Impact of African Mango Tea on Birth Control Pill Effectiveness - Obstetrics and Gynecology

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Contraceptive pill issues


Hello Doctor: I have been drinking "African mango tea" to help with weight loss.
I consulted a pharmacist, who mentioned that this tea could lead to gastrointestinal emptying, potentially affecting the efficacy of birth control pills.
They advised taking the pills at least 2 hours apart.
I generally wait 2 hours; I have dinner around 3 or 4 PM, and I drink the mango tea no later than 7:30 PM, but I take the birth control pill at 10 PM.
I would like to ask the doctor if this timing still allows for effective contraception.
Last month, my period was delayed, and I took a medication to induce menstruation and also obtained the birth control pill.
The doctor instructed me to take it on the fifth day.
I had protected intercourse on the 8th and 9th days of taking the pill (when the app indicated a risk period).
Is there a high chance of pregnancy? (I was drinking the mango tea during the medication period.) Thank you for your response, Doctor.

Nìmíng, 20~29 year old female. Ask Date: 2021/04/07

Dr. Lin Manying reply Obstetrics and Gynecology


Hello, miss: 1.
This should not be related to the mango drink.
2.
It's not high.
It is recommended to consult the physician who originally treated you for better guidance.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2021/04/07

More Info


The use of African Mango Tea while on birth control pills raises important considerations regarding the effectiveness of contraceptive methods. African Mango Tea is often marketed for weight loss and is believed to have various health benefits, but its interaction with medications, particularly hormonal contraceptives, is a topic of concern.

Firstly, it is essential to understand how birth control pills work. Most hormonal contraceptives contain synthetic forms of estrogen and progestin, which work to prevent ovulation, thicken cervical mucus, and thin the uterine lining. For these pills to be effective, they must be taken consistently and correctly, as any disruption in absorption can potentially lead to decreased effectiveness.

The concern regarding African Mango Tea stems from its potential effects on gastrointestinal motility. If the tea accelerates gastric emptying or alters the absorption of medications in the gastrointestinal tract, it could theoretically impact the effectiveness of birth control pills. However, the extent of this interaction is not well-documented in scientific literature, and more research is needed to establish a definitive link.

In your case, you mentioned that you are careful to space the consumption of African Mango Tea and your birth control pills by at least two hours. This practice is advisable, as it may help minimize any potential interaction. However, it is crucial to consider that individual responses to both the tea and the contraceptive can vary. Factors such as your overall health, metabolism, and the specific formulation of the birth control pill can all influence the outcome.

Regarding your concerns about the risk of pregnancy, it is important to note that while you have taken precautions, there are still factors to consider. You mentioned experiencing a delayed menstrual cycle and taking a medication to induce menstruation. If you had unprotected intercourse during the time when the effectiveness of your birth control might have been compromised, there is a possibility of pregnancy. The timing of your pill intake, the regularity of your menstrual cycle, and any other medications you may be taking can all play a role in this situation.

To assess your risk of pregnancy accurately, consider the following steps:
1. Take a Pregnancy Test: If your period is late, taking a home pregnancy test can provide clarity. These tests are most accurate when taken after a missed period.

2. Consult Your Healthcare Provider: If you have concerns about the effectiveness of your birth control or the potential for pregnancy, discussing this with your healthcare provider is crucial. They can provide personalized advice based on your medical history and current situation.

3. Review Your Medication: Ensure that all medications, including any herbal supplements like African Mango Tea, are discussed with your healthcare provider. They can help you understand any potential interactions and suggest alternatives if necessary.

4. Consider Alternative Contraceptive Methods: If you are concerned about the effectiveness of your current birth control method due to interactions with herbal supplements, you might want to explore other contraceptive options that do not have the same potential for interaction.

In summary, while the consumption of African Mango Tea may raise concerns about the effectiveness of birth control pills, careful timing and spacing can help mitigate these risks. However, if you have had unprotected intercourse and are experiencing a delayed menstrual cycle, it is essential to take a pregnancy test and consult with your healthcare provider for further guidance. Your health and peace of mind are paramount, so do not hesitate to seek professional advice.

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