Irregular Periods After Long-Term Birth Control Use

Long-term use of contraceptive pills and discontinuation?

Hello! I have been taking the contraceptive pill, Yasmin, for 10 years and have always had issues with migraines.
Recently, due to my headache problems, my neurologist advised me to stop taking the pill.
My last menstrual period was on September 2nd, and after stopping the pill on September 19th, I had another period on September 21st.
It has now been 7 days since then, and as of November 2nd, I have not had another period.
I am unsure what this situation means.
Is the irregularity in my menstrual cycle a sign that my ovarian function is starting to decline?

Niming, 40~49 year old female. Ask Date: 2017/11/02

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I have been taking the contraceptive pill for 10 years and have always had issues with migraines.
Recently, due to my headache problems, my neurologist advised me to stop taking the contraceptive pill.
My last menstrual period was on September 2, and after stopping the pill on September 19, my period returned on September 21.
It lasted for 7 days, and since then, I have not had another period until now, November 2.
I am unsure what this situation means.
Is the irregularity in my menstrual cycle a sign that my ovarian function is beginning to decline? Answer: Consult a doctor for an examination.

Reply Date: 2017/11/02

More Info

When a woman has been on birth control pills for an extended period, such as ten years, it is not uncommon to experience irregular periods after discontinuation. The body may take some time to readjust to its natural hormonal cycle after being influenced by synthetic hormones for so long.
In your case, you mentioned that you stopped taking the birth control pill on September 19, and shortly after, you experienced a period that lasted for seven days. However, since then, you have not had another period by November 2. This irregularity can be attributed to several factors, including hormonal fluctuations, the time it takes for your body to recalibrate its natural menstrual cycle, and other underlying health issues.

The return of your menstrual cycle can vary significantly from person to person. Some women may experience a return to regular cycles within a few months, while others may take longer. It is essential to understand that the absence of menstruation (amenorrhea) after stopping birth control does not necessarily indicate that your ovarian function is deteriorating. It may simply be a sign that your body is still adjusting to the absence of the hormones provided by the contraceptive pills.

Additionally, factors such as stress, changes in weight, diet, exercise habits, and overall health can also impact menstrual regularity. If you have been under significant stress or have made lifestyle changes, these could contribute to the irregularity of your periods.

If you are concerned about the irregularity of your menstrual cycle or if you experience other symptoms such as severe headaches, significant weight changes, or any other unusual symptoms, it is advisable to consult with your healthcare provider. They may recommend blood tests to check hormone levels, assess ovarian function, or rule out other conditions that could affect your menstrual cycle, such as polycystic ovary syndrome (PCOS) or thyroid disorders.

In summary, while it is not unusual to experience irregular periods after long-term birth control use, it is essential to monitor your symptoms and consult with a healthcare professional if you have concerns. They can provide personalized advice and guidance based on your health history and current situation. Remember that your body is going through a transition, and with time, it may return to a more regular cycle.

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