How to Adjust Your Menstrual Cycle While on Birth Control Pills? - Obstetrics and Gynecology

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If you are already taking birth control pills (Yaz) to stabilize your menstrual cycle, how can you adjust your period?


Currently, I am taking birth control pills (Yaz) to stabilize my menstrual cycle and alleviate menstrual pain.
The results have been good, with my period being stable and not deviating more than a day.
This time, my period started on July 21, and I hope to adjust my cycle to avoid having my period from August 19 to 21.
What methods can I use to regulate my menstrual cycle?

PT, 20~29 year old female. Ask Date: 2020/07/21

Dr. Wu Xianghui reply Obstetrics and Gynecology


Taking medication to advance or delay menstruation can lead to irregular menstrual cycles afterward.

Reply Date: 2020/07/21

More Info


Adjusting your menstrual cycle while on birth control pills is a common concern for many women, especially when they want to avoid menstruation during specific events or occasions. Since you are already on a stable regimen of birth control pills (specifically, the "Yaz" pill), you have a few options to consider for adjusting your cycle.


Understanding Birth Control Pills
Birth control pills, particularly combination pills like Yaz, contain hormones (estrogen and progestin) that work to prevent ovulation, regulate your menstrual cycle, and reduce menstrual cramps. When taken correctly, they can help stabilize your cycle, often resulting in periods that are lighter and less painful.


Adjusting Your Cycle
1. Skip the Placebo Pills: Most birth control pill packs contain 21 active pills followed by 7 placebo pills (sugar pills). If you want to delay your period, you can skip the placebo pills and start a new pack of active pills immediately. This method allows you to postpone your period until you finish the new pack. In your case, if your period starts on July 21 and you want to avoid menstruation from August 19 to 21, you could start a new pack right after finishing the active pills of your current pack.

2. Consult Your Healthcare Provider: Before making any changes to your birth control regimen, it’s essential to consult with your healthcare provider. They can provide personalized advice based on your medical history and current health status. They may also suggest alternative methods or formulations that could better suit your needs.

3. Consider Continuous Use Pills: Some women opt for continuous use birth control pills, which are designed to be taken without a break, leading to fewer or no periods. If you find that you frequently need to adjust your cycle, discussing this option with your healthcare provider may be beneficial.

4. Monitor Your Body: While adjusting your cycle, pay attention to how your body responds. Some women may experience breakthrough bleeding or spotting when they skip placebo pills or change their regimen. If this occurs, it’s usually not harmful but can be inconvenient.


Additional Considerations
- Timing: If you decide to skip the placebo pills, make sure to do so at least a few days before your expected period. This will give your body time to adjust to the hormonal changes.


- Side Effects: Be aware that changing your pill regimen can sometimes lead to side effects, such as nausea, headaches, or mood changes. If you experience significant discomfort, consult your healthcare provider.

- Emergency Situations: If you find yourself needing to adjust your cycle unexpectedly, there are also emergency contraceptive options available, but these are not typically used for cycle adjustment and should be discussed with a healthcare provider.


Conclusion
In summary, adjusting your menstrual cycle while on birth control pills is possible, primarily by skipping placebo pills and starting a new pack of active pills. Always consult with your healthcare provider before making any changes to ensure that it is safe and appropriate for your individual health needs. By doing so, you can effectively manage your menstrual cycle and avoid menstruation during important events.

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Hello, finish taking this month's oral contraceptive pills, and when your period comes, start taking next month's pills without stopping in between. Continue taking the new pills until the day you want your period to arrive. Wishing you good health.

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Hello, based on your description, it is recommended that you consult with an obstetrician-gynecologist to evaluate whether it is appropriate to delay your menstruation. Thank you! Wishing you peace and health, Dr. Chang.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it is possible to change the timing of your medication. If you continue taking it, your period may not come until you finish the second pack. Generally, there are no side effects. Wishing you good health.

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