Pre-Menstrual Pills: Is Prolonged Bleeding Normal? - Obstetrics and Gynecology

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Emergency contraceptive pill


Hello doctor, I started taking emergency contraception (Ella) on the first day of my period, which began on June 29.
The side effects have not been very noticeable, just a bit more drowsy than usual.
My periods usually last about 7 days, but today is the 9th day and I am still experiencing some bleeding.
Sometimes it’s there, sometimes it’s not, but it’s not heavy—just enough to use a panty liner.
Is this normal? If I still have bleeding next week, should I see a doctor? Thank you, doctor!

k, 10~19 year old female. Ask Date: 2022/07/07

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, during the use of contraceptive pills, there is no need to stop taking them if menstruation occurs or if there is any bleeding; you should continue to take them as scheduled.
Once your body adjusts to the contraceptive pills, abnormal bleeding should cease.
However, if irregular bleeding persists for more than three months or if there is heavy bleeding, it is advisable to consult a physician.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2022/07/07

More Info


When it comes to understanding the effects of pre-menstrual pills, particularly in relation to prolonged bleeding, it's important to consider several factors. The use of oral contraceptives, such as the one you mentioned (Aivy), can lead to various changes in your menstrual cycle, especially during the initial months of use.
Firstly, it is not uncommon for individuals who start taking hormonal contraceptives to experience irregular bleeding or spotting, especially during the first few months. This is often referred to as "breakthrough bleeding." The hormones in the pills can cause changes in the uterine lining, which may lead to unexpected bleeding. In your case, since you have been on the pill for about 9 days and are experiencing bleeding that is not heavy, it could be a normal response to the introduction of these hormones into your system.

Typically, the body takes some time to adjust to hormonal contraceptives. For many, this adjustment period can last anywhere from a few weeks to a few months. During this time, it is not unusual to experience changes in the duration and flow of your menstrual cycle. Some women may have shorter periods, while others may experience prolonged bleeding or spotting.
However, if the bleeding persists beyond a few months or becomes heavier, it is advisable to consult with your healthcare provider. They may want to rule out any other underlying conditions that could be contributing to the prolonged bleeding, such as hormonal imbalances, fibroids, or other gynecological issues. Additionally, if you experience any other concerning symptoms, such as severe pain, dizziness, or significant changes in your bleeding pattern, it is important to seek medical attention promptly.

In your case, since you mentioned that the bleeding is light and manageable with a panty liner, it may not be an immediate cause for concern. However, if you continue to experience bleeding next week, it would be wise to schedule an appointment with your doctor. They can provide a thorough evaluation and determine whether any adjustments to your contraceptive method are necessary or if further investigation is warranted.

In summary, while some irregular bleeding can be a normal side effect of starting pre-menstrual pills, persistent or heavy bleeding should always be evaluated by a healthcare professional. It's essential to monitor your symptoms and communicate any changes to your doctor to ensure your reproductive health is managed effectively.

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