Clear Discharge While on Birth Control Pills - Obstetrics and Gynecology

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Oral contraceptives and secretions?


Hello Doctor, I would like to ask about my situation.
I have been taking the 21-day oral contraceptive pill for the past few months, and I am currently on my fourth pack.
After finishing the last pack, I stopped taking the pills for 7 days.
My period started on May 20, which was the third day after stopping the pills on May 17.
I resumed taking the next pack on May 25, which was the fifth day of my period.
As of June 2, I am on the ninth day of the current pack, and I have been taking the pills at approximately the same time every day.
I had sexual intercourse on May 26 and June 1, but today, June 2, I noticed a clear, sticky discharge.
Is this a normal phenomenon, or could it be ovulation? Do I still need to take emergency contraception?

Xiao Tan, 20~29 year old female. Ask Date: 2018/06/03

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I have been taking the 21-day oral contraceptive pill for the past few months, and I am currently on my fourth pack.
After finishing the previous pack, I stopped taking the pills for 7 days.
My last dose was on May 17, and my period started on May 20, which was the third day after stopping.
I resumed taking the next pack on May 25, which was the fifth day of my period.
As of June 2, I am on the ninth day of this pack, and I have been taking the pills at approximately the same time each day.
I had sexual intercourse on May 26 and June 1, but today, June 2, I noticed clear, sticky discharge.
Is this a normal phenomenon, or could it be ovulation? Do I need to take emergency contraception?
Answer: This is a normal phenomenon and not ovulation.
You do not need to take emergency contraception.

Reply Date: 2018/06/03

More Info


Clear discharge while on birth control pills can be a common occurrence and is often influenced by hormonal changes in your body. When you take birth control pills, they work by regulating your hormones to prevent ovulation, thicken cervical mucus, and thin the uterine lining. The type of discharge you are experiencing can vary depending on the phase of your menstrual cycle and the hormonal composition of the pills you are taking.

1. Understanding Clear Discharge: The clear, stretchy, and sometimes sticky discharge you are noticing is likely cervical mucus. This type of discharge is typically associated with the ovulatory phase of your cycle, where estrogen levels rise, leading to changes in cervical mucus. However, since you are on birth control pills, your body is being regulated, and ovulation is suppressed. Therefore, while it may resemble ovulation mucus, it does not indicate that you are ovulating.

2. Timing of Your Cycle: Given that you are currently on the pill and have been consistent with your intake, the appearance of clear discharge does not necessarily mean you are ovulating. Birth control pills can cause variations in discharge, and many women experience changes in cervical mucus while on the pill. It is essential to remember that the hormonal regulation provided by the pill is designed to prevent ovulation and reduce the chances of pregnancy.

3. Need for Emergency Contraception: Since you have been taking your birth control pills consistently and correctly, the likelihood of pregnancy is significantly reduced. The effectiveness of birth control pills is very high when taken as directed. However, if you are concerned about the possibility of pregnancy due to unprotected intercourse, it is essential to consider the timing of your pill intake and the nature of the discharge. If you have taken your pills consistently and have not missed any doses, the need for emergency contraception is generally unnecessary.

4. When to Seek Medical Advice: If you notice any significant changes in your discharge, such as a strong odor, unusual color, or if it is accompanied by itching or irritation, it may be worth consulting with your healthcare provider. These could be signs of an infection or other underlying issues that may require attention. Additionally, if you have any concerns about your birth control method or experience any side effects, discussing these with your doctor can help you find the best solution for your needs.

5. Conclusion: In summary, the clear, sticky discharge you are experiencing is likely a normal response to the hormonal changes induced by your birth control pills. It does not indicate ovulation, and if you have been diligent with your pill regimen, there is no need for emergency contraception. However, always feel free to reach out to your healthcare provider for personalized advice and reassurance regarding your specific situation. They can provide you with the most accurate information based on your health history and current circumstances.

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