Managing Irregular Periods: Birth Control Pills and Observation Tips

Menstrual irregularities, oral contraceptives, menstrual regulation?

Following the doctor's advice (since I am currently abroad and the earliest appointment to see a doctor is in two weeks), I have been taking oral contraceptives to regulate my menstrual cycle.
Currently, I am on the second pack, and my period has unexpectedly lasted for 10 days.
The doctor suggested stopping the medication for 7 days to observe, and to continue taking the oral contraceptives for cycle regulation for 2 to 3 months.

Does stopping the medication for 7 days mean that if my period has ended by the 8th day, I should continue with the next pack? Regarding the recommendation to continue for 2 to 3 months, I have already been taking the pills for nearly 2 months (I stopped the second pack 3 days early due to the aforementioned situation).
So, does this mean I should observe for 7 days and then continue taking for 1 month, or should I continue for another 2 to 3 months?

Miss Chen, 30~39 year old female. Ask Date: 2019/01/23

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Taking oral contraceptives to regulate menstruation, currently (during the second pack, menstruation has arrived earlier than expected) menstruation has lasted for 10 days.
The doctor suggested stopping the medication for 7 days to observe, and to continue taking oral contraceptives for menstrual regulation for 2 to 3 months.
Does stopping the medication for 7 days mean that if the menstrual period has ended by the 8th day, I should continue taking the next pack?
Answer: It is recommended to start a new pack and continue for 2 to 3 months.
Since I have already been taking it for nearly 2 months (the second pack was stopped 3 days early due to the aforementioned situation), does this mean I should observe for 7 days and then continue for 1 month, or continue for 2 to 3 months?
Answer: After observing for 7 days, you should continue taking for 1 month.

Reply Date: 2019/01/23

More Info

Managing irregular periods can be a complex issue, and it often requires a tailored approach based on individual health circumstances. In your case, you are currently using oral contraceptive pills (OCPs) to regulate your menstrual cycle, and you have experienced an extended menstrual period that has lasted for ten days. Your doctor has advised you to stop taking the pills for seven days to observe your body's response before continuing with the next cycle of pills.

To clarify your questions regarding the observation period and the continuation of the OCPs:
1. Stopping the Pills for Observation: When your doctor suggests stopping the pills for seven days, it typically means that you should refrain from taking any pills during this period. This allows your body to reset and gives you a chance to see if your menstrual bleeding will cease on its own. If your period ends before the seven days are up, you can resume taking the pills on the eighth day.
2. Continuing the Next Cycle: If your period has ended by the eighth day, you would start the next pack of pills as usual. If your bleeding continues beyond the seven days, it is essential to consult your healthcare provider for further evaluation, as prolonged bleeding may require additional investigation.

3. Duration of OCP Use: Your doctor has recommended that you continue taking the OCPs for 2-3 months. Since you have already been on the pills for nearly two months, after the observation period, you would typically continue with the next pack for an additional month, making it a total of three months of OCP use. This extended use can help stabilize your menstrual cycle and provide your body with a chance to adjust to the hormonal changes.

4. Monitoring Your Symptoms: During this observation period and while continuing the pills, it is crucial to monitor any symptoms you may experience. Keep track of your menstrual flow, any unusual symptoms (such as severe pain or excessive bleeding), and any side effects from the pills. This information will be valuable for your healthcare provider during your next appointment.

5. Follow-Up with Your Doctor: Since you are currently overseas and have a follow-up appointment scheduled in two weeks, it is essential to communicate any significant changes in your symptoms to your healthcare provider. If you experience severe discomfort or if your bleeding does not resolve, seek medical attention sooner if possible.

6. Lifestyle Considerations: In addition to medication, consider lifestyle factors that can influence menstrual health, such as maintaining a balanced diet, regular exercise, and managing stress levels. These factors can play a significant role in regulating your menstrual cycle.

In summary, follow your doctor's advice regarding the seven-day observation period, and if your period ends, resume the pills as directed. Continue monitoring your symptoms and maintain open communication with your healthcare provider. If you have any concerns or experience any unusual symptoms, do not hesitate to seek medical advice sooner than your scheduled appointment.

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