Can I Start Taking Birth Control Pills Before My Period? - Obstetrics and Gynecology

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Contraceptive pill issues


I would like to ask the doctor, my menstrual period started on May 24th, and I usually expect it to arrive at the end of June.
However, I had unprotected intercourse on June 10th and 11th.
Can I take the emergency contraceptive pill (悦己) before my period is due?

W, 30~39 year old female. Ask Date: 2019/06/11

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Ms.
W: The contraceptive pill "Yueji" is designed for preemptive use and cannot be used for post-coital contraception.
Therefore, taking "Yueji" before menstruation will not provide contraceptive protection.
In the future, if you encounter a situation requiring post-coital contraception, you must go to a hospital to obtain a prescription from a physician, and it must be taken within 48 hours to be effective.

Reply Date: 2019/06/11

More Info


When it comes to starting birth control pills, timing can be crucial for their effectiveness and your overall health. In your case, you are considering starting the birth control pill "悦己" (Yueji) before your expected period, which is due at the end of June. Here’s a detailed explanation of the considerations and recommendations regarding this situation.


Starting Birth Control Pills
1. Timing of Initiation:
- Birth control pills can generally be started at any time in your menstrual cycle. However, if you start taking them during the first week of your cycle (the first five days of your period), they are effective immediately. If you start them at another time, it is recommended to use a backup method of contraception (like condoms) for the first seven days to ensure you are protected against pregnancy.

2. Your Current Situation:
- Since your last period started on May 24 and you are expecting your next one at the end of June, you are currently in the luteal phase of your cycle. If you start taking the pill now, it may not provide immediate protection against pregnancy, especially since you had unprotected intercourse on June 10 and 11. Given that sperm can live inside the female body for up to five days, there is a possibility of conception if ovulation occurred around that time.

3. Effectiveness:
- If you start taking the pill before your period, it will help regulate your cycle and prevent ovulation in future cycles. However, for immediate protection, it is crucial to follow the guidelines mentioned above regarding the use of backup contraception.

4. Consulting a Healthcare Provider:
- It is always advisable to consult with a healthcare provider before starting any new medication, including birth control pills. They can provide personalized advice based on your medical history, current health status, and any potential interactions with other medications you may be taking.

5. Potential Side Effects:
- Be aware that starting birth control pills can come with side effects, including nausea, headaches, mood changes, and spotting between periods. These effects can vary from person to person, and it may take a few months for your body to adjust to the hormones in the pill.

6. Considerations for Future Contraception:
- If you are considering long-term contraception, discuss with your healthcare provider about other options available, such as IUDs, implants, or injections, which may provide more effective and convenient solutions.


Conclusion
In summary, you can start taking birth control pills before your period, but it is essential to understand the implications regarding immediate pregnancy protection. Since you had unprotected intercourse recently, it is vital to use a backup method for the first week after starting the pill. Always consult with a healthcare provider for tailored advice and to ensure that you are making the best decision for your reproductive health.

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