How Long Should You Take Birth Control Pills Before a Break? - Obstetrics and Gynecology

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Discontinuation of contraceptive pills?


Hello, doctor.
I have previously heard that after taking oral contraceptives for a period of time, it's necessary to take a break.
How long do you recommend taking the pills before stopping? I have been taking the oral contraceptive (Yasmin) for 7 months and would like to stop for two months before continuing.
Is this advisable?

Ruby, 20~29 year old female. Ask Date: 2021/06/03

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Miss Ruby: Generally speaking, if you have been taking birth control pills without any significant discomfort or side effects, you can consider taking them for a year before stopping for a period of time.
Since you have already been on them for seven months and wish to stop for two months before resuming, that is certainly fine.

Reply Date: 2021/06/03

More Info


When it comes to the use of birth control pills, particularly combined oral contraceptives like the one you mentioned (悦己), there are several factors to consider regarding how long to take them before taking a break. Generally, the recommendations can vary based on individual health, personal preferences, and specific medical advice from healthcare providers.


General Guidelines for Birth Control Pill Use
1. Continuous Use: Many healthcare providers suggest that it is safe to take birth control pills continuously for several months or even years without a break, as long as there are no adverse side effects. The hormones in these pills are designed to prevent ovulation and regulate menstrual cycles, and they can be effective for extended periods.

2. Breaks: Some women choose to take breaks from the pill for various reasons, including personal preference, concerns about long-term hormone exposure, or to assess their natural menstrual cycle. While there is no universally mandated duration for breaks, many experts suggest that if you choose to take a break, it could range from a few days to a few months.
3. Health Considerations: It's crucial to consider your health history. If you have any underlying health conditions, such as a history of blood clots, certain cancers, or liver disease, your healthcare provider may recommend a different approach. Regular check-ups with your doctor can help monitor any potential risks associated with long-term use of hormonal contraceptives.


Your Specific Situation
In your case, you mentioned that you have been taking the birth control pill for seven months and are considering taking a two-month break. This is generally acceptable, especially if you feel comfortable doing so and have not experienced any significant side effects. However, it is essential to consult with your healthcare provider before making this decision. They can provide personalized advice based on your health history and any other medications you may be taking.


Risks and Benefits of Taking Breaks
- Benefits of Taking a Break: Some women report feeling better after taking a break from hormonal contraceptives, as it allows their bodies to reset. It can also provide an opportunity to assess how their menstrual cycle behaves without hormonal influence.

- Risks of Taking a Break: On the flip side, taking breaks can lead to unintended pregnancies if you are not using another form of contraception during that time. Additionally, some women may experience irregular cycles or increased menstrual symptoms after resuming the pill.


Recommendations
1. Consult Your Doctor: Before making any changes to your birth control regimen, it is always best to consult with your healthcare provider. They can help you weigh the pros and cons based on your individual health needs.

2. Consider Your Goals: If you are planning to conceive in the near future, you might want to discuss how long you should be off the pill before trying to get pregnant, as this can vary based on individual circumstances.

3. Monitor Your Body: If you decide to take a break, pay attention to how your body responds. Note any changes in your menstrual cycle, mood, or physical health, and report these to your healthcare provider.

In summary, while it is generally acceptable to take breaks from birth control pills, the specifics can vary widely based on individual health and circumstances. Always prioritize open communication with your healthcare provider to ensure that your contraceptive choices align with your overall health and family planning goals.

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