Menstrual Irregularities: Is Birth Control the Solution? - Obstetrics and Gynecology

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Menstrual irregularities


When my menstrual period arrives, I experience severe abdominal pain.
After consulting a doctor, I was recommended to take the contraceptive pill "Yueji" to regulate my cycle.
My period started on January 14th, and I began taking the pill from the first day.
However, by January 21st, my menstruation had not decreased in flow and was still quite heavy (normally, by the fifth day, my bleeding significantly reduces).
Additionally, I am experiencing some cramping and a feeling of nausea.
Is this normal? This is my first time taking contraceptive pills to regulate my cycle.

Niming, 10~19 year old female. Ask Date: 2018/01/21

Dr. Cai Yonglong reply Obstetrics and Gynecology


During the initial period of taking the medication, there may be some adjustment symptoms, and any bleeding should decrease as you continue the treatment.
If the bleeding does not stop, it is advisable to visit a gynecologist for an examination and an ultrasound.

Reply Date: 2018/01/21

More Info


Menstrual irregularities can be a common concern for many women, and hormonal birth control is often prescribed as a solution to help regulate menstrual cycles. In your case, it seems you have started taking a birth control pill (likely a combined oral contraceptive) to manage your menstrual symptoms, including pain and irregular bleeding.
When starting birth control pills, it is not uncommon to experience some side effects as your body adjusts to the hormones. These can include changes in bleeding patterns, such as prolonged bleeding or spotting, as well as symptoms like nausea or abdominal discomfort. It is important to note that the first few months of taking birth control pills can be a period of adjustment, and your body may take time to stabilize.

Regarding your specific situation, you mentioned that you started taking the pill on the first day of your period and have experienced prolonged bleeding and additional symptoms like cramping and nausea. While some women may experience lighter periods or even skip periods altogether while on the pill, others may experience heavier bleeding or irregularities initially. This can be due to the hormonal changes induced by the pill, which can affect the lining of the uterus and how your body responds to the menstrual cycle.

If you are experiencing significant discomfort, such as severe pain or persistent nausea, it is essential to consult your healthcare provider. They can evaluate whether these symptoms are within the normal range for someone starting birth control or if they indicate a need for further investigation. It is also important to rule out other potential causes of your symptoms, such as an underlying condition like endometriosis or fibroids, which can also lead to painful periods and irregular bleeding.

In terms of managing menstrual irregularities, hormonal birth control can be an effective option for many women. It works by regulating hormone levels, which can help to stabilize the menstrual cycle, reduce menstrual pain, and even improve symptoms of premenstrual syndrome (PMS). However, it is not the only option available. Other treatments may include lifestyle changes, dietary adjustments, or non-hormonal medications, depending on the underlying cause of the irregularities.

If you find that the birth control pill is not alleviating your symptoms after a few months, or if you have concerns about side effects, it may be worthwhile to discuss alternative methods of contraception or treatment options with your healthcare provider. They can help you weigh the benefits and risks of different approaches and find a solution that works best for your individual needs.

In summary, while it is common to experience some irregularities and side effects when starting birth control pills, persistent or severe symptoms warrant further evaluation. Open communication with your healthcare provider is key to finding the right approach to managing your menstrual health.

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