Concerns About Birth Control Pills and Post-Intercourse Symptoms - Obstetrics and Gynecology

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Feeling a bit uncomfortable after taking medication and having internal ejaculation?


Hello, Doctor.
I have the following questions:
1.
I have been taking the oral contraceptive pill, Aiyueding, for 21 days, and I am currently on my fourth pack.
Over the past few months, I have occasionally experienced constipation and some dry heaving.
I consulted with a doctor and a pharmacist, and they mentioned that Aiyueding is a low-dose medication.
Should I consider switching to a different brand due to my symptoms?
2.
I have gastrointestinal issues and sometimes experience diarrhea.
Should I take medication to address this?
3.
I have heard that taking the pill can lead to lighter menstrual periods, but after stopping the medication in the third month, my period only lasted for about three days.
Is this normal?
4.
Since I have been taking the pill, I have had unprotected intercourse three times, and each time I experienced dizziness and nausea after ejaculation.
Is this a psychological issue, or is there something I need to be concerned about?
5.
I take my contraceptive pill every day between 11:00 AM and 2:30 PM.
Is this time range too broad? Will not taking it at the same time every day affect its contraceptive effectiveness?
Thank you, Doctor!

catherine, 10~19 year old female. Ask Date: 2022/09/29

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it seems that you are experiencing some discomfort after taking your medication.
You might consider switching to a different brand of contraceptive pill.
A slight difference in the timing of taking it should not have an impact.
Wishing you good health.

Reply Date: 2022/09/29

More Info


When it comes to concerns about birth control pills and post-intercourse symptoms, it's important to address each of your questions with a comprehensive understanding of how hormonal contraceptives work and their potential side effects.

1. Constipation and Nausea: It's not uncommon for some women to experience gastrointestinal issues such as constipation or nausea while taking birth control pills, even those with lower hormone doses like Aiyueding. These side effects can vary from person to person. If these symptoms are bothersome, it may be worth discussing with your healthcare provider whether switching to a different formulation or brand could alleviate these issues. Sometimes, the body may adapt to a specific formulation over time, and a change could help.

2. Diarrhea and Medication: If you have gastrointestinal issues such as diarrhea, it's essential to maintain hydration and consider whether you need to take any medications to manage your symptoms. If diarrhea is severe or persistent, it may affect the absorption of your birth control pill, potentially reducing its effectiveness. In such cases, consult your healthcare provider for advice on whether you should take additional medication or if you need to use backup contraception.

3. Menstrual Changes After Stopping Pills: It's normal for menstrual cycles to be irregular after stopping birth control pills, especially in the first few months. The hormonal changes your body undergoes can lead to shorter or lighter periods. If your period lasts only three days after stopping the pill, this can be within the range of normal, but if you have concerns about your menstrual cycle or if it continues to be irregular, it’s advisable to follow up with your healthcare provider.

4. Post-Intercourse Symptoms: Experiencing dizziness and nausea after intercourse, especially following ejaculation, can be attributed to several factors. While psychological factors such as anxiety or stress can play a significant role, it’s also essential to consider physical factors. Hormonal fluctuations, dehydration, or even the body's response to sexual activity can contribute to these symptoms. If this continues to be a concern, it may be beneficial to discuss it with your healthcare provider to rule out any underlying conditions.

5. Timing of Birth Control Pills: Consistency is key when taking birth control pills to ensure maximum effectiveness. While taking your pill within a window of a few hours (like from 11:00 AM to 2:30 PM) is generally acceptable, it’s best to take it at the same time every day. The effectiveness of the pill can diminish if taken too late, especially if you miss a dose. If you find it challenging to take your pill at the same time daily, consider setting a reminder or using a pill organizer to help maintain consistency.

In summary, while hormonal contraceptives like Aiyueding are effective for preventing pregnancy, they can come with side effects that vary among individuals. If you experience persistent or troubling symptoms, it’s essential to consult with your healthcare provider. They can help determine whether a change in your birth control method is necessary and provide guidance on managing any side effects you may be experiencing. Always prioritize open communication with your healthcare provider to ensure that your contraceptive method aligns with your health needs and lifestyle.

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