The interval for discontinuing and resuming the use of the medication should be carefully considered?
Hello Doctor, my girlfriend has been taking the contraceptive pill, Yaz, consistently for about a year (since March 2019).
She has not experienced any significant side effects, only mild suspected edema and slight weight gain.
Therefore, she would like to temporarily stop taking the medication for a while and then resume it later to observe if the aforementioned symptoms are related to the medication.
Currently, she is on the 21st pill of this cycle and plans to finish this cycle, take one more pack (one month, a complete cycle), and then stop taking Yaz.
My questions are as follows:
1.
After finishing this pack, during the cycle of the new pack (the last pack before stopping), can she still have unprotected intercourse?
2.
In the last week before stopping the medication, just before her period starts, can she still have unprotected intercourse?
3.
I have read that it is not advisable to start and stop the contraceptive pill frequently, as doing so over a short period (within a few months) may cause irregular periods and increase the risk of pregnancy.
4.
I have also read that after stopping the medication, it is necessary to wait for ovarian function to restore ovulation before considering resuming the medication.
How long should she wait after stopping before she can start taking the contraceptive pill again?
Thank you.
BCCAT, 20~29 year old female. Ask Date: 2020/03/09
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you mentioned the safe period; generally, it is considered safe.
It is recommended to take birth control pills for a year and then take a one-month break.
Wishing you good health.
Reply Date: 2020/03/09
More Info
When considering the use of birth control pills, particularly in the context of stopping and resuming them, it is essential to understand how these medications work and their implications for fertility and menstrual regularity. Birth control pills, such as the one your girlfriend has been taking, are designed to prevent ovulation and regulate menstrual cycles. Here’s a detailed breakdown of your questions:
1. Can she have unprotected intercourse during the last pack of pills?
Yes, as long as your girlfriend continues to take her birth control pills as directed, she remains protected against pregnancy throughout the entire cycle, including the last pack. The hormones in the pills work to prevent ovulation, and this effect lasts until she stops taking them. Therefore, having unprotected intercourse during this time should not pose a risk of pregnancy.
2. Can she have unprotected intercourse before her period starts in the last week of pills?
Yes, she can have unprotected intercourse during the last week of pills before her period. The hormonal effects of the birth control pills will still be active, preventing ovulation. However, it is important to note that if she misses any pills or does not take them consistently, this could compromise their effectiveness.
3. Will stopping and starting the pills frequently cause irregular periods or increase the risk of pregnancy?
Yes, frequently stopping and starting birth control pills can lead to irregular menstrual cycles. The body may take some time to adjust to the hormonal changes, which can result in unpredictable bleeding or missed periods. Additionally, if the pills are not taken consistently, there is an increased risk of ovulation occurring, which could lead to unintended pregnancy. It is generally recommended to maintain a consistent regimen to avoid these issues.
4. How long should she wait after stopping the pills before resuming them?
After stopping birth control pills, it is advisable to allow the body some time to resume its natural hormonal cycle. Most healthcare providers recommend waiting at least one full cycle (about a month) before starting a new pack of pills. This allows the ovaries to regain their normal function and helps in establishing a regular menstrual cycle. However, if she wishes to start taking the pills again sooner, she should consult with her healthcare provider for personalized advice.
In summary, your girlfriend can safely have unprotected intercourse while taking her birth control pills, including during the last week of her pack. However, if she decides to stop taking the pills, she should be aware of the potential for irregular periods and the increased risk of pregnancy if she does not use another form of contraception. It is always best to discuss any changes in medication or concerns about menstrual health with a healthcare provider to ensure the best approach for her individual situation.
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