Contraceptive pill issues
Hello Doctor: I have a question regarding the 21-pill contraceptive.
I have two pills left, but my period has started.
Should I stop taking the pills or continue until I finish the pack? The contraceptive I am using is called Lindynett 20, and I start taking a new pack on the fifth day of my period.
When should I start taking the new pack of contraceptive pills? Thank you.
Ling, 20~29 year old female. Ask Date: 2019/03/27
Dr. Huang Jianzhong reply Obstetrics and Gynecology
If you have two pills left in your 21-day contraceptive pill pack and your period has started, you should continue taking the remaining pills until the pack is finished.
The contraceptive pill you are taking is called Lindynette 20, and you start a new pack on the fifth day of your period.
Therefore, you should continue taking the remaining pills and begin the new pack on the fifth day of your next menstrual cycle.
Reply Date: 2019/03/27
More Info
When it comes to understanding birth control pills, particularly the 21-day regimen, it's essential to follow the prescribed guidelines to ensure their effectiveness and manage your menstrual cycle appropriately. In your case, since you are taking Lindynett 20, a combined oral contraceptive pill, let’s address your questions regarding what to do when your period starts while you are nearing the end of your current pack.
Firstly, if your period starts while you are still taking the last two pills of your current pack, you should continue taking the pills as scheduled. It is common for women to experience breakthrough bleeding or their period while still on the active pills, especially in the initial months of starting a new contraceptive. This does not mean you should stop taking the pills; instead, complete the pack as directed. Stopping the pills prematurely can lead to hormonal imbalance and may increase the risk of unintended pregnancy.
Once you finish the current pack, you should start the new pack immediately after completing the 21 active pills, regardless of whether your period has ended or not. The typical practice is to start the new pack on the same day of the week that you began the previous pack, which in your case would be the fifth day of your menstrual cycle. This consistent timing helps maintain stable hormone levels in your body, which is crucial for the effectiveness of the contraceptive.
It's also important to note that if you experience any unusual changes in your menstrual cycle after starting the pill, such as significantly heavier bleeding, prolonged bleeding, or if you miss a pill, you should consult your healthcare provider. They can provide personalized advice based on your health history and any side effects you may be experiencing.
In addition, while taking birth control pills like Lindynett 20, it's beneficial to keep track of your menstrual cycle and any side effects. Many women find it helpful to use a calendar or a mobile app to monitor their cycles, which can also assist in identifying any irregularities that may arise.
Lastly, remember that while birth control pills are effective in preventing pregnancy, they do not protect against sexually transmitted infections (STIs). If you are at risk for STIs, consider using condoms in conjunction with your birth control pills for added protection.
In summary, continue taking your remaining pills, start your new pack on schedule after finishing the current one, and maintain open communication with your healthcare provider regarding any concerns or changes in your menstrual cycle. This approach will help you effectively manage your birth control and menstrual health.
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