Can You Start Birth Control Pills After Taking Emergency Contraceptive? - Obstetrics and Gynecology

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Contraceptive pill issues


Hello, doctor.
I would like to ask you, if I take the emergency contraceptive pill, should I start taking the regular contraceptive pill on the first day of bleeding? This is my first time taking the regular contraceptive pill.
Thank you for your guidance!

Niming, 30~39 year old female. Ask Date: 2022/11/25

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello,
It is important to first confirm whether the bleeding is menstrual.
When starting oral contraceptives for the first time, it is recommended to begin taking them on the first day of your menstrual cycle.
If you start taking the contraceptive pill after the second day of your period, it is advised to use additional contraceptive measures for the first seven days of taking the pill.

Thank you! Wishing you peace and health.

Dr.
Zhang

Reply Date: 2022/11/25

More Info


When considering the use of birth control pills after taking emergency contraception, it's important to understand the timing and implications of both medications. Emergency contraceptive pills (ECPs), such as Plan B, are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. They work primarily by delaying ovulation and are most effective when taken as soon as possible after the incident.

If you have taken an emergency contraceptive and are wondering when to start your regular birth control pills, the general recommendation is to wait until your next menstrual cycle begins. This means that if you experience bleeding after taking the emergency contraceptive, which may be a withdrawal bleed or an early period, you can start your regular birth control pills on the first day of that bleeding. This approach helps to ensure that your body is in a regular cycle and can help stabilize your hormonal levels.

Starting birth control pills on the first day of your period is a common practice because it provides immediate contraceptive protection. If you begin taking the pills at this time, you will be protected against pregnancy right away, assuming you take them consistently and correctly. However, if you start the pills at any other time in your cycle, it is typically recommended to use a backup method of contraception, such as condoms, for the first seven days of taking the pills to ensure adequate protection.

It's also worth noting that taking emergency contraception can sometimes cause temporary changes in your menstrual cycle. You may experience irregular bleeding or changes in the timing of your next period. This is normal and usually resolves itself in subsequent cycles. However, if you find that your menstrual cycle remains irregular or if you have concerns about your menstrual health, it would be wise to consult with a healthcare provider.

In summary, after taking emergency contraception, you can start your regular birth control pills on the first day of your withdrawal bleed or period. This timing allows for effective contraception and helps regulate your menstrual cycle. Always remember to follow the instructions provided by your healthcare provider and to discuss any concerns you may have regarding your reproductive health and contraceptive options.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, if you are sure you are not pregnant, you can start taking the birth control pill on the fifth day of your menstrual period. Wishing you good health.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you too. Wishing you good health.

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Dr. Wu Xianghui reply Obstetrics and Gynecology
1. For pregnancy concerns, please take a home pregnancy test or consult a gynecologist for evaluation four weeks after sexual intercourse. 2. If the medication is not taken according to the instructions, the effectiveness cannot be assessed.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you can start taking the contraceptive pill on the fifth day of your menstrual period. If taken consistently, it will provide effective contraception, and there is no need to take an additional emergency contraceptive pill. Wishing you good health.

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