Emergency contraceptive pills can cause menstrual cycles to occur earlier than expected?
Hello, doctor.
I have been consistently taking Qilian, which is a 21-tablet oral contraceptive.
After finishing a pack, I get my period three days later, and it lasts only three days (with one day of heavier flow), whereas without the medication, my period lasts seven days.
Now, the issue is that I start the next pack according to the instructions after a seven-day break, but my period has already ended by then, causing my next month's period to arrive even earlier.
This month, my period started before I finished the current pack.
I have been doing this for five months now, and I don't feel any discomfort, but I'm unsure if this will put any strain on my body.
LINTAN, 20~29 year old female. Ask Date: 2021/05/03
Dr. Lin Manying reply Obstetrics and Gynecology
Ms.
LINTAN: Hello, the method of taking birth control pills is as follows: 1.
Take the active ingredients continuously for 21 days, starting from the 1st to the 5th day of your menstrual period.
2.
Alternatively, take a 28-day pack (with the last 7 days as placebo), and continue with the next pack regardless of menstruation.
Your situation may also be related to the birth control pills or other underlying conditions, so it is recommended to consult a gynecologist for an examination.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.
Reply Date: 2021/05/03
More Info
The use of birth control pills, such as the one you mentioned (祈麗安), can indeed affect the timing and characteristics of your menstrual cycle. Birth control pills contain hormones that regulate your menstrual cycle, and they can lead to changes in the frequency, duration, and flow of your periods.
When you take a combination birth control pill, it typically contains estrogen and progestin, which work together to prevent ovulation, thicken cervical mucus, and thin the uterine lining. These hormonal changes can lead to lighter periods, shorter duration, and in some cases, even missed periods. It is not uncommon for women to experience changes in their menstrual cycle when they start taking the pill, and these changes can continue for several months as your body adjusts to the hormones.
In your case, you mentioned that your periods have become shorter and lighter since starting the pill, which is a common effect. The fact that your period arrives shortly after finishing a pack of pills is also typical, as the withdrawal bleed (the period-like bleeding that occurs during the placebo week) is a response to the drop in hormone levels when you stop taking the active pills.
However, if you are experiencing your period while still taking the active pills, this could be a sign of breakthrough bleeding, which is not uncommon, especially in the first few months of starting a new birth control regimen. Breakthrough bleeding can occur for several reasons, including hormonal fluctuations, missed pills, or the body adjusting to the hormones in the pill.
It's important to note that while birth control pills are generally safe for most women, they can have side effects. Some women may experience nausea, headaches, mood changes, or breast tenderness. If you are not experiencing any discomfort and your body seems to be adjusting well, it may not be a cause for concern. However, if you notice significant changes in your cycle, experience heavy bleeding, or have other symptoms that worry you, it would be wise to consult with your healthcare provider.
Your concern about whether this pattern of bleeding could be a burden on your body is valid. While the hormonal changes from birth control pills can lead to lighter and shorter periods, they can also affect your overall hormonal balance. If you continue to experience irregular bleeding or if your periods become more frequent, it may be worth discussing with your doctor. They might suggest switching to a different formulation or method of contraception that better suits your body’s needs.
In summary, the use of birth control pills can significantly affect menstrual cycle timing and characteristics. While your experience of shorter and lighter periods is common, any significant changes or concerns should be discussed with a healthcare professional to ensure that your contraceptive method is appropriate for you and to rule out any underlying issues.
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