Can You Start Birth Control Pills on the First Day of Menstrual Bleeding?

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: 2022/11/26

Dr. Zhang Kunmin reply Obstetrics and Gynecology

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

Thank you! Wishing you peace and health.

Dr.
Zhang

Reply Date: 2022/11/26

More Info

Yes, you can start taking birth control pills on the first day of your menstrual bleeding. In fact, starting the pill on the first day of your period is a common recommendation because it helps ensure that you are not pregnant and provides immediate contraceptive protection. This method is often referred to as the "first-day start" method.

When you begin taking the pill on the first day of your menstrual cycle, you will have contraceptive protection right away. This is particularly beneficial for those who want to avoid any potential risk of unintended pregnancy. However, if you start taking the pill at any other time during your cycle, it is generally advised to use a backup method of contraception, such as condoms, for the first seven days of pill use to ensure effective pregnancy prevention.

It's important to note that there are different types of birth control pills, including combination pills (which contain both estrogen and progestin) and progestin-only pills (also known as the mini-pill). If you are considering starting birth control pills for the first time, it is advisable to consult with your healthcare provider to discuss which type of pill is best suited for your individual health needs and lifestyle.

Additionally, if you have taken emergency contraception (the "morning-after pill") prior to starting regular birth control pills, it is essential to understand that emergency contraception is not intended for regular use and should not replace a consistent birth control method. Emergency contraception works primarily by delaying ovulation and is most effective when taken as soon as possible after unprotected intercourse.

When starting any form of hormonal contraception, it's also crucial to be aware of potential side effects. Common side effects of birth control pills can include nausea, breast tenderness, mood changes, and breakthrough bleeding. Most side effects tend to diminish after the first few months of use, but if you experience severe side effects or have concerns, you should reach out to your healthcare provider for guidance.

In summary, starting birth control pills on the first day of your menstrual bleeding is a safe and effective method of contraception. It is advisable to consult with your healthcare provider to ensure that you are making an informed decision that aligns with your health needs and to discuss any questions or concerns you may have regarding the use of birth control pills.

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