Side Effects of Yaz Birth Control: What to Do Next?

Discomfort from taking Yaz birth control pills?

Hello, Doctor.
I would like to ask about the issue of emergency contraceptive pills.
I took Yaz for two months last year, but I stopped taking it because I was going abroad and would not see my boyfriend for a while.
It has been about six months since I stopped.
My menstrual cycle is regular, occurring every 27-28 days.
This month, my period started on the evening of February 2nd, and I began a new pack of Yaz in the afternoon of the 3rd.
So far, I have taken three pills.
I am experiencing some symptoms: I feel an increase in body temperature after taking the pills, dizziness, lower abdominal pain during the day (which I usually do not experience), noticeable water retention, a sudden feeling of weight gain, slight chest tightness, and nausea.
Due to these discomforts, I am hesitant to continue taking the pills; it feels difficult to endure until I finish the pack, and I am considering stopping the medication altogether.

1) I would like to ask the doctor: if I do not take the fourth pill today (and abandon this pack), what impact will stopping the medication have on this menstrual cycle or the timing/amount of my next period?
2) Given the above reactions, could it be that my body is not suitable for Yaz? Could you recommend other alternative brands? I have heard that many people take Marvelon, Diane, etc.

Thank you, Dr.
Tsao, for taking the time to respond.

Niming, 20~29 year old female. Ask Date: 2020/02/06

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if you feel unwell, it's best not to take it.
Taking just three pills generally does not affect your menstrual cycle.
When your next period arrives, you can switch to a different brand of contraceptive pill.
Typically, contraceptive pills are started on the fifth day of your menstrual period.
Wishing you good health!

Reply Date: 2020/02/06

More Info

When considering the use of Yaz, a combination oral contraceptive, it's essential to understand both its efficacy and potential side effects. Based on your concerns, let's address your questions and provide some additional context regarding the use of Yaz and similar contraceptives.

1. Stopping Yaz and Its Effects on Menstrual Cycle: If you decide to stop taking Yaz after just a few pills, it is likely that your menstrual cycle may be affected. Yaz is designed to regulate your menstrual cycle, and discontinuing it abruptly can lead to irregularities. You might experience changes in the timing, flow, or symptoms of your next period. Some women may find that their periods return to their natural cycle quickly, while others may experience delays or heavier bleeding. If you are experiencing significant discomfort, it is reasonable to consider stopping, but it’s advisable to consult with your healthcare provider for personalized guidance.

2. Side Effects and Suitability: The symptoms you are experiencing—such as increased body temperature, dizziness, abdominal pain, water retention, chest discomfort, and nausea—can be side effects of Yaz. While many women tolerate Yaz well, others may experience adverse reactions. It’s crucial to listen to your body; if you feel that the side effects are intolerable, it may indicate that Yaz is not the right contraceptive for you.
There are various alternatives to Yaz, including other brands of combined oral contraceptives like Yasmin, which contains similar active ingredients but may have different excipients. Other options include different formulations that may have varying hormone dosages or types, such as Loestrin, Ortho Tri-Cyclen, or even progestin-only pills if estrogen is a concern. Discussing these alternatives with your healthcare provider can help you find a suitable option that minimizes side effects while providing effective contraception.

3. Monitoring and Consultation: If you choose to stop taking Yaz, it’s essential to monitor your body’s response. Keep track of any changes in your menstrual cycle or any lingering side effects. If symptoms persist or worsen, or if you have concerns about your menstrual health, it’s crucial to consult with your healthcare provider. They can offer further evaluation and possibly recommend additional tests or alternative treatments.

4. Understanding Hormonal Contraceptives: Hormonal contraceptives like Yaz work by regulating hormones to prevent ovulation, thicken cervical mucus, and thin the uterine lining. While they are highly effective when taken correctly, individual responses can vary significantly. Factors such as personal medical history, lifestyle, and even genetic predispositions can influence how one reacts to hormonal contraceptives.
5. Lifestyle Considerations: Maintaining a healthy lifestyle can also help mitigate some side effects associated with hormonal contraceptives. Regular exercise, a balanced diet, and adequate hydration can improve overall well-being and potentially lessen side effects like bloating and mood swings.
In conclusion, if you are experiencing significant discomfort with Yaz, it is advisable to consult with your healthcare provider before making any decisions about discontinuation or switching to another contraceptive method. They can provide tailored advice based on your health history and current symptoms, ensuring you find a contraceptive method that aligns with your needs and lifestyle.

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