Are Menstrual Regulation Pills Considered Birth Control? - Obstetrics and Gynecology

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Are menstrual regulation medications considered contraceptives?


Recently, my girlfriend visited a clinic to get menstrual regulation medication, specifically Xin Tong sugar-coated tablets and Yi Ru film-coated tablets.
Yesterday, we had intercourse with a condom, and I noticed some liquid leaking from the bottom of the condom, but I'm not sure if it was semen.
Should she take emergency contraception in this case?

A-Dai, 20~29 year old female. Ask Date: 2022/02/07

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, based on your description, there is a possibility of pregnancy.
Even with correct and consistent condom use, the failure rate is still around 5%.
Generally, it is not recommended to rely solely on condoms for contraception.
You may consider using emergency contraception, but its effectiveness is not 100%, with a failure rate of about 3%.
Therefore, if your period is more than a week late, it is advisable to check for pregnancy.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2022/02/07

More Info


Menstrual regulation pills, such as the ones your girlfriend has taken (信通糖衣錠 and 依汝膜衣錠), are primarily designed to help regulate menstrual cycles and manage conditions related to menstruation, such as heavy bleeding or irregular periods. However, they are not classified as traditional birth control methods. Birth control pills typically contain hormones that prevent ovulation, thereby reducing the chances of pregnancy. In contrast, menstrual regulation pills may not have the same contraceptive efficacy.

In your situation, since you and your girlfriend engaged in sexual intercourse with a condom, and there was a concern about potential leakage, it is essential to consider a few factors. If the condom was compromised and there is a possibility that sperm could have entered the vagina, there is a risk of pregnancy. The effectiveness of condoms can be influenced by various factors, including improper use, damage, or degradation of the material.

Given that your girlfriend is already taking menstrual regulation pills, it is crucial to understand that these pills do not provide reliable contraception. If there is any uncertainty regarding the integrity of the condom and the potential for sperm exposure, it is advisable to consider taking emergency contraception, commonly referred to as the "morning-after pill." This medication is most effective when taken as soon as possible after unprotected intercourse, ideally within 72 hours, but some types can be effective up to 5 days after.

It is also important to note that while menstrual regulation pills can help manage menstrual symptoms, they should not be relied upon as a primary method of contraception. If your girlfriend is looking for effective birth control options, it would be beneficial for her to consult with a healthcare provider. They can provide guidance on various contraceptive methods, including hormonal birth control pills, intrauterine devices (IUDs), implants, and barrier methods, which can be more effective in preventing pregnancy.

In summary, while menstrual regulation pills can assist with menstrual issues, they are not a substitute for reliable birth control. If there is any doubt about potential exposure to sperm due to a compromised condom, taking emergency contraception is a prudent step. Additionally, discussing long-term birth control options with a healthcare provider can help ensure that both you and your girlfriend are protected against unintended pregnancies in the future.

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