Withdrawal Bleeding After Stopping Birth Control Pills - Obstetrics and Gynecology

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Withdrawal bleeding after stopping oral contraceptives?


I have been taking the contraceptive pill (Diane) for a year and a half.
I forgot to take the pill for 2 days at the beginning of a new cycle and am considering stopping the medication altogether.
(Everything was normal during the medication period, with no other discomfort.)
1.
It has been 7 days since I stopped taking the pill, and I started bleeding on the 6th day.
I feel some abdominal discomfort, and from what I've seen, this seems to be a normal situation?
2.
I would like to know what amount of bleeding is considered normal? (Currently, the bleeding situation is that after about 8 hours, a regular 23 cm sanitary pad is about 2/3 full.)
3.
How many days of bleeding is considered normal?
Thank you, doctor.

Mi Mi, 20~29 year old female. Ask Date: 2018/09/06

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I have been taking the contraceptive pill (Diane) for a year and a half.
I forgot to take the pill for 2 days during the new cycle and am considering stopping the medication altogether.
(Everything was normal during the medication period, with no other discomfort.)
1.
It has been 7 days since I stopped taking the pill, and I started bleeding on the 6th day.
I feel some abdominal discomfort.
Based on what I've seen, is this a normal situation?
Answer: Yes, this is a side effect of stopping the medication.
2.
How much bleeding is considered normal? (Currently, the bleeding situation is that after about 8 hours, a regular 23 cm sanitary pad is about 2/3 full.)
Answer: It can vary.
3.
How many days of bleeding is considered normal?
Answer: It can vary.

Reply Date: 2018/09/06

More Info


When a person stops taking birth control pills, it is common to experience withdrawal bleeding, which is a response to the sudden drop in hormones that were being supplied by the pills. This phenomenon can be concerning for many, especially if they are not familiar with the body's response to hormonal changes. Let's break down your questions regarding withdrawal bleeding after stopping birth control pills.

1. Understanding Withdrawal Bleeding: After discontinuing birth control pills, the body may take some time to readjust to its natural hormonal cycle. The bleeding you experienced on the sixth day after stopping the pills is likely withdrawal bleeding, which is similar to a menstrual period. It is a sign that your body is responding to the absence of synthetic hormones. This is a normal occurrence and can vary in timing, intensity, and duration from person to person.

2. Normal Bleeding Amount: The amount of bleeding can vary widely among individuals. Generally, a normal menstrual flow can range from light spotting to a heavier flow that may require changing a pad or tampon every few hours. In your case, if you are using a regular-sized pad and it is about two-thirds full after 8 hours, this could be considered a moderate flow. It is important to monitor the bleeding; if it becomes excessively heavy (soaking through a pad every hour for several consecutive hours), it may warrant a consultation with a healthcare provider.

3. Duration of Withdrawal Bleeding: Withdrawal bleeding typically lasts anywhere from a few days to a week. Most women find that it lasts about 3 to 7 days, similar to a regular menstrual period. However, some may experience shorter or longer durations. If your bleeding continues beyond a week or if you have any concerns about the nature of the bleeding (such as passing large clots or experiencing severe pain), it is advisable to seek medical advice.

In addition to these points, it's important to consider that after stopping birth control, your menstrual cycle may take some time to regulate. Some women may experience irregular cycles for a few months before returning to their typical pattern. If you have any underlying health conditions or concerns about your menstrual health, it is always a good idea to discuss these with your healthcare provider.

Lastly, if you are considering future contraceptive options or have questions about your reproductive health, consulting with a healthcare professional can provide personalized guidance based on your medical history and lifestyle. Remember, every individual's body reacts differently, and what is normal for one person may not be for another. Keeping track of your symptoms and any changes in your cycle can help you and your healthcare provider make informed decisions regarding your health.

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