Stopping Birth Control Due to Kidney Inflammation: What You Need to Know - Obstetrics and Gynecology

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When considering the implications of stopping birth control due to kidney inflammation, there are several important factors to take into account. First and foremost, it’s essential to understand how hormonal contraceptives work and how they might interact with other medications, especially in the context of a medical condition like kidney inflammation.

Hormonal contraceptives, such as the one you are taking, work by regulating hormones to prevent ovulation, thicken cervical mucus, and thin the uterine lining. When you suddenly stop taking them, your body may experience withdrawal symptoms, which can include irregular bleeding or spotting. This is likely what you are experiencing with the bleeding that started on August 8th, which could be a result of stopping the birth control pill abruptly. Since your last menstrual period began on June 27th, the timing of this bleeding could indicate that your body is adjusting to the hormonal changes after discontinuation.

Regarding your question about whether this bleeding counts as a menstrual period, it is possible that it is a withdrawal bleed rather than a true menstrual period. Withdrawal bleeding can occur after stopping hormonal contraceptives and may resemble a regular period in terms of flow and accompanying symptoms, such as cramping.
If you are considering resuming your birth control pills, it is generally recommended to start them again during the first few days of your next menstrual cycle. However, since you have experienced irregular bleeding, it may be prudent to wait until your next expected period to ensure that your cycle has stabilized. If the bleeding continues or if you have any concerns about your menstrual cycle or the effects of stopping the pill, it would be wise to consult with your healthcare provider for personalized advice.

As for the medications prescribed during your hospital stay, it’s crucial to discuss any potential interactions with your doctor or pharmacist. The medications you listed include:
1. Voren (Clofen) - a non-steroidal anti-inflammatory drug (NSAID) that can help with pain and inflammation.

2. Diclofenac - another NSAID, similar in function to Voren.

3. Ranitidine - used to reduce stomach acid, which can be important if you are taking NSAIDs, as they can irritate the stomach lining.

4. Gascon (Dimethylpolysiloxane) - an anti-foaming agent that helps relieve bloating and discomfort.

5. Keflex (Cephalexin) - an antibiotic used to treat bacterial infections.

Generally, NSAIDs like Voren and Diclofenac can be taken with hormonal contraceptives without significant interactions. However, they can have renal implications, especially in patients with existing kidney issues, so monitoring kidney function is essential. Ranitidine is also typically safe to use with hormonal contraceptives, but it’s important to ensure that it’s appropriate for your specific health situation.

In summary, the bleeding you are experiencing is likely a result of stopping your birth control pills and may not be a true menstrual period. It’s advisable to consult your healthcare provider regarding the timing of resuming your contraceptive method and to discuss any potential interactions with the medications you were prescribed during your hospitalization. Always prioritize open communication with your healthcare team to ensure safe and effective management of your health conditions.