How to Properly Restart Birth Control Pills After a Break - Obstetrics and Gynecology

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Emergency contraceptive pills


Hello, I have been taking the medication for over a year without interruption, but I plan to stop for one month this month and start again next month.
When is the correct time to resume taking the medication next month?

Ann, 20~29 year old female. Ask Date: 2022/06/14

Dr. Huang Zifei reply Obstetrics and Gynecology


Dear Ann,
Please start taking the medication on the first to fifth day of your next menstrual period.
If you have any other questions, please consult with a physician in the obstetrics and gynecology department.

Dr.
Huang Zifei, Obstetrics and Gynecology, Nantou Hospital

Reply Date: 2022/06/14

More Info


When considering how to properly restart birth control pills after a break, it is essential to understand the timing and the type of pill you are using. In your case, since you have been taking the "悦己" (Yue Ji) birth control pills consistently for over a year and plan to take a month off, there are specific guidelines to follow for a smooth transition back to the pill.

1. Timing of Restarting the Pill: After taking a break from the pill for a month, you should ideally start taking your birth control pills again at the beginning of your next menstrual cycle. This means that you should wait until you have your period, and then on the first day of your period, you can begin taking the pills again. This approach helps to ensure that your body is in sync with the hormonal cycle that the pill is designed to regulate.

2. Alternative Start Methods: If you prefer to start the pills at a different time, you can also begin taking them at any point in your cycle, but you will need to use a backup method of contraception (like condoms) for the first seven days of taking the pills. This is crucial because it takes about seven days for the hormones in the pill to build up in your system and provide effective contraception.

3. Understanding Your Cycle: If you are unsure when your period will start after a break, keep in mind that it may take a cycle or two for your body to adjust back to its natural rhythm after stopping the pills. Some women may experience irregularities in their menstrual cycle after a break, so it’s important to monitor your body’s responses.

4. Consulting with Your Healthcare Provider: Before making any changes to your birth control regimen, it is always a good idea to consult with your healthcare provider. They can provide personalized advice based on your health history and any other medications you may be taking. They can also help you understand the implications of taking a break from the pill and what to expect when you restart.

5. Potential Side Effects: When restarting the pill, be aware that you may experience some side effects as your body readjusts to the hormones. Common side effects can include nausea, headaches, or changes in your menstrual cycle. These symptoms are usually temporary, but if they persist or worsen, you should reach out to your healthcare provider.

6. Long-term Considerations: If you are considering taking breaks from your birth control pills regularly, discuss this with your healthcare provider. They can help you understand the implications for your menstrual cycle and overall reproductive health.

In summary, to properly restart your birth control pills after a month-long break, begin taking them on the first day of your next period or at any point in your cycle with a backup method for the first week. Always consult with your healthcare provider for tailored advice and to ensure that your contraceptive needs are met effectively.

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