First Time Taking Birth Control Pills: What You Need to Know - Obstetrics and Gynecology

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When starting birth control pills for the first time, it's important to understand how they work and the best practices for their use. In your case, you began taking a 28-day birth control pill regimen before your menstrual period started, and now that your period has arrived after eight days of taking the pills, you have some questions about whether to continue or stop taking them.

Firstly, it is perfectly fine to start taking birth control pills at any time in your cycle, but the timing can affect how quickly the pills become effective. If you start taking the pills during the first five days of your menstrual cycle, they are effective immediately. However, if you start taking them at any other time, it is generally recommended to use a backup method of contraception (like condoms) for the first seven days of taking the pills to ensure you are protected against pregnancy.

Since you have already been taking the pills for eight days, and your period has now started, you do not need to stop taking the pills. In fact, you should continue taking the pills as directed, even during your menstrual period. The birth control pill is designed to be taken continuously for 28 days, and it is common for women to experience their period while on the pill. The active pills (the first 21 pills in a typical 28-day pack) are what prevent ovulation, while the last seven pills are usually placebo pills that allow for a withdrawal bleed, similar to a period.

Continuing to take the same pack of pills will not only help regulate your cycle but will also maintain contraceptive effectiveness. If you were to stop taking the pills now, you would not only disrupt your cycle but also lose the contraceptive protection that the pills provide.
It's also worth noting that many women experience changes in their menstrual cycle when they first start taking birth control pills. This can include lighter periods, changes in flow, or even missed periods, especially in the first few months of use. These changes are usually normal as your body adjusts to the hormones in the pills.

In summary, you should continue taking your birth control pills as prescribed, even though your period has started. This will ensure that you maintain contraceptive effectiveness and help regulate your menstrual cycle. If you have any concerns or experience unusual side effects, it’s always a good idea to consult with your healthcare provider for personalized advice and guidance. They can help you understand what to expect and address any specific questions you may have about your birth control method.