Managing Nausea from Birth Control Pills: Tips and When to Consult Your Doctor - Obstetrics and Gynecology

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Nausea after taking pre-exposure prophylaxis (PrEP)?


Hello doctor, I have been taking Escitalopram for about a week.
Since the second day, I have been experiencing nausea in the mornings or after meals, but it hasn't reached the point of vomiting.
Should I finish this month's supply before consulting with my doctor about changing medications? Additionally, do you have any recommendations for alleviating the nausea? Thank you for taking the time to respond.

J, 20~29 year old female. Ask Date: 2022/11/24

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it is recommended to take the medication after eating.
If there is no improvement, you can go to the hospital to get antiemetic medication.
Wishing you good health.

Reply Date: 2022/11/24

More Info


Managing nausea from birth control pills, such as the one you mentioned (Alesse), can be a common side effect, especially during the initial weeks of starting a new contraceptive regimen. Nausea may occur as your body adjusts to the hormones in the pills. Here are some tips on how to manage this nausea and when you should consider consulting your doctor.


Tips for Managing Nausea:
1. Take Pills with Food: Taking your birth control pills with a meal or a snack can help reduce nausea. Food can buffer the stomach and lessen the impact of the hormones.

2. Stay Hydrated: Drinking plenty of water throughout the day can help alleviate nausea. Dehydration can worsen feelings of nausea, so ensure you are consuming enough fluids.

3. Ginger or Peppermint: Natural remedies such as ginger tea or peppermint tea can be effective in soothing an upset stomach. Ginger has been traditionally used to combat nausea, while peppermint can help relax the stomach muscles.

4. Small, Frequent Meals: Instead of three large meals, try eating smaller meals more frequently throughout the day. This can help keep your stomach from feeling too empty or too full, both of which can trigger nausea.

5. Avoid Trigger Foods: Pay attention to what you eat and try to avoid foods that seem to worsen your nausea. Fatty, spicy, or overly rich foods can sometimes exacerbate feelings of queasiness.

6. Rest and Relaxation: Stress and fatigue can contribute to nausea. Ensure you are getting enough rest and consider relaxation techniques such as deep breathing or gentle yoga.


When to Consult Your Doctor:
If the nausea persists beyond the first month of taking the pills, or if it becomes severe, it is advisable to consult your healthcare provider. Here are specific situations when you should reach out:
- Persistent Nausea: If you experience nausea that does not improve after the first month of use, it may be a sign that the specific formulation of the pill is not suitable for you.

- Severe Symptoms: If you experience severe nausea that leads to vomiting or if you are unable to keep food or fluids down, you should seek medical attention.

- Other Side Effects: If you notice other concerning symptoms, such as headaches, mood changes, or any unusual symptoms, it’s important to discuss these with your doctor.

- Health Concerns: If you have any underlying health conditions or are taking other medications, it’s crucial to consult your doctor before making any changes to your birth control method.


Conclusion:
In summary, while mild nausea can be a common side effect of starting birth control pills, there are several strategies you can employ to manage it effectively. If symptoms persist or worsen, it is important to consult your healthcare provider to discuss your options, which may include switching to a different formulation or exploring alternative contraceptive methods. Always prioritize your health and comfort, and don’t hesitate to reach out for professional guidance when needed.

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