Taking emergency contraceptive pills outside of the menstrual period?
Hello, Doctor!
1.
I started taking the oral contraceptive pill for the first time on October 13th, and several days have passed since then.
I would like to know if starting the pill early, before my expected menstrual period, provides the same contraceptive effectiveness as taking it during days 1 to 5 of my menstrual cycle.
2.
Should I stop taking the pill now to allow my period to come, or should I continue taking it as scheduled for 21 days and then stop for 7 days?
3.
If I stop taking the pill at this moment, is there a possibility that it could lead to irregular menstruation?
Thank you for addressing my concerns!
Yu, 30~39 year old female. Ask Date: 2021/10/18
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the correct way to take birth control pills is to start on the fifth day of your menstrual period.
If you have not taken them correctly, there may be no contraceptive effect.
Please finish the current pack, and after stopping the pills, wait for your next period to start the next pack of birth control pills.
Wishing you good health.
Reply Date: 2021/10/18
More Info
When it comes to taking birth control pills, timing and adherence to the prescribed regimen are crucial for ensuring their effectiveness. Based on your questions, let's delve into the details regarding the use of birth control pills, especially in relation to your menstrual cycle.
1. Can You Start Birth Control Pills Before Your Period?
Yes, you can start taking birth control pills before your period. In fact, many healthcare providers recommend starting the pill at any time during your cycle, but the timing can affect how quickly the pills become effective. If you start taking the pill within the first five days of your menstrual cycle, you will have immediate contraceptive protection. However, if you start taking the pill at any other time, it is generally advised to use a backup method of contraception (like condoms) for the first seven days of pill-taking to ensure you are fully protected.
2. Should You Stop Taking the Pills to Induce Your Period?
If you have started taking the pills and are following the 21 days on and 7 days off regimen, it is advisable to continue taking the pills as prescribed. Stopping the pills prematurely to induce your period can lead to irregularities in your menstrual cycle. Birth control pills work by regulating your hormones, and stopping them suddenly can disrupt this regulation, potentially leading to unexpected bleeding or a delayed period.
3. Will Stopping the Pills Cause Irregularities?
Yes, stopping the pills can lead to irregularities in your menstrual cycle. When you stop taking the pills, your body may take some time to adjust back to its natural hormonal rhythm. This adjustment period can result in irregular periods, heavier bleeding, or even missed periods. If you are concerned about timing your period for a specific event, such as travel, it is better to plan ahead and discuss this with your healthcare provider rather than stopping the pills abruptly.
Additional Considerations:
- Effectiveness of Birth Control Pills: Birth control pills are highly effective when taken correctly. The typical failure rate is about 7% with typical use, but this drops to less than 1% with perfect use. Starting the pills at the right time in your cycle is essential for maximizing their effectiveness.
- Managing Menstrual Timing: If you wish to delay your period for a specific occasion, such as travel, you can consider taking an additional pack of pills without the placebo week. This method allows you to skip your period temporarily. However, this should be done under the guidance of a healthcare provider to ensure it is safe and appropriate for you.
- Consulting with a Healthcare Provider: It is always best to consult with a healthcare provider regarding any changes to your birth control regimen. They can provide personalized advice based on your health history and specific needs.
In summary, you can start taking birth control pills before your period, and it is advisable to continue taking them as prescribed rather than stopping to induce your period. If you have specific timing needs for your menstrual cycle, discussing these with your healthcare provider can help you find the best approach while maintaining effective contraception.
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