the First Month After Stopping Birth Control Pills - Obstetrics and Gynecology

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The first month after stopping oral contraceptives?


Hello Doctor: I stopped taking my medication on September 5th, and my period started on September 8th.
I was supposed to take the first pill on September 12th, but due to a confirmed diagnosis, I decided to wait a month.
I took a pregnancy test on September 20th, which was negative.
Later, on the 28th and 29th, I had sexual intercourse with full condom use, and I withdrew before ejaculation into the condom.
On October 1st, I noticed a little blood, which I thought was my period, so I took the first pill on October 2nd.
However, on October 5th, it didn't seem like my period, so I went to see a gynecologist and stopped taking the medication.
During the ultrasound, I asked the doctor about my endometrium, and the doctor said it looked like my period was about to come, and I also had a negative pregnancy test.
Additionally, I was diagnosed with a bladder infection.
I have been experiencing brown discharge for 4-5 days now.
I would like to ask: 1.
Is this discharge due to the bladder infection? 2.
Is there a possibility of pregnancy? 3.
Is it normal for my menstrual cycle to be like this in the first month after stopping the medication? My previous cycles were usually around 27-29 days.
Thank you, Doctor.

Peiyu, 20~29 year old female. Ask Date: 2022/10/07

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it is likely that you are not pregnant, and it is unrelated to cystitis.
It may be that your period is approaching.
Wait for another week, and if it still does not come, I recommend seeing a gynecologist.
Wishing you good health.

Reply Date: 2022/10/07

More Info


Understanding the first month after stopping birth control pills can be a complex process, as the body undergoes various hormonal adjustments. When you stop taking birth control pills, your body begins to revert to its natural menstrual cycle, which can lead to irregularities in your periods, changes in flow, and other symptoms.

1. Impact of Stopping Birth Control Pills: When you discontinue birth control pills, it can take some time for your body to readjust. The hormonal changes can lead to variations in your menstrual cycle. Some women may experience lighter or heavier periods, while others may have spotting or breakthrough bleeding. This is often referred to as post-pill amenorrhea, where the menstrual cycle may take a few months to normalize. In your case, the bleeding you experienced on October 1 could be a sign of your body adjusting to the absence of hormones from the pill.

2. Possible Causes of Brown Discharge: The coffee-colored discharge you are experiencing could be due to several factors. It may be remnants of old blood that is being expelled from your uterus, which can happen as your body adjusts after stopping the pill. However, since you mentioned having a bladder infection, it is also possible that the inflammation or irritation from the infection could contribute to changes in your vaginal discharge. It’s important to monitor this symptom, especially if it persists or is accompanied by other symptoms like pain or a strong odor.

3. Pregnancy Possibility: Given that you had a negative pregnancy test on September 20 and used condoms during intercourse, the likelihood of pregnancy is low. However, no contraceptive method is 100% effective, and if you had unprotected intercourse after stopping the pill, there is still a small chance of pregnancy. The negative pregnancy test and the subsequent bleeding suggest that pregnancy is unlikely, but if you continue to have concerns, it might be worth taking another test or consulting with your healthcare provider.

4. Menstrual Cycle Normalcy: The irregularity in your menstrual cycle during the first month after stopping the pill is not uncommon. Many women experience changes in their cycle length, flow, and symptoms during this adjustment period. Since you previously had a regular cycle of 27-29 days, it may take a few cycles for your body to return to that rhythm. If your periods remain irregular after a few months, or if you have significant concerns, it would be advisable to consult with a healthcare provider for further evaluation.

In summary, the first month after stopping birth control pills can be marked by a variety of symptoms and changes as your body readjusts to its natural hormonal balance. The brown discharge could be related to either the hormonal changes or the bladder infection. While the chances of pregnancy appear low, it’s always best to consult with a healthcare professional if you have ongoing concerns or if your symptoms change. Regular follow-ups can help ensure that any underlying issues are addressed promptly, and they can provide reassurance as your body transitions back to its natural cycle.

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