How to Effectively Use Menstrual Delay Medication with Birth Control Pills - Obstetrics and Gynecology

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Use of menstrual regulation medications?


Hello Doctor, I am currently using the contraceptive pill "Yueji" (I will finish the 21 pills on 8/29, and my last menstrual period was on 7/31, but I started taking Yueji for the first time on 8/9).
My menstrual periods have always been very regular.
I had water activities from 8/27 to 8/29.
Since I started taking Yueji for the first time on 8/9, the doctor also prescribed me medication to delay my period.
When should I start taking the delay medication to achieve the desired effect? Additionally, I usually take Yueji before bed (as it makes me feel dizzy).
Can I take the delay medication at the same time?

Ms. Wu, 20~29 year old female. Ask Date: 2020/08/20

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you took the contraceptive pill until August 29, so your period should arrive in about 3-4 days.
You should not take any medication to delay your period.
Wishing you good health.

Reply Date: 2020/08/20

More Info


When considering the use of menstrual delay medication alongside birth control pills, it is essential to understand the mechanisms of both types of medication and how they interact with each other. In your case, you are currently taking a birth control pill (Yaz, known as "悅己" in Chinese) and have been prescribed medication to delay your menstrual cycle.

Timing of Menstrual Delay Medication
To effectively delay your period, the menstrual delay medication should typically be started a few days before you expect your period to begin. Since you mentioned that your last menstrual period started on July 31 and you are expected to finish your current pack of Yaz on August 29, you would want to start the delay medication around the time you would normally expect your period, which would be approximately August 1 or 2. However, since you are finishing your Yaz pack on August 29, you should consult your healthcare provider for the exact timing based on your specific situation and the type of medication prescribed for delaying your period.


Interaction with Birth Control Pills
Regarding the simultaneous use of Yaz and the menstrual delay medication, it is generally safe to take both at the same time, but it is crucial to follow the guidance of your healthcare provider. Yaz is a combination oral contraceptive that works primarily by preventing ovulation, and it also helps regulate menstrual cycles. The delay medication may work by altering the hormonal signals that trigger menstruation.
Taking both medications at the same time can be convenient, especially if you are already accustomed to taking your birth control pill at bedtime. However, it is essential to ensure that the delay medication does not interfere with the effectiveness of Yaz. Most menstrual delay medications are designed to be compatible with hormonal contraceptives, but it is always best to confirm this with your doctor or pharmacist.


Considerations and Recommendations
1. Consult Your Doctor: Before starting the menstrual delay medication, discuss with your healthcare provider the best time to start it based on your cycle and the specific medication prescribed. They can provide personalized advice tailored to your health history and needs.

2. Monitor Side Effects: Since you mentioned experiencing dizziness when taking Yaz, be mindful of how you feel when adding the delay medication. If you experience increased dizziness or any other side effects, inform your healthcare provider.

3. Follow Instructions: Ensure you follow the prescribed dosage and timing for both medications. If you have any doubts or questions about how to take them together, do not hesitate to reach out to your healthcare provider.

4. Plan Ahead: If you have any upcoming events or activities (like water sports) that coincide with your expected period, planning ahead with your healthcare provider can help you manage your menstrual cycle effectively.

5. Understand the Risks: While both medications are generally safe, it is essential to be aware of any potential risks or contraindications associated with their use, especially if you have any underlying health conditions or are taking other medications.

In summary, effective use of menstrual delay medication alongside birth control pills requires careful timing and consultation with your healthcare provider. By following their guidance and being aware of how the medications interact, you can achieve the desired outcome while maintaining your health and well-being.

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