How to Use Birth Control Pills to Delay or Induce Menstruation? - Obstetrics and Gynecology

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How to delay or induce menstruation?


I stopped taking the Yaz contraceptive pill three months ago after using it for six months.
I plan to go to an amusement park on April 28 (Saturday), but that day will be the fourth day of my next menstrual period, which is expected to start around April 25.
My periods typically last for six days.
If everything goes as expected, my next period should start on March 28 (Wednesday).
I have a few questions regarding using Yaz to regulate my cycle for next month:
1.
How should I take the pills to avoid having my period on that day?
2.
Can I start taking the pills on the first day of my next period and continue until the 22nd pill to induce an earlier period?
3.
Alternatively, can I start taking the pills on the fifth day of my next period and continue until the 18th pill to induce an earlier period?

yo, 20~29 year old female. Ask Date: 2018/03/22

Dr. Huang Jianzhong reply Obstetrics and Gynecology


On April 28th (Saturday), I plan to go to an amusement park to enjoy water activities, but that day falls on the fourth day of my next menstrual period (approximately April 25).
My menstrual bleeding usually lasts for six days, so my next period should start on Wednesday (March 28) without any surprises.
I would like to use Yaz birth control pills next month to regulate my cycle (either to advance or delay it).

1.
How should I take the pills to avoid having my period on that day?
2.
Can I start taking the pills on the first day of my next period and continue until the 22nd pill to induce an earlier period?
3.
Alternatively, can I start taking the pills on the fifth day of my next period and continue until the 18th pill to induce an earlier period?
Answer: To advance or delay your period, an ultrasound should be performed to assess the endometrium.
Generally, birth control pills are not used for this purpose.

Reply Date: 2018/03/22

More Info


Using birth control pills to manage menstruation is a common practice, and it can be effective for delaying or inducing a period. However, it is essential to approach this method with a clear understanding of how hormonal contraceptives work and the potential implications for your menstrual cycle.


Understanding Birth Control Pills
Birth control pills, such as the one you mentioned (悦姿), typically contain hormones that regulate your menstrual cycle. They work by preventing ovulation, thickening cervical mucus to block sperm, and thinning the uterine lining to prevent implantation. When taken continuously, these pills can alter the timing of your menstrual cycle.


Delaying Your Period
To delay your period using birth control pills, you can follow these general guidelines:
1. Start Taking the Pills Early: If you want to delay your period for an event (like your trip to the amusement park), you can start taking the active pills a few days before your expected period. For example, if your period is expected to start on April 25, you could begin taking the pills on April 22. This method can help postpone your period until after your trip.

2. Continuous Use: You can continue taking the active pills without taking the placebo pills (the non-hormonal pills that are usually taken during the last week of the pack). By skipping the placebo week, you can avoid having a period during your planned event.

3. Consult Your Doctor: It's always best to consult with your healthcare provider before making any changes to your birth control regimen. They can provide personalized advice based on your health history and specific needs.


Inducing Your Period
If you want to induce your period earlier than expected, you can also use birth control pills:
1. Start on the First Day of Your Next Period: You can begin taking the pills on the first day of your next period and continue until you reach the desired number of active pills. For example, if you start on the first day of your period and take the pills for 21 days, you would then stop taking them, which would typically induce your period shortly after.

2. Starting Mid-Cycle: If you start taking the pills on the fifth day of your period, you can still manage the timing, but it may not be as predictable. The hormonal changes may not align perfectly with your cycle, and it could take a few cycles for your body to adjust.


Important Considerations
- Side Effects: Be aware that altering your menstrual cycle can lead to side effects such as breakthrough bleeding, mood changes, or nausea. It's essential to monitor how your body responds to any changes in your birth control routine.

- Effectiveness: While birth control pills can effectively delay or induce menstruation, individual responses can vary. Some women may experience changes in their cycle, while others may not see significant alterations.

- Health Risks: If you have any underlying health conditions, such as a history of blood clots, hypertension, or migraines, consult your healthcare provider before using hormonal contraceptives to manage your menstrual cycle.

In summary, you can use birth control pills to delay or induce your period, but it is crucial to do so under the guidance of a healthcare professional. They can help you navigate the timing and dosage to achieve your desired outcome while minimizing potential side effects. Always prioritize your health and well-being when making decisions about your menstrual cycle and contraceptive use.

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