Should You Stop Birth Control Pills Now or Wait for Your Period? - Obstetrics and Gynecology

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Discontinuation of contraceptive pills?


I have been taking oral contraceptives for a year, but due to personal circumstances, I want to stop.
I had intercourse on May 20, and I still have 9 pills left in this month's pack.
Should I finish the pack before stopping, or is it better to wait until my next period to discontinue the medication?

Jiu Jiu, 10~19 year old female. Ask Date: 2019/05/25

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, based on your condition, I recommend that you finish the remaining medication for this cycle before stopping, to ensure the onset of a proper menstrual period and to avoid affecting the regularity of your future cycles.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2019/05/25

More Info


When considering whether to stop taking birth control pills, it is essential to weigh the timing of discontinuation against your personal circumstances and health goals. In your case, since you have been on the pill for a year and are contemplating stopping due to personal reasons, here are some important considerations:
1. Timing of Discontinuation: It is generally advisable to finish the current pack of birth control pills before stopping. This approach helps maintain hormonal balance and ensures that you have effective contraception until the end of the pack. If you stop taking the pills mid-pack, you may experience irregular bleeding or spotting, and your body may take some time to adjust back to its natural hormonal cycle.

2. Menstrual Cycle Considerations: If you choose to finish the remaining nine pills in your current pack, you can expect your period to occur shortly after you stop taking the pills. This can provide a clear indication of when your body has returned to its natural cycle. If you wait until your next period to stop, you may have a more predictable timeline for when to expect your menstrual cycle to resume.

3. Pregnancy Considerations: Since you mentioned having unprotected intercourse on May 20, it is crucial to consider the possibility of pregnancy. If you stop taking the pill now, you may increase your chances of becoming pregnant if you have unprotected sex again. If you are concerned about the possibility of pregnancy, you might want to take a pregnancy test after your expected period date, especially if your period is late.

4. Health Implications: Stopping birth control pills can lead to various changes in your body, including the return of ovulation and menstruation, which may come with symptoms such as cramping or mood swings. If you have any underlying health conditions or concerns, it is advisable to consult with your healthcare provider before making any changes to your contraceptive method.

5. Alternative Contraceptive Methods: If you are stopping the pill due to personal circumstances but still wish to prevent pregnancy, consider discussing alternative contraceptive methods with your healthcare provider. Options include condoms, intrauterine devices (IUDs), or other hormonal methods that may suit your lifestyle better.

In summary, it is generally best to finish your current pack of birth control pills before stopping to maintain hormonal stability and avoid unexpected bleeding. If you have concerns about pregnancy or your health, consulting with a healthcare provider can provide personalized guidance tailored to your situation. Remember, every individual’s circumstances are unique, and professional advice can help you make the best decision for your health and future family planning.

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