Missed Period After Stopping Birth Control Pills: What to Do?

Oral contraceptives

I'm sorry to ask, but I would like to know that I have been taking oral contraceptives (the small orange pills) for only three months.
My period came right on time after finishing the last month of pills, but it hasn't come since I stopped taking them.
What should I do? My last period started on March 20 and ended on March 28.
It was supposed to start again on April 19, but it is now 11 days late.

Yu, 10~19 year old female. Ask Date: 2018/05/01

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Oral contraceptives (the small orange pills) were taken for only three months to regulate menstruation.
The period came on time after finishing the last month of pills, but it has not returned after stopping the medication.
What should be done?
Answer: First, take a pregnancy test.
If the test is negative, you will need to wait.
If your period does not return after three months, you should consult a physician for menstrual induction.

P.S.: The last menstrual period started on March 20 and ended on March 28.
It was expected to start again on April 19, but it is now 11 days late.

Reply Date: 2018/05/01

More Info

When you stop taking birth control pills, it's not uncommon for your menstrual cycle to take some time to regulate itself. The hormonal changes that occur when you discontinue the pill can lead to a missed period or irregular cycles, especially if you have only been on the pill for a short duration, such as three months.
In your case, since you stopped taking the birth control pills after completing your last pack and your period was expected on April 19 but has not arrived yet, there are several steps you can take to address this situation:
1. Wait a Little Longer: It's important to remember that it can take some time for your body to adjust after stopping hormonal contraceptives. Some women may experience a delay in their menstrual cycle for a few weeks or even longer. If you have missed your period for just a few days to a couple of weeks, it might be beneficial to wait a little longer to see if your period arrives.

2. Take a Pregnancy Test: If you are sexually active and there is a possibility of pregnancy, taking a home pregnancy test can help determine if you are pregnant. These tests are generally accurate if taken after a missed period. If the test is positive, it is advisable to schedule an appointment with your healthcare provider for further evaluation and prenatal care.

3. Monitor Your Symptoms: Keep track of any other symptoms you may be experiencing, such as breast tenderness, nausea, or fatigue, which could indicate pregnancy or hormonal fluctuations. If you experience severe symptoms, such as heavy bleeding or severe pain, seek medical attention promptly.

4. Consult Your Healthcare Provider: If your period does not arrive within a few weeks and you have ruled out pregnancy, it may be a good idea to consult your healthcare provider. They can evaluate your situation, perform any necessary tests, and provide guidance on how to regulate your menstrual cycle. They may also check for any underlying conditions that could be affecting your cycle, such as polycystic ovary syndrome (PCOS) or thyroid issues.

5. Lifestyle Factors: Consider any lifestyle factors that may be impacting your menstrual cycle. Stress, significant weight changes, excessive exercise, or changes in diet can all affect your hormonal balance and menstrual regularity. Engaging in stress-reducing activities, maintaining a balanced diet, and ensuring you get adequate rest can be beneficial.

6. Be Patient: Hormonal adjustments can take time, and it is essential to be patient with your body as it transitions back to its natural cycle. Many women find that their cycles normalize within a few months after stopping birth control.

In summary, missing a period after stopping birth control pills is not uncommon, and while it can be concerning, it is often a temporary situation. Monitoring your symptoms, taking a pregnancy test, and consulting with your healthcare provider can help you navigate this period effectively. Remember that every woman's body is different, and it may take time for your menstrual cycle to return to its regular rhythm.

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