When Can You Start Birth Control Pills After a Vaginal Infection? - Obstetrics and Gynecology

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Contraceptive pill issues?


I have recently started considering taking oral contraceptives, but before I began, I discovered that I have a vaginal infection and inflammation.
The symptoms of inflammation include cottage cheese-like discharge, and there is also redness and pain in the vulvar area.
I am currently undergoing treatment with my doctor.
When can I start taking the contraceptive pill?

cccccc, 20~29 year old female. Ask Date: 2020/09/28

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, that is unrelated to taking contraceptive pills.
Wishing you good health.

Reply Date: 2020/09/28

More Info


When considering the use of birth control pills after experiencing a vaginal infection, it is crucial to prioritize your health and ensure that the infection is adequately treated before starting any hormonal contraceptives. In your case, the symptoms you describe—cottage cheese-like discharge and redness or irritation in the vulvar area—are indicative of a yeast infection or possibly bacterial vaginosis. These conditions can cause discomfort and may affect your overall well-being.

The general recommendation is to wait until the infection has been fully resolved before starting birth control pills. This is because hormonal contraceptives can sometimes alter the vaginal flora and potentially exacerbate existing infections or lead to new ones. Additionally, starting birth control pills while still experiencing symptoms may complicate the diagnosis and treatment of the infection.

Here are some steps to consider:
1. Consult Your Healthcare Provider: Since you are already in treatment, maintain open communication with your healthcare provider. They can provide guidance on when it is safe to start birth control pills based on your specific situation and the progress of your treatment.

2. Complete Treatment: Ensure that you complete the full course of any prescribed medication for your infection. This is essential for effectively clearing the infection and preventing recurrence.

3. Monitor Symptoms: After completing your treatment, monitor your symptoms closely. If you notice any lingering discomfort or unusual discharge, follow up with your healthcare provider before starting birth control pills.

4. Timing: Typically, it is advisable to wait at least one full menstrual cycle after the infection has resolved before starting hormonal contraceptives. This allows your body to return to its normal state and ensures that any potential side effects of the birth control pills can be accurately assessed.

5. Consider Non-Hormonal Options: If you are eager to start contraception immediately and are concerned about the potential impact of hormonal pills on your vaginal health, you might discuss non-hormonal contraceptive options with your provider. Barrier methods, such as condoms or diaphragms, can be effective and do not interfere with vaginal flora.

6. Follow-Up: Schedule a follow-up appointment with your healthcare provider to confirm that the infection has cleared and to discuss the best timing for starting birth control pills.

In summary, the best course of action is to prioritize your health by ensuring that the vaginal infection is fully treated before starting birth control pills. This approach not only helps in managing your current symptoms but also sets a solid foundation for effective contraceptive use in the future. Always consult with your healthcare provider for personalized advice and recommendations based on your specific health needs.

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