Birth Control Pills: Common Concerns and Usage Tips

Questions related to contraceptive pills?

Hello, I would like to ask about taking the emergency contraceptive pill for the first time.
I started taking the first pill on the first day of my period, August 23.
Is it normal to experience breast tenderness during this time? I plan to finish the pills by September 12, so should I start the next pack on September 20? During the 7-day break after stopping the pills, regardless of when my period comes, should I take the next pack on the 8th day?

Li Er, 20~29 year old female. Ask Date: 2017/09/07

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
It is normal to experience breast tenderness while taking the medication.

2.
Yes, you should start the next pack on September 20th after finishing on September 12th.

3.
Yes, regardless of when your period starts during the 7-day break, you should take the next pack on the 8th day.

Reply Date: 2017/09/07

More Info

Birth control pills, commonly referred to as oral contraceptives, are a popular method of preventing pregnancy. They work primarily by inhibiting ovulation, thickening cervical mucus, and thinning the uterine lining. However, many individuals have questions and concerns regarding their usage, side effects, and the proper regimen for taking these medications.

Firstly, it is not uncommon to experience breast tenderness or swelling when starting birth control pills. This side effect can occur as your body adjusts to the hormones in the pills. Hormonal fluctuations can lead to changes in breast tissue, resulting in discomfort. Typically, these symptoms subside after a few cycles as your body becomes accustomed to the medication. However, if the discomfort is severe or persists, it is advisable to consult with your healthcare provider.

Regarding the timing of your pill regimen, it is essential to follow the instructions provided with your specific brand of birth control. In your case, if you started taking the pill on the first day of your period (August 23), you would continue taking one pill daily until you finish the pack on September 12. After completing this pack, you would typically have a seven-day break during which you may experience withdrawal bleeding, similar to a menstrual period.

You are correct in your understanding that after the seven-day break, you should start the next pack on the eighth day, regardless of whether your period has ended or not. This is a standard practice for most combination birth control pills. It is crucial to maintain this schedule to ensure the effectiveness of the contraceptive method.

If you have any concerns about your menstrual cycle or the timing of your pills, it is always best to consult with your healthcare provider. They can provide personalized advice based on your health history and any specific concerns you may have.

In addition to understanding the proper usage of birth control pills, it is also important to be aware of potential side effects and when to seek medical attention. Common side effects can include nausea, headaches, mood changes, and changes in menstrual bleeding patterns. While most side effects are mild and temporary, serious side effects, such as severe headaches, vision changes, or signs of a blood clot (like swelling or pain in the legs), require immediate medical attention.

Moreover, it is essential to consider that birth control pills do not protect against sexually transmitted infections (STIs). Therefore, if you are at risk for STIs, using condoms in conjunction with birth control pills is advisable for added protection.

In summary, starting birth control pills can come with some initial side effects, such as breast tenderness, which are generally normal. Following the prescribed regimen is crucial for maintaining contraceptive effectiveness. If you have any doubts or experience concerning symptoms, do not hesitate to reach out to your healthcare provider for guidance. They can help ensure that you are using the pills correctly and address any other concerns you may have regarding your reproductive health.

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