How to Use Birth Control Pills for Irregular Menstrual Cycles

If your menstrual cycle is very long (over three months), the method for taking emergency contraception pills is as follows: Emergency contraception pills should be taken as soon as possible after unprotected intercourse. There are two main types of emergency contraceptive pills: 1. Levonorgestrel (Plan B One-Step): This should be taken within 72 hours (3 days) after unprotected sex

Hello, doctor: My menstruation has been irregular since the first time, occurring once every six months.
Recently, it has been coming approximately once every three months without any menstrual pain, lasting about seven days.
I have consulted both Western and Chinese medicine.
The Western doctor conducted examinations and found no major issues, suggesting that I take medication to induce menstruation, but advised against it due to potential side effects.
I have been taking Chinese medicine for three years, which also resulted in menstruation occurring roughly every six months.
After stopping the medication, my cycle gradually became more frequent, and now it is about every three months.
I would like to know how to take the combined oral contraceptive pill, considering the 21+7 day cycle and my current cycle.
What would be the best approach?

Da Xiong, 20~29 year old female. Ask Date: 2020/07/13

Dr. Wu Xianghui reply Obstetrics and Gynecology

Abnormal bleeding and irregular menstrual cycles can have many underlying causes.
Aside from stress factors, polycystic ovary syndrome (PCOS) is quite common.
It is recommended to consult a gynecologist for evaluation.

Reply Date: 2020/07/13

More Info

Using birth control pills can be an effective way to regulate irregular menstrual cycles, but it is essential to understand how to use them properly to achieve the desired results. In your case, where you have experienced irregular menstrual cycles for an extended period, birth control pills can help establish a more regular cycle and alleviate some of the unpredictability you have been facing.

Understanding Birth Control Pills
Birth control pills, also known as oral contraceptives, typically come in two types: combination pills (which contain both estrogen and progestin) and progestin-only pills. Combination pills are most commonly used for cycle regulation. They work by providing hormones that help to regulate the menstrual cycle, prevent ovulation, and stabilize the lining of the uterus.

Starting Birth Control Pills
1. Consult Your Healthcare Provider: Before starting any birth control method, including pills, it is crucial to consult with your healthcare provider. They can help determine the best type of pill for your specific situation, considering your medical history and any other medications you may be taking.

2. Choosing the Right Pill: Since you have irregular cycles, a combination pill may be recommended. These pills are usually taken for 21 days, followed by a 7-day break during which you will have a withdrawal bleed that mimics a menstrual period. Some pills come in a 28-day pack, where the last week contains placebo pills that do not have hormones.

3. Starting the Pill: You can start taking the pill either on the first day of your menstrual cycle or on the first Sunday after your period begins. If you start on the first day of your cycle, you will have immediate contraceptive protection. If you start on a Sunday, you may need to use backup contraception for the first seven days.

Managing Irregular Cycles
Given your history of irregular cycles, here are some steps to consider when using birth control pills:
- Track Your Cycle: Keep a record of your menstrual cycles, noting the start and end dates. This information can help you and your healthcare provider assess how well the pills are regulating your cycle.

- Be Consistent: Take your pill at the same time every day to maintain consistent hormone levels in your body. This consistency is key to preventing breakthrough bleeding and ensuring the effectiveness of the pill.

- Monitor Side Effects: While many women tolerate birth control pills well, some may experience side effects such as nausea, headaches, or mood changes. If you experience severe side effects or if your irregular cycles do not improve after a few months, consult your healthcare provider.

- Consider Alternatives: If birth control pills do not work for you, there are other options available, such as hormonal IUDs, patches, or injections, which may also help regulate your menstrual cycle.

Conclusion
Using birth control pills can be a helpful strategy for managing irregular menstrual cycles. By starting the pill under the guidance of your healthcare provider, you can work towards establishing a more regular cycle. Remember to monitor your body's response to the medication and maintain open communication with your healthcare provider to ensure the best outcomes for your menstrual health. If you have any concerns or questions about your specific situation, do not hesitate to reach out to your healthcare provider for personalized advice.

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