natural state can vary widely from person to person. Some women may experience a return to regular cycles within a few weeks, while others may take several months. In your case, since you have not had a period for over a month after stopping the pills, it is not uncommon, especially considering that you have been consistent with your pill-taking.

2. Can I continue taking the next pack of pills after stopping for a week?
If you have not had a period after stopping the pills, you can start a new pack if you choose to continue using hormonal contraception. However, it is essential to note that if you do not have a withdrawal bleed (which is the period that occurs after stopping the pills), it might be a good idea to take a pregnancy test before starting the new pack, just to rule out pregnancy, even if you believe the chances are low. If the test is negative, you can safely resume taking the pills.
3. Am I still protected from pregnancy?
If you start a new pack of pills after a break, you will not be protected from pregnancy until you have taken the pills consistently for seven days. Therefore, if you are concerned about pregnancy and wish to avoid it, it is advisable to use a backup method of contraception, such as condoms, during the first week of the new pack.

4. What should I do if my period does not return?
If your period does not return after a few cycles of taking the pills or if you experience other concerning symptoms (such as severe pain, heavy bleeding, or significant changes in your health), it is advisable to consult with a healthcare provider. They can evaluate your situation, perform necessary tests, and provide guidance tailored to your specific needs.

In summary, while it is common to experience missed periods after stopping birth control pills, it is essential to monitor your body and consult with a healthcare professional if you have concerns. Regular communication with your doctor can help you navigate any issues related to your menstrual cycle and reproductive health.

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