Can You Start Birth Control Pills Before Your Period? Expert Insights

Questions about taking emergency contraceptive pills?

Hello, doctor.
I would like to ask if birth control pills must be taken during the menstrual period.
I took them for two years previously, but after stopping for a few months, my skin deteriorated.
Now I want to resume taking them, but my next period is still about two to three weeks away.
I would like to know what effects taking them now would have on my body, considering I am currently in the ovulatory phase heading into the luteal phase.
Thank you.

Niming, 20~29 year old female. Ask Date: 2018/10/14

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Do birth control pills have to be taken during the menstrual period? Answer: Yes, because I took them for two years before and thought about stopping for a few months, but my skin condition worsened.
Now I want to continue taking them, but my next period is still about two to three weeks away...
I would like to know what effects taking them now would have on my body.
Answer: I have irregular periods, and my cycle is currently between the ovulation phase and the luteal phase.

Reply Date: 2018/10/14

More Info

When it comes to starting birth control pills, timing can be a crucial factor, especially if you're considering beginning the regimen outside of your menstrual period. The short answer to your question is that you can start taking birth control pills before your period, but there are important considerations to keep in mind.

Starting Birth Control Pills
1. Timing: While many healthcare providers recommend starting birth control pills during your menstrual period (specifically on the first day of your period or the first Sunday after your period starts), it is not strictly necessary. If you start taking the pills at a different time in your cycle, you may not have immediate contraceptive protection. In general, if you start the pill at any time other than the first day of your period, you should use a backup method of contraception (like condoms) for the first seven days of pill-taking.

2. Cycle Regulation: If you have irregular cycles or are looking to manage your menstrual symptoms, starting the pill can help regulate your cycle. However, if you are in the middle of your cycle (for example, during ovulation), starting the pill may not immediately prevent ovulation. It takes about seven days for the hormones in the pill to suppress ovulation effectively.

3. Skin Health: You mentioned that your skin condition worsened after stopping the pill. Birth control pills can have a positive effect on skin health for some individuals, particularly those with hormonal acne. If you find that your skin improves while on the pill, it may be beneficial to resume taking them. However, it's essential to consult with a healthcare provider to discuss the best options for your skin and overall health.

4. Potential Side Effects: Starting the pill can lead to side effects, especially if you are not starting it during your period. Common side effects include nausea, breast tenderness, and mood changes. These side effects may be more pronounced if you start the pill during a time when your body is naturally preparing for menstruation or ovulation.

5. Consultation with a Healthcare Provider: It is always advisable to consult with a healthcare provider before starting or resuming birth control pills. They can provide personalized advice based on your medical history, current health status, and specific needs. They can also help you understand the implications of starting the pill at different times in your cycle and ensure that you are using the most effective method for your situation.

Conclusion
In summary, while you can start taking birth control pills before your period, it's essential to understand the implications regarding contraceptive effectiveness and potential side effects. If you decide to start now, be sure to use a backup method for the first week and consult with your healthcare provider for tailored advice. They can help you navigate your options and ensure that you are making the best choice for your health and lifestyle.

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