Can I Take Birth Control Pills After Cervical Pre-Cancer Treatment? - Obstetrics and Gynecology

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Can someone with a history of cervical precancerous lesions take birth control pills?


Hello Doctor, three years ago I was regularly taking Mestranol, but after a Pap smear showed precancerous changes in my cervix, I stopped taking it.
I subsequently underwent cryotherapy and have been having regular Pap smear follow-ups.
I still experience occasional inflammation, but I now have a need for contraception.
Is it appropriate for me to take birth control pills? If so, should I continue with Mestranol, or can I switch to Cilest? Additionally, I have been supplementing with white kidney bean extract, and I noticed that my menstrual cycle has extended to 65 days.
Could this affect the efficacy of the birth control pills? I would appreciate your clarification on these concerns.
Thank you!

NaNa, 40~49 year old female. Ask Date: 2021/07/23

Dr. Wu Xianghui reply Obstetrics and Gynecology


The HPV virus is directly related to common precursors of cervical cancer.

Reply Date: 2021/07/23

More Info


When considering the use of birth control pills after treatment for cervical pre-cancer, it's essential to take into account several factors, including your medical history, the nature of your cervical condition, and any ongoing treatments or medications you may be using.

Firstly, it is generally safe for women who have undergone treatment for cervical pre-cancer, such as cryotherapy or other procedures, to use hormonal contraceptives like birth control pills. These medications do not interfere with the healing process of the cervix or the effectiveness of the treatments you have received. However, it is crucial to have a thorough discussion with your healthcare provider before resuming or starting any form of hormonal contraception. They can provide personalized advice based on your specific health status and any lingering effects from your previous treatments.

Regarding your question about whether to continue with the same birth control pill (美適儂) or switch to another (祈麗安), both options are valid. The choice between different types of birth control pills often depends on individual tolerance, side effects, and personal preference. Some women may respond better to one formulation over another, so it may be beneficial to discuss this with your doctor. They can help you weigh the pros and cons of each option based on your health history and any side effects you may have experienced in the past.

You also mentioned taking "白高顆" (which I assume refers to a supplement or herbal product). It is important to note that certain supplements can interact with hormonal contraceptives, potentially affecting their efficacy. While many dietary supplements are safe to take alongside birth control pills, some may have estrogenic effects or influence liver enzymes that metabolize medications. Therefore, it is advisable to inform your healthcare provider about all supplements you are taking, including "白高顆," so they can assess any potential interactions.

As for your menstrual cycle, experiencing a longer cycle (like 65 days) can be concerning, especially if it is a new development. Hormonal contraceptives can help regulate menstrual cycles, but if you are experiencing irregularities, it is essential to discuss this with your healthcare provider. They can evaluate whether this change is related to your previous treatments, the supplements you are taking, or if it is a separate issue that needs to be addressed.

In summary, you can generally take birth control pills after cervical pre-cancer treatment, but it is crucial to consult with your healthcare provider to ensure that it is appropriate for your situation. They can guide you on the best contraceptive options and monitor any potential interactions with supplements or changes in your menstrual cycle. Your health and well-being should always be the priority, so open communication with your healthcare team is key to making informed decisions about your reproductive health.

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